A 29-year-old Mexican man was admitted to the hospital with fever, cough, sore throat, and red, tender leg nodules suggestive of erythema nodosum (Fig. 1). The white blood cell count was 35,000. Several days later, annular plaques and pustules developed on his face, neck, and forearms (Figs. 2 and 3). Facial skin biopsy showed neutrophilic dermatitis without evidence of infection or vasculitis consistent with Sweet’s syndrome. Biopsy of the thigh was non-diagnostic, but showed a mixed neutrophilic and granulomatous dermatitis.
WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.
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