26 year old male patient has discoid lesions with annular er | Figure 1

BurhanAhmedMD

Dermatology

26 year old male patient has discoid lesions with annular erythema, raised borders for last 3 years across the body that heal leaving hyperpigmented scars. He has tried numerous antifungal treatments and topical steroids for suspected eczema to no avail.

the pictures are not clear because thats the max resolution I can get in Pakistan. Any help would be appreciated.

Similar cases

58 yo male with >10 year history of erythematous dry, scaly skin on chest and arms. Has become infected previously due to picking, however it’s non pruritic. No drainage. Non tender. Improves after swimming in salt water.](https://app.figure1.com/case-detail/2337acc5-c2cc-42c8-b01c-21f91a5939e1)

Late 40's male with prediabetes who has developed this growing hyperpigmented rash over the past year. It's gotten larger slowly. Now has developed one on the left chest wall. No symptoms with it.](https://app.figure1.com/case-detail/2ae4bff2-14ce-4494-87aa-825c6751e34a)

78 years old, female. She is diabetic and hypertensive with good control. She has had pain in her left leg for 5 days. On physical examination, there is erythema and increased skin temperature at the site. What is the diagnosis in this case?](https://app.figure1.com/case-detail/3381684f-f67a-450f-bd45-72b2cc3414be)

She has a knee replacement 2 years ago and since the surgery there is some pain and sensitivity over the anterior knee. The hypopigmentation has been there for a few years and is unrelated. There is slight erythema but no effusion. No fevers and able to walk well on the knee other than the pain.](https://app.figure1.com/case-detail/472a48bf-ca24-499e-9f31-e8c34800b75a)

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)