{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T09:40:18Z","timestamp":1716802818761},"reference-count":3,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Emerg Med J"],"accepted":{"date-parts":[[2016,12,31]]},"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:sec id=\"s1\"><jats:title>Clinical introduction<\/jats:title><jats:p>A 51-year-old male presented to the ED with a rash to his left thigh (figure 1) with erythema, swelling and pain. He endorsed paraesthesias, pruritus, fevers, vomiting and diarrhoea. Initial vitals were unremarkable. He was well\u00a0appearing with an 8\u00d78 cm violaceous patch on his left medial thigh with vesicles, surrounding erythema and induration with a second, smaller lesion on the right thigh. Both rashes were extremely tender.<\/jats:p><jats:fig id=\"F1\" position=\"float\" orientation=\"portrait\"><jats:label>Figure 1<\/jats:label><jats:caption><jats:p>Erythematosus and vesicular rash in bilateral legs.<\/jats:p><\/jats:caption><jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"emermed-2016-206523f1.tif\" position=\"float\" orientation=\"portrait\"\/><\/jats:fig><jats:p>A bedside ultrasound image of the rash was obtained (figure 2).<\/jats:p><jats:fig id=\"F2\" position=\"float\" orientation=\"portrait\"><jats:label>Figure 2<\/jats:label><jats:caption><jats:p>Bedside ultrasound of rash.<\/jats:p><\/jats:caption><jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"emermed-2016-206523f2.tif\" position=\"float\" orientation=\"portrait\"\/><\/jats:fig><\/jats:sec><jats:sec id=\"s2\"><jats:title>Question<\/jats:title><jats:p>What is the most likely cause of the patient\u2019s rash?<\/jats:p><jats:p>A. Herpes zoster<\/jats:p><jats:p>B. Cellulitis<\/jats:p><jats:p>C. Necrotising fasciitis<\/jats:p><jats:p>D. Bullous pemphigoid<\/jats:p><\/jats:sec>","DOI":"10.1136\/emermed-2016-206523","type":"journal-article","created":{"date-parts":[[2017,9,28]],"date-time":"2017-09-28T08:35:19Z","timestamp":1506587719000},"page":"686-691","update-policy":"http:\/\/dx.doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Man with leg rash"],"prefix":"10.1136","volume":"34","author":[{"given":"Michael Huynh","family":"Hwang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ziyad","family":"Khesbak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yiju Teresa","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,9,28]]},"reference":[{"key":"2024052701580143000_34.10.686.1","first-page":"235","article-title":"Early diagnosis of necrotizing fasciitis by utilization of ultrasonography","volume":"12","author":"Tsai","year":"1996","journal-title":"Kaohsiung J Med Sci"},{"key":"2024052701580143000_34.10.686.2","doi-asserted-by":"crossref","first-page":"277","DOI":"10.7863\/jum.1999.18.4.277","article-title":"Diagnosis of necrotizing fasciitis in children","volume":"18","author":"Chao","year":"1999","journal-title":"J Ultrasound Med"},{"key":"2024052701580143000_34.10.686.3","doi-asserted-by":"crossref","first-page":"111","DOI":"10.5811\/westjem.2013.8.18303","article-title":"Diagnosis of necrotizing faciitis with bedside ultrasound: the STAFF Exam","volume":"15","author":"Castleberg","year":"2014","journal-title":"West J Emerg Med"}],"container-title":["Emergency Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/emermed-2016-206523","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T08:58:11Z","timestamp":1716800291000},"score":1,"resource":{"primary":{"URL":"https:\/\/emj.bmj.com\/lookup\/doi\/10.1136\/emermed-2016-206523"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9,28]]},"references-count":3,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2017,9,28]]},"published-print":{"date-parts":[[2017,10]]}},"alternative-id":["10.1136\/emermed-2016-206523"],"URL":"https:\/\/doi.org\/10.1136\/emermed-2016-206523","relation":{},"ISSN":["1472-0205","1472-0213"],"issn-type":[{"value":"1472-0205","type":"print"},{"value":"1472-0213","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,9,28]]}}}