80-Year-Old Man With Anemia and Blistering Skin LesionsAn 80-year-old man presented to our institution with a 2-month history of pruritic rash, which developed shortly after a fishing trip. This was the first such outbreak, although 3 years previously, 2 nonhealing sores on the back of his neck were found to be seborrheic dermatitis. On further questioning, the patient admitted to dyspnea on exertion, progressively worsening during the past few years, but denied having any chest pain, palpitations, weight loss, fever, night sweats, or orthopnea.
22-Year-Old Woman With Severe Microcytic AnemiaA 22–year-old woman who had no notable previous medical history reported increasing fatigue during the past few months. Her mother noticed that she looked pale and suggested she visit her family physician. Her family and personal histories were noncontributory. Findings on physical examination were remarkable only for pallor. In particular, she had no hepatosplenomegaly or lymphadenopathy.