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What caused this intensely pruritic eruption?

What caused this intensely pruritic eruption?

Case 2:

More Dermclinic

Is this scaly rash a drug reaction—or something else?

How do you explain this asymptomatic rash on a woman’s breast?

What clues in the history point to the cause of this itchy, scaly eruption?

For 1 month, a 54-year-old woman has had an intensely pruritic eruption on her abdomen, arms, and anterior thighs. She has long-standing hypertension and type 2 diabetes mellitus, which are treated with an angiotensin-converting enzyme inhibitor/diuretic and an oral hypoglycemic agent.




Which of the following would you include in the differential?


A. Scabies.
B. Grover disease.
C. Guttate psoriasis.
D. Pityrosporum folliculitis.
E. Lichen planus.

Bonus question: There is something missing from the history. What question would you ask this patient?

(answer on next page)


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