30 yo F with 1 week non pruritic discolored macules. No meds | Figure 1

eosinophil

Case Summary

30 yo F with 1 week non pruritic discolored macules. No meds, no systemic symptoms. Covid vaccinated x 2.

On exam, 2 annular/target (rim of hypopigmentation with central hyperpigmentation - one has a central palpable dermal nodule)

AI suggests dermatofibroma, wart, bite.

Could this be molluscum? Erythema multiforme? Erythema annulare centrifugum?


Similar Cases


shared some time ago and asked for help with diagnosis. Lupus, coeliac and suggested biopsy. Biopsy shows Erythema annulare centrifugum.


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.


60 yo female with PHM of fatigue and joint pain presents with large circular pruritic rash for the last 3 months. Rash began in 2016 on limbs and has reported resolution with course of po steroids. Rash starts as small erythema and expand to annular lesions over the course of months. Current provider placed her on mycophenolate with little success. Any ideas?


Pt had bx 1 month ago which showed erythema multiforme. Returns today with 90% bsa. The center of the annular lesions are intact and not neurotic. Questioning whether this truly is EM or severe cutaneous lupus.

Trending Cases


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.


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.


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.


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?