Confluent, Hyperpigmented Plaques

September 30, 2014

Mycosis fungoides; circumscribed erythematous lesions in a toddler; large abdominal ecchymotic mass . . . some of the challenges for you in this quiz.

Question 1:

A 60-year-old man had large confluent, hyperpigmented, erythematous, pruritic patches and plaques involving more than 90% of his body surface area. The diagnosis was mycosis fungoides.

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Question 2:

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Question 3:

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Question 4:

Circumscribed erythematous lesions developed on the back and abdomen of this 19-month-old boy. The rash was mildly pruritic. He was given 1 dose of diphenhydramine, and the rash resolved after an hour. About 12 hours later, new lesions developed on the face, neck, and upper back. He was given the same treatment, and the symptoms resolved. The next morning, widespread lesions were noted on his face, neck, trunk, and extremities.

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Question 5:

A 77-year-old woman had shortness of breath that worsened when she was supine and intermittent left flank pain. She had a history of an embolic cerebral stroke, for which she takes warfarin. There is a large abdominal ecchymotic mass over the left side. She had fallen in her bathroom a few days earlier.

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ANSWER KEY:

Question 1. A

Question 2. E

Question 3. B

Question 4. C

Question 5. D