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ACCP-SEEK Board Review Question of the Month |

A 42-Year-Old Policeman With Rash and Abnormal Chest Radiograph*

George A. Sarosi
Author and Funding Information

*From the ACCP-SEEK program, reprinted with permission. Items are selected by Department Editors Richard S. Irwin, MD, FCCP, and John G. Weg, MD, Master FCCP. For additional information, phone 1-847-498-1400.

Correspondence to: George A. Sarosi, MD, FCCP, Roudebush VA Medical Center, Medical Service (111), 1481 West 10th St, Indianapolis, IN 46202-32803



Chest. 2003;124(5):2014-2016. doi:10.1378/chest.124.5.2014
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Extract

A 42-year-old policeman is seen in the dermatology clinic because of a sudden onset of a rash over both legs and on the extensor surfaces of both forearms. It is accompanied by redness and tenderness over both ankles for the past 5 days. About 2 weeks earlier, he had complained of a few days of unproductive cough, which he described as “close to a cold.” The patient was recently discharged from the Army after 20 years of service in the military police. During his enlistment, he had lived in many states, including Arkansas, California, Illinois, and Wisconsin.

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