Clinical Case Database / Category: Patient Management

Generalised skin rash

Publication details

Vijay Joshi, Ashis Banerjee
Foundation Years Journal, volume 4, issue 10, p.9 (123Doc Education, London, January 2011)


A generalised skin rash progressing to full thickness skin necrosis is described in a 71-year-old male presenting with upper gastrointestinal bleeding in the presence of alcoholic liver disease. The clinical diagnosis, role of investigations and management are discussed. An infective aetiology is postulated for the rash.

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Vijay Joshi

Registrar in integrated medicine
Chase Farm Hospital

Ashis Banerjee

Consultant in emergency medicine
Chase Farm Hospital


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4. Stone JH (2007) Hypersensitivity vasculitis. In J Imboden, D Hellmann and J Stone (eds) Current Diagnosis and Treatment Rheumatology, 2nd edition. New York: Lange Medical Books/McGraw Hill, (Chapter 38), p 308.


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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