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 *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html