Volume 12 - Issue 3 - March 2004

PATIENT PRESENTATION A 57-year-old Caucasian female presented to our office as a referral from a local emergency room. She had lived in Arizona for 15 years. She complained of a pruritic eruption on her scalp, trunk, arms and legs that had begun suddenly 7 days earlier. She also reported fever, fatigue, joint aches and a mild cough during the previous week. She lacked any significant past medical history and denied the use of any new medications. She denied any recent travel or contact with anyone sick. On physical examination, the patient appeared fatigued and had a low-grade fever of 99