Case 1

A 62-year-old man with hypertension, obesity, and gout presents with a 4-day history of fever, rash, abdominal pain, and lymphadenopathy. Five weeks earlier, the patient was hospitalized for gout and prescribed allopurinol. Physical examination reveals fever (102 °F); a rash encompassing 60% of his body surface area; cervical, axillary, and inguinal lymphadenopathy; and right upper quadrant tenderness to palpation. Laboratory workup shows leukocytosis with eosinophilia and elevated alanine aminotransferase level of >100 U/L. Histology findings include foci of interface dermatitis and perivascular lymphocytic infiltrates.

Can you diagnose the condition in Case 1?

A. Stevens-Johnson syndrome
B. DRESS syndrome
C. Morbilliform drug eruption
D. Kawasaki Disease

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