An 85-year-old woman complaining of pruritic “hives” (small red bumps) on trunk and thighs accompanied by nausea and lightheadedness. Her left eyelid also became swollen. Symptoms occurred at rest and lasted two hours. The swelling of her eyelid lasted a bit longer than the bumps on her trunk and thighs.
Her lightheadedness represented presyncope. Past Medical History Osteoarthritis: Hip arthroplasty Osteoporosis Labyrinthitis Colon cancer stage II: 2000 Physical Examination BP: 150/68 (not orthostatic) Cardiac: regular rate in 80s, normal exam Skin: patch of erythema on back and trunk beneath bra strap, erythema over beltline, red papules on lower anterior chest, ecchymoses on shoulders and legs. The rash seen on exam is different than the transient rash that she had one day ago. Laboratory Findings normal chemistries and blood counts Positive ANA, 1:160 ESR normal Medications …
