These asymptomatic plaques developed on the legs of a 59-year-old woman with diabetes mellitus and pulmonary sarcoidosis. Biopsy showed a granulomatous infiltrate of epithelioid histiocytes and multinucleated giant cells surrounded by lymphocytes “layered” throughout the dermis.What’s your diagnosis?
The rash has been present for 2 years. Originally on the trunk and extremities it has now spread to her face and hands. She has been diagnosed as having and been unsuccessfully treated for nummular eczema and tinea corporis. What's your Dx?
Lichen spinulosus is a rare, hyperkeratotic dermatosis similar to keratosis pilaris. It is most common in children, adolescents, young adults with male predominance. Treatment includes keratolytics and emollients.
Polymorphic light eruption, phototoxicity, solar purpura, basal cell carcinoma, squamous cell carcinoma, keratoacanthoma, venous lakes, photosensitivity—a look at the many adverse effects of too much sun exposure.