ABSTRACT
This chapter provides a case study of 23-year-old African Caribbean patient who presents with an acute-onset facial rash. She has no rash elsewhere and no previous history of skin problems. She had taken an antihistamine for suspected allergy reaction as her face had become slightly swollen and red. Her family had become increasingly worried and took her to the local accident and emergency department. During her assessment she complained of a two-week history of general malaise, fatigue, fever and weight loss. On a systems review she admitted to having experienced intermittent joint pains involving her hands and knees. She has a subtle erythematous confluent eruption present over her cheeks and nose which is ill-defined and slightly oedematous; there is minimal scaling. The rest of her skin examination is normal including the scalp and nails, however she does have two ulcers present on her oral mucosa.
