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Case Reports
. 2023 May 2;329(17):1510-1511.
doi: 10.1001/jama.2023.4195.

Abdominal Pain and Petechial Rash in a 95-Year-Old Farmer

Rino Kadekaru  1 , Hiroyuki Yano  1 , Mitsuyo Kinjo  1
Affiliations
Case Reports

Abdominal Pain and Petechial Rash in a 95-Year-Old Farmer

Rino Kadekaru et al. JAMA. .
No abstract available

Plain language summary

A 95-year-old farmer taking prednisolone for bullous pemphigoid had 24 hours of abdominal pain, 2 weeks of diarrhea, and 3 months of intermittent abdominal bloating and anorexia. Evaluation showed purpuric macules and small thumbprint-like patches on her upper abdomen and central chest and a white blood cell count of 13 600/μL (89.9% neutrophils, 0.2% eosinophils). What is the diagnosis and what would you do next?

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