A Woman With Severe Rash

A 65-year-old woman was prescribed a new medication for rheumatoid arthritis. She unintentionally took this medication daily rather than weekly. On day 3, she developed a painful pruritic rash with a diffuse erosive process. Initial examination on day 10 noted a diffuse (70% body surface area) rash, mucositis (Figures 1 and 2), and pancytopenia.

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