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Painful skin reaction
  1. Hon-Pheng Tam,
  2. Wei-Jing Lee
  1. Department of Emergency Medicine, Chi-Mei Medical Center, Tainan, Taiwan
  1. Correspondence to Dr Wei-Jing Lee, Department of Emergency Medicine, Chi-Mei, Medical Center, 901 Zhonghua Road, Yongkang District, Tainan 710, Taiwan; saab931103{at}

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Clinical introduction

A 54-year-old male diagnosed with chronic hepatitis C, and hepatocellular carcinoma (HCC) status post transarterial embolisation twice, presented to our Emergency Department (ED) due to progressive cutaneous dysesthesia over bilateral palms and soles after taking a new agent for the cancer twice a day for 6 days, in addition to his daily analgesic medication etoricoxib (60 mg). Clinical examination revealed skin lesions over his palms (figure 1) and feet (figure 2).

Figure 1

Palmar erythematous rashes.

Figure 2

Central yellow-coloured blisters on …

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  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.