A 43-year-old man is admitted to the Emergency Department with a rash and feeling generally unwell. He is known to have epilepsy and his medication was recently changed to phenytoin three weeks ago. Around one week ago he started to develop mouth ulcers associated with malaise and a cough. Two days ago he started to develop a widespread red rash which has now coalesced to form large fluid-filled blisters, covering around 30% of his body area. The lesions separate when slight pressure is applied. On examination his temperature is 38.3ºC and pulse 126 / min. Blood results show: Na+ 144 mmol/l K+ 4.2 mmol/l Bicarbonate 19 mmol/l Urea 13.4 mmol/l Creatinine 121 μmol/l What is the most likely diagnosis? Kawasaki disease Staphylococcal Scalded Skin syndrome Drug-induced lupus Phenytoin-induced neutropaenia Toxic epidermal necrolysis
Posted on: Fri, 01 Aug 2014 23:16:36 +0000
Trending Topics
Recently Viewed Topics
© 2015