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Date: | Thu, 14 Oct 2004 13:41:51 -0400 |
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Complicated. The burning pain and rash on the trunk, extending anterior
and posterior, reminds me from the description of shingles (varicella
resurgence). The redish/purplish discoloration could be consistent,
though the lumps are a little puzzling, but could be consistent. Though I
would not expect to see problems on the other side. Is the rash along a
dermatomal distribution?
I suppose it could be a mastitis that has spread along fascial planes,
which could be troubling, especially without response to the antibiotics.
Not confident in either diagnosis though. Wish I was there to see the
patient.
Shannon McElearney, MD
PGY4, General Surgery
University of Virginia
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