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A 62-Year-Old Man With Skin Rash and an Abnormal Chest RadiographMan With Skin Rash and Abnormal Chest Radiograph

Tyler J. Albert, MD; Sarah Bastawrous, DO; Gregory J. Raugi, MD, PhD; Jan V. Hirschmann, MD
Author and Funding Information

From the Department of Medicine (Drs Albert, Raugi, and Hirschmann), and Department of Radiology (Dr Bastawrous), VA Puget Sound Medical Center; and Department of Medicine (Drs Albert and Hirschmann), Department of Radiology (Dr Bastawrous), and Division of Dermatology (Dr Raugi), University of Washington School of Medicine, Seattle WA.

CORRESPONDENCE TO: Sarah Bastawrous, DO, VA Puget Sound Medical Center, Department of Radiology, Mail Box 358280, S-114, 1660 S Columbian Way, Seattle WA 98108-1597; e-mail: ssheikh@u.washington.edu


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2015;147(3):e90-e94. doi:10.1378/chest.14-1100
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A 62-year-old man developed a scalp rash 2 months ago, followed by bilateral eyelid swelling. The nonpruritic rash then spread to involve most of his skin. He also had fatigue, muscle weakness, mild muscle soreness with activity, and dysphagia for solid foods for the last 3 weeks. He had no other symptoms. He had a 50 pack-year history of smoking and drank two to three shots of alcohol daily.

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