Peer Reviewed
Dermatology clinic
Asymptomatic plaques and papules on the hands, wrists and forearms
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Skin conditions
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Abstract
What is the cause of this patient’s rash and what treatment options are available to her?
Key Points
Case history
A 50-year-old woman presented with a four-year history of asymptomatic, smooth red papules and plaques, many of which were annular in appearance. For the first three years, the lesions had been scattered over the dorsal aspect of her hands, wrists and forearms, but during the fourth year many more had developed on these sites. The annular plaques were mainly on her hands and fingers (Figure 1a); papular lesions were the predominant type on her forearms (Figure 1b). Results of a fasting glucose test were normal. The patient was mainly concerned about the appearance of the lesions, and particularly whether they might start to appear on her face.
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