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جوري
07-08-2008, 11:08 PM
This rash appeared following treatment for leukemia. What is the diagnosis?

1. Cryoglobulinemia
2. Leukemia cutis
3. Herpes zoster
4. Graft-versus-host disease
5. Urticaria pigmentosa

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Mr. Baldy
07-08-2008, 11:25 PM
from what little I know....

doesn't look like Shingles or Urticaria (although anti-histamines will easily verify that), Cryoglobulinemia doesn't seem likely, did the patient have a marrow transplant? if so could be GVHD, I'm not even going to go into Leukemia cutis, you should get a dermatologist for that.
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جوري
07-08-2008, 11:39 PM
it was a challenging Q from rounds today....but they never give you more info than what is provided, and you are actually right about your 'if so'.. at least I seem to think so on the account that is what I chose too, so I'll let you know if we are correct as soon as the answers are released :smile:

Haven't even touched the Q's for grand round.. might share them a little later if I can figure out how to upload Q's without so many problems..

Thank you for your participation and reps


p.s shingles will not clear with antihists and always presents in a dermatomal fashion.
:w:
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Mr. Baldy
07-08-2008, 11:45 PM
the others just didn't seem likely, but yeah... guessing :P yeah inshallah post the answer up, I'm curious.

Inshallah, I hope your rounds go well

(I don't think I repped you... but I will now!)
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Mr. Baldy
07-08-2008, 11:48 PM
Originally Posted by Skye Ephémérine

p.s shingles will not clear with antihists and always presents in a dermatomal fashion.
:w:
Anti-histamies for urticaria, and shingles is more often in a stripe.
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جوري
07-08-2008, 11:53 PM
I shall post them insha'Allah
thanks for the reps..
we had an interesting case on monday called 'superficial siderosis' was the first I had ever come across it.. you should read about it, if interested in medicine..

:w:
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