Rino Kadekaru, MD; Hiroyuki Yano, MD; Mitsuyo Kinjo, MD, MPH
has active quiz
JAMA. 2023;329(17):1510-1511. doi:10.1001/jama.2023.4195
A 95-year-old farmer taking prednisolone for bullous pemphigoid had 24 hours of abdominal pain, 2 weeks of diarrhea, and 3 months of intermittent abdominal bloating and anorexia. Evaluation showed purpuric macules and small thumbprint-like patches on her upper abdomen and central chest and a white blood cell count of 13鈥600/渭L (89.9% neutrophils, 0.2% eosinophils). What is the diagnosis and what would you do next?