title: Severe polyarthralgia, high-grade fever, diffuse maculopapular rash on trunk and extremities · Dx?
abstract: The patient was nauseous, and had been experiencing headaches, generalized weakness, and fatigue. Her physical exam revealed a maculopapular rash on her trunk and upper extremities. She had tenderness and pain, as well as decreased range of motion in her ankles, knees, and wrists. The patient had no erythema, swelling, petechiae, or bruising. She had a past medical history of Graves' disease and had received all of her childhood immunizations.
authors.affiliation: St. Joseph's Hospital Health Center, Syracuse, NY, USA. Email: stephen.hoag@sjhsyr.org.
authors.forename: Stephen D
authors.initials: SD
authors.lastname: Hoag
authors.affiliation: Ole Health, Fairfield, CA, USA.
authors.forename: Karen
authors.initials: K
authors.lastname: Chung
mesh_terms: D000082:Acetaminophen / Q000627:therapeutic use*; D000328:Adult; D018712:Analgesics, Non-Narcotic / Q000627:therapeutic use; D000842:Ankle / Q000503:physiopathology / Q000821:virology; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D018771:Arthralgia / Q000175:diagnosis / Q000188:drug therapy* / Q000821:virology; D017691:Caribbean Region; D065632:Chikungunya Fever / Q000175:diagnosis* / Q000628:therapy*; D004338:Drug Combinations; D005076:Exanthema / Q000175:diagnosis / Q000188:drug therapy* / Q000821:virology; D005260:Female; D005334:Fever / Q000175:diagnosis / Q000188:drug therapy* / Q000821:virology; D056304:Genu Valgum / Q000503:physiopathology / Q000821:virology; D006801:Humans; D007052:Ibuprofen / Q000627:therapeutic use*; D010098:Oxycodone / Q000627:therapeutic use*; D014195:Travel; D016896:Treatment Outcome; D014481:United States; D014953:Wrist / Q000503:physiopathology / Q000821:virology
chemical_list: D018712:Analgesics, Non-Narcotic; D000893:Anti-Inflammatory Agents; D004338:Drug Combinations; C514822:oxycodone-acetaminophen; D000082:Acetaminophen; D010098:Oxycodone; D007052:Ibuprofen