penile head skin lesions in a patient with NASH. Otherwise h | Figure 1

penile head skin lesions in a patient with NASH. Otherwise healthy. Lesions appeared 2 weeks ago - no symptoms, no itching, no pain, no inguinal lymphadenopathy. Introvert type personality - actually this was found after "door knob complaint" - I am not a dermatologist I routinely check his liver enzymes and NASH. Waiting for derm consult - what is your opinion? Eczema? Herpes? Contact dermatitis?

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4yo girl posterior thigh unilateral lesion. palpable dry and pink with few rough hallo. few satellite lesions. otherwise healthy. not known for eczema. swimmer. cat at home.
after 2 weeks local clotrimazole small response and redness without extension or new lesions.
i continued 2 more weeks and I'll see her back to check evolution before proposing maybe systemic treatment if insufficient response.
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