The Case of the Very Sick Sailor

What is the cause of the severe, diffuse inflammation of skin, joints, and mucous membranes in this Persian Gulf patient?

This case of an active duty sailor deployed to the Persian Gulf in the early 1990s turned out to be an up-close-and-personal education for the author and internal medicine resident he accompanied on rounds. Both were asked a question on internal medicine board exams about the patient's ultimate diagnosis. Neither had the benefit of pictures to help with the answer. In this slide show, you will get a complete history, see vivid images, and review specialist consult notes on the case.In other words, there is plenty of information here to help you make the diagnosis. Good luck.