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Multiple figurate skin lesions
Multiple figurate skin lesions Felix Boon-Bin Yap, AdvMDerm, Wooi Chiang Tan, AdvMDerm, and Ting Guan Ng, AdvMDerm Kuala Lumpur, Malaysia
A healthy 50-year-old woman of Orang Asli descent (indigenous people of Peninsular Malaysia) presented with multiple pruritic scaly concentric rings over her extremities and trunk for 12 months’ duration (Figs 1 and 2). There was no nail or scalp involvement. Her son also had similar skin lesions (Fig 3). She claimed that all 6 of her children and her husband had similar skin lesions. 1.
What is the most likely diagnosis? A. Tinea imbricata B. Erythema gyratum repens C. Annular psoriasis D. Erythema annulare centrifugum E. Subacute cutaneous lupus erythematosus
From the Department of Dermatology, Hospital Kuala Lumpur. Funding sources: None. Conflicts of interest: None declared. Reprint requests: Felix Boon-Bin Yap, AdvMDerm, Department of Dermatology and Clinical Research Centre, Hospital Kuala
Lumpur, Jalan Pahang, 50586 Kuala Lumpur, Malaysia. E-mail: [email protected]. J Am Acad Dermatol 2013;69:e41-2. 0190-9622/$36.00 ª 2013 by the American Academy of Dermatology, Inc. http://dx.doi.org/10.1016/j.jaad.2013.01.014
e41
e42 Yap, Tan, and Ng
2.
What is the most appropriate investigation to aid the diagnosis? A. Computed tomographic scan to look for underlying malignancy B. Skin biopsy specimen C. Direct immunofluorescence test D. Skin scraping for 10% potassium hydroxide preparation E. Antinuclear antibody
3.
What is the treatment of this condition? A. Oral antihistamines B. Oral griseofulvin C. Topical steroids D. Oral steroids E. Oral hydroxychloroquine Please visit http://www.eblueimages.org to answer these questions.
J AM ACAD DERMATOL
AUGUST 2013
A healthy 50-year-old woman of Orang Asli descent (indigenous people of Peninsular Malaysia) presented with multiple pruritic scaly concentric rings over her extremities and trunk for 12 months’ duration (Figs 1 and 2). There was no nail or scalp involvement. Her son also had similar skin lesions (Fig 3). She claimed that all 6 of her children and her husband had similar skin lesions. 1.
What is the most likely diagnosis? A. Tinea imbricata B. Erythema gyratum repens C. Annular psoriasis D. Erythema annulare centrifugum E. Subacute cutaneous lupus erythematosus
From the Department of Dermatology, Hospital Kuala Lumpur. Funding sources: None. Conflicts of interest: None declared. Reprint requests: Felix Boon-Bin Yap, AdvMDerm, Department of Dermatology and Clinical Research Centre, Hospital Kuala
Lumpur, Jalan Pahang, 50586 Kuala Lumpur, Malaysia. E-mail: [email protected]. J Am Acad Dermatol 2013;69:e41-2. 0190-9622/$36.00 ª 2013 by the American Academy of Dermatology, Inc. http://dx.doi.org/10.1016/j.jaad.2013.01.014
e41
e42 Yap, Tan, and Ng
2.
What is the most appropriate investigation to aid the diagnosis? A. Computed tomographic scan to look for underlying malignancy B. Skin biopsy specimen C. Direct immunofluorescence test D. Skin scraping for 10% potassium hydroxide preparation E. Antinuclear antibody
3.
What is the treatment of this condition? A. Oral antihistamines B. Oral griseofulvin C. Topical steroids D. Oral steroids E. Oral hydroxychloroquine Please visit http://www.eblueimages.org to answer these questions.
J AM ACAD DERMATOL
AUGUST 2013