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Papular Eruption on a Patient With Down Syndrome—Quiz Case

Papular Eruption on a Patient With Down Syndrome—Quiz Case Report of a case A 39-year-old man with Down syndrome presented with a long-standing history of an eruption over his hands and arms. The eruption, which was completely asymptomatic, had been an incidental finding by his general practitioner, who had been treating him for a fungal toenail infection. Physical examination revealed a pigmented papular eruption that tended to occur in clumps on the lateral and medial aspects of the patient's feet (Figure 1) as well as on his forearms (Figure 2). He also had dystrophy of his toenails. The results of the rest of the skin examination were unremarkable. A punch biopsy specimen was obtained from one of the lesions on the forearm (Figure 3). Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. View LargeDownload What is your diagnosis? http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Papular Eruption on a Patient With Down Syndrome—Quiz Case

Papular Eruption on a Patient With Down Syndrome—Quiz Case

Abstract

Report of a case A 39-year-old man with Down syndrome presented with a long-standing history of an eruption over his hands and arms. The eruption, which was completely asymptomatic, had been an incidental finding by his general practitioner, who had been treating him for a fungal toenail infection. Physical examination revealed a pigmented papular eruption that tended to occur in clumps on the lateral and medial aspects of the patient's feet (Figure 1) as well as on his forearms (Figure...
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Publisher
American Medical Association
Copyright
Copyright © 2004 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.140.9.1161-a
Publisher site
See Article on Publisher Site

Abstract

Report of a case A 39-year-old man with Down syndrome presented with a long-standing history of an eruption over his hands and arms. The eruption, which was completely asymptomatic, had been an incidental finding by his general practitioner, who had been treating him for a fungal toenail infection. Physical examination revealed a pigmented papular eruption that tended to occur in clumps on the lateral and medial aspects of the patient's feet (Figure 1) as well as on his forearms (Figure 2). He also had dystrophy of his toenails. The results of the rest of the skin examination were unremarkable. A punch biopsy specimen was obtained from one of the lesions on the forearm (Figure 3). Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. View LargeDownload What is your diagnosis?

Journal

Archives of DermatologyAmerican Medical Association

Published: Sep 1, 2004

Keywords: down syndrome,exanthema,papule

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