Build the Diagnosis: A Young Girl With a White-ish Neck Rash: What’s Your Purchase?


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.

Click on right here to exhaust the Differential Builder in VisualDx to enable you to.


a) Anetoderma


b) Atrophoderma


c) Lichen planus


d) Lichen sclerosus


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