Rash in nursing home patient

Presenter: Panagiotis Mitropoulos DO, Justin Rubin DO, Lise Brown DO, Stanley Skopit DO
Dermatology Program: NSU-COM/BGMC
Program Director: Stanley Skopit DO
Submitted on: Nov 9, 2010

CHIEF COMPLAINT:  Rash on buttocks for several months

CLINICAL HISTORY:

Signs and symptoms:  An 84-year-old Caucasian woman, nursing home resident, with a seven month history of erythematous, mildly pruritic, non tender rash involving the right buttock area

Previous Treatment:  Patient was being treated by primary care physician with ketoconazole cream without significant improvement of symptoms

PHYSICAL EXAM:

Erythematous, well demarcated, mildly scaling, non tender plaque on the mid and superolateral aspect of the right buttock.

 

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LABORATORY TESTS:

DERMATOHISTOPATHOLOGY:

DIFFERENTIAL DIAGNOSIS:

1.   Cutaneous T-cell lymphoma
2.   Plaque psoriasis
3.   Large plaque parapsoriasis
4.   Tinea corporis


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