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The Rash Decision: A Surprising Culprit behind a Sudden Eruption

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Author: Charlotte Elliott / Editor: Stephen Sheridan / Codes: DP2, SLO1 / Published: 05/02/2026

A 55-year-old gentleman presents to the Emergency Department (ED) with a striking, itchy rash most noticeable on his torso, arms, and legs. The eruption had been present for two days. He otherwise feels well in himself but is troubled by the persistent pruritus. He has no past medical history, does not take any regular medication and is not known to have any allergies.

Examination revealed linear, whip-like streaks across the affected areas, with localized erythema and swelling in places, likely secondary to scratching.

His observations are normal.

The rash presents as in the picture.

Fig.1 Courtesy of the author

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