Build the Diagnosis: A Young Girl With a White-ish Neck Rash: What’s Your Purchase?
Presentation
A 32-300 and sixty five days-feeble girl visited her doctor infected by a rash that developed on her neck and chest 3 months prior. The patient became distressed by its look, and skilled gentle pruritus, nonetheless appeared smartly and had no systemic symptoms. The patient had a clinical historical past of alopecia areata and Hashimoto thyroiditis. On examination, hundreds of follicularly-based exclusively, whitish, soft papules, some confluent, had been seen on the upper chest and neck. Histopathologic examination showed epidermal atrophy, vacuolar degeneration on the dermal-epidermal junction, and homogenous hyalinization of the papillary dermis. The patient had no historical past of dermatological illness or allergic reactions.
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a) Anetoderma
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b) Atrophoderma
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c) Lichen planus
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d) Lichen sclerosus
Learnings
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