25yoM Eruption of blanching skin lesions, no pruritis, some | Figure 1

Case Report

Patient Overview

25yoM with eruption of blanching skin lesions, presenting with:

No pruritis
Some lesions painful when they first appear
10 lesions appeared three weeks ago, query new dermatographia
Another 10 lesions have appeared in the last three weeks, some have become less prominent
No lesions on feet, single lesion on thigh
1 year history of patchy hair loss
Recently volunteered at local pediatric emergency department

Differential Diagnosis

Psoriasis
Coxsackievirus
Secondary syphilis

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