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Dermatology clinic

A persistent submammary rash

Andrew Lee, Gayle Fischer

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Abstract

A 70-year-old woman presents with a submammary rash that has been present for several weeks. What has caused this persistent eruption?

Article Extract

Case presentation

A 70-year-old woman presents with a persistent, uncomfortable and slightly eroded submammary rash that has been present for several weeks (Figure 1). She complains of a burning sensation in the rash.

The rash has been treated with a potent topical corticosteroid, without improvement. A skin scraping and culture have not shown evidence of a fungal infection.

The patient’s current prescribed medications are telmisartan, simvastatin and aspirin, and she also takes paracetamol for osteoarthritis. She is afebrile, and blood tests show a normal white cell count.

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