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Erythematous and Hypopigmented Patches on the Face—Quiz Case

Erythematous and Hypopigmented Patches on the Face—Quiz Case Report of a case A 12-year-old boy presented with a 1-month history of multiple, slightly pruritic, erythematous patches on his face (Figure 1). The lesions varied from 1 to 4.5 cm in diameter and were hypopigmented at the periphery. The center of each lesion was slightly infiltrated. The patches had been gradually enlarging despite treatment with topical steroids. Thermal, pain, and tactile sensations were intact at the lesion sites. There was no history of exposure to a contact allergen, and the patient was in good general health. The results of direct microscopic exami-nation for fungal elements were negative. A cutaneous punch biopsy specimen was obtained (Figure 2 and Figure 3). View LargeDownload Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. What is your diagnosis? http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Erythematous and Hypopigmented Patches on the Face—Quiz Case

Erythematous and Hypopigmented Patches on the Face—Quiz Case

Abstract

Report of a case A 12-year-old boy presented with a 1-month history of multiple, slightly pruritic, erythematous patches on his face (Figure 1). The lesions varied from 1 to 4.5 cm in diameter and were hypopigmented at the periphery. The center of each lesion was slightly infiltrated. The patches had been gradually enlarging despite treatment with topical steroids. Thermal, pain, and tactile sensations were intact at the lesion sites. There was no history of exposure to a contact allergen,...
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Publisher
American Medical Association
Copyright
Copyright © 2005 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.141.7.897-a
Publisher site
See Article on Publisher Site

Abstract

Report of a case A 12-year-old boy presented with a 1-month history of multiple, slightly pruritic, erythematous patches on his face (Figure 1). The lesions varied from 1 to 4.5 cm in diameter and were hypopigmented at the periphery. The center of each lesion was slightly infiltrated. The patches had been gradually enlarging despite treatment with topical steroids. Thermal, pain, and tactile sensations were intact at the lesion sites. There was no history of exposure to a contact allergen, and the patient was in good general health. The results of direct microscopic exami-nation for fungal elements were negative. A cutaneous punch biopsy specimen was obtained (Figure 2 and Figure 3). View LargeDownload Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. What is your diagnosis?

Journal

Archives of DermatologyAmerican Medical Association

Published: Jul 1, 2005

Keywords: pain,pruritus,sensory perception,topical corticosteroid,contact allergens,biopsy, punch

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