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Dermatology Quiz

A tender rash on the legs

Fig. Leg rash
Figure. The patient’s rash at presentation.

A 14-year-old boy presents with a slightly tender rash on both lower legs a week after an attack of tonsillitis. He had been previously well.

An enlarging lesion on the neck

Fig 1. Neck lesion
Figure 1. The lesion occurring on the patient’s neck, which has recently enlarged and become more prominent.

A 13-year-old boy presented with a raised, hyperkeratotic, warty lesion on his neck.

Recurrent itchy papules in a 12-year-old boy

Fig 1. Itchy papules
Figure 1. The itchy papular rash on the patient’s hands and knees. The rest of the skin is normal.

A 12-year-old boy has developed itchy papules on the palms, soles, elbows and knees each spring for the last three years.

Sudden onset of blistering lesions in a young boy

Fig 1a. Arm lesions
Figure 1a. Blistering lesions on the patient’s arm.

A 12-year-old boy presents with sudden onset of blistering lesions on his arms and legs, occurring a few days after he developed a typical cold sore on his upper lip.

Asymptomatic annular lesions on the hand

Fig 1. Annular lesions
Figure 1. Asymptomatic annular lesions on the dorsum of the patient’s hand.

A 35-year-old man has two asymptomatic, annular lesions on the dorsum of his left hand, which have slowly expanded over the past three months.

Lifelong irregular pale patches

Fig 1. Hypopigmented patches
Figure. Multiple irregular hypopigmented patches contrasting with surrounding erythema over the shoulder and back.

A man presents with a lifelong history of asymptomatic irregular pale patches outlined by a pink blush localised to his shoulder and back. These failed to react to dermographism. What is the differential diagnosis?

A blistering eruption in pregnancy

Fig 1. Symmetrical rash
Figure 1. A pregnant woman with a generalised symmetrical rash of blisters and serous crusts distributed in an annular configuration.

A pregnant woman presents with a generalised symmetrical rash of blisters and serous crusts that flared in the third trimester.

Reticulate pigmentation of axillae

Fig 1. Reticular pigmentation
Figure 1. Reticular pigmentation and papules on the axilla.

A woman presents with a 10-year history of asymptomatic mottled reticulate pigmentation localised to her axillae and groins. Her mother and sister were similarly affected.

Generalised itching with wrist lesions

Fig 1. Excoriated lesions
Figure 1. Excoriated lesions on the patient’s wrists.

A man presents with a six-week history of intense generalised pruritus sparing his face that is worse at night.

Muscle weakness with knuckle erythema

Fig 1. Erythema
Figure 1. Dorsum of the patient’s hand showing erythema over the knuckles and interphalangeal joints.

A boy develops facial rash, periungual erythema and pruritic erythematous patches on his knuckles and interphalangeal joints. General malaise and proximal muscle weakness was also present.

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