RT Journal
A1 Rivera MA, Nigra TP
T1 ULcerating papulosquamous eruption and constipation in a 75-year-old man
JF Archives of Dermatology
JO Archives of Dermatology
YR 1985
FD May 1
VO 121
IS 5
SP 675
OP 676
DO 10.1001/archderm.1985.01660050127032
UL http://dx.doi.org/10.1001/archderm.1985.01660050127032
AB REPORT OF A CASE 
    The patient, a 75-year-old farmer, was admitted to the Washington Hospital Center, Washington, DC, with a two-year history of a perianal eruption, with fissuring and strictures. Multiple attempts to surgically repair the area had been unsuccessful. During the year prior to admission, the eruption, which waxed and waned in intensity, spread to the scalp, axillae, and trunk. Other symptoms included marked polyuria and polydipsia (he drank 10 L/day), severe constipation, and a 2.7-kg weight loss. The patient was taking dicloxacillin sodium at the time of admission. The remainder of the medical history was unremarkable.Physical examination revealed a slender, alert, elderly man. Major findings were localized to the skin. There were numerous scaly reddish brown papules on the lower abdomen and back. In the occipital region—the scalp, neck, and axillae—the papules coalesced to form plaques, which were deeply eroded and covered with thick crusts (Figs 1