Dermatology online journal
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Dermatol. Online J. · Mar 2013
Case ReportsNon-healing verrucous plaque over upper limb for 1 year in a tea garden worker.
A 55-year-old tea garden worker presented with a slowly growing verrucous plaque on the right arm. The diagnosis of chromomycosis was confirmed by the identification of brown sclerotic bodies in a skin biopsy.
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Dermatol. Online J. · Mar 2013
Case ReportsRocky Mountain Spotted Fever in a patient treated with anti-TNF-alpha inhibitors.
Rocky Mountain Spotted Fever (RMSF) is a tick-bourne illness, which can be fatal if unrecognized. We discuss the case of a patient treated with an anti-TNF-alpha inhibitor for rheumatoid arthritis who later developed a generalized erythematous macular eruption accompanied by fever. The clinical findings were suggestive of RMSF, which was later confirmed with serology. Prompt treatment with doxyclycine is recommended for all patients with clinical suspicion of RMSF.