4 results
Acute Purpura Fulminans Skin Rash on Physical Exam 
60 year old male ITP s/p splenectomy 
1d
Skin Rash on Physical ... Exam 60 year old ... Your blood cxs identify ... BIDMC Infectious Diseases ... #photo
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
Macrophage Activation ... • Adult-onset Still ... (Petechial or purpuric ... rash) • Heart, ... Syndrome #Diagnosis #Management
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
3rd Decade Skin ... arthritis, adult-onset Still ... disease, dermatomyositis ... Seizures • Strokes Skin ... Chronic B-cell activation
Anti-NXP-2 Dermatomyositis

What?
DM with generalized subcutaneous edema
Pts have more myalgias, more severe weakness, and an increased prevalence
But can still have ... (blue-purple) rash ... had more severe disease ... : • ILD was diagnosed ... #diagnosis #management