A 73-year-old African American woman presented with a widespread scaly pruritic rash lasting 2 months. Her medical history included hypertension, diabetes, pulmonary sarcoidosis, and acid reflux, for which she takes amlodipine, carvedilol, repaglinide, hydroxychloroquine, and pantoprazole. Her history also included chronic renal insufficiency and chronic hepatitis C, for which she takes no medications. She reported no fevers, new skin exposures, oral ulcers, arthritis, alopecia, or photosensitivity and no worsening pulmonary symptoms of cough or shortness of breath. The rash did not improve after 2 weeks of applying topical triamcinolone ointment (0.1%).
Jones EK, Mingioni N, Lee JB. Widespread Scaly Eruption in a Patient With Multiple Comorbidities. JAMA. 2015;314(16):1740-1741. doi:10.1001/jama.2015.9391