A 62-year-old man with skin rash and an abnormal chest radiograph.
A 62-year-old man developed a scalp rash 2 months ago, followed by bilateral eyelid swelling. The nonpruritic rash then spread to involve most of his skin. He also had fatigue, muscle weakness, mild muscle soreness with activity, and dysphagia for solid foods for the last 3 weeks. He had no other symptoms. He had a 50 pack-year history of smoking and drank two to three shots of alcohol daily.
Department of Medicine, VA Puget Sound Medical Center, Department of Medicine, Seattle WA.
Tyler J
TJ
Albert
Department of Radiology, VA Puget Sound Medical Center, University of Washington School of Medicine, Seattle WA. Electronic address: ssheikh@u.washington.edu.
Sarah
S
Bastawrous
Department of Medicine, VA Puget Sound Medical Center, Division of Dermatology, University of Washington School of Medicine, Seattle WA.
Gregory J
GJ
Raugi
Department of Medicine, VA Puget Sound Medical Center, Department of Medicine, Seattle WA.
Jan V
JV
Hirschmann
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D001999:Bronchoscopy; D003882:Dermatomyositis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D004358:Drug Therapy; D005076:Exanthema / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D013902:Radiography, Thoracic; D055752:Small Cell Lung Carcinoma / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D016896:Treatment Outcome
D000305:Adrenal Cortex Hormones