A 42-year-old man presented with a 4-week history of erythematous, maculopapular rash over his whole body (Fig.1), shortness of breath and generalised lymphadenopathy for 1 week. Clinical examination showed erythroderma with multiple lymph nodes in the cervical, axillary and groin areas. The lymph nodes were firm, mobile, non tender and were not attached to underlying structures. The lymph nodes were about 3.0 cm by 2.0 cm in size. Clinical examination of the respiratory system showed prolonged expiratory phase with diffuse wheeze over both lungs. There was no evidence of hepatosplenomegaly.
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