Marco Mercieri, M.D., and Angelo Mercieri, M.D. N Engl J Med 2011; 364:361January 27, 2011
An 88-year-old man with long-standing obstructive lung disease was admitted to the intensive care unit with pneumonia and acute respiratory failure requiring mechanical ventilation. He was noted to have a symmetric, scaly, sunburn-like, hyperpigmented rash extending from his hands to a clearly demarcated border midway up the arm, suggesting a photosensitive distribution in a patient accustomed to wearing short sleeves.
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