This 73-year-old Puerto Rican male presented to the dermatology office in March with complaints of "painful sores in his mouth." He had recently been visiting his grandchildren in New York when he became "sick enough to go to the hospital." His symptoms initially were mild and consisted of headache, malaise, low-grade fever, and anorexia. He subsequently (2-3 days later) developed intense pruritus and "sores in his mouth" which rendered him unable to eat. He denied any other symptoms at the initial office visit. His past medical history was positive for hypertension and mild osteoarthritis. Prior to his visit to New York, he had been living with extended family members in crowded living conditions in Puerto Rico. Medications included only an antihypertensive ACE inhibitor and over-the-counter ibuprofen for pain and fever. He had no known allergies. He denied significant headache, chest pain, or shortness of breath.
Dermatology Nursing. 2008;20(1):47-49,53. © 2008 Jannetti Publications, Inc.
Cite this: What's Your Assessment? - Medscape - Feb 01, 2008.