PMC8447091_01
Extensive ulcerated cutaneous rash involving the face, torso, and extremities.
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PMC8447091_01_10.1177_23247096211045245-fig1.jpg
fig1-23247096211045245
A 33-year-old man with a reported history of sickle cell anemia and a penicillin allergy presented to the emergency department (ED) with an extensive ulcerative rash involving his face, extremities, trunk, genitals, and back with sparing of the mucous membranes, eyes, palms, and feet (Figure 1).
Significant improvement in the rash with post-inflammatory hypopigmentation after
intravenous acyclovir.
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PMC8447091_01_10.1177_23247096211045245-fig2.jpg
fig2-23247096211045245
The patient was continued on IV acyclovir and emollients with gradual improvement in the lesion throughout the admission (Figure 2).