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Oct 2012

Erythematous Eruption With Marked Conjunctival Injection—Quiz Case

Author Affiliations
 

SECTION EDITOR: MARY S. STONE, MD; ASSISTANT SECTION EDITORS: SOON BAHRAMI, MD; CARRIE ANN R. CUSACK, MD; SENAIT W. DYSON, MD; MOLLY A. HINSHAW, MD; ARNI K. KRISTJANSSON, MD

Arch Dermatol. 2012;148(10):1199. doi:10.1001/archderm.148.10.1199-d

A 58-year-old white woman presented with a 2- to 3-month history of an erythematous eruption that began on her face and scalp and progressed onto her chest, back, and upper extremities. It was occasionally painful, especially on the scalp, where she also reported hair loss along the frontal-temporal hairline. An asymptomatic redness of the eyes developed concurrently. Her medical history was notable for a remote history of breast cancer (status post mastectomy, chemotherapy, and radiation 17 years earlier). The patient denied any current prescription or over-the-counter medications. Physical examination disclosed confluent erythematous patches and thin plaques on the frontal-temporal scalp, central face, trunk, and upper extremities and marked bilateral con junctival injection (Figure 1 and Figure 2). Scattered irregularly shaped patches of purpura were also noted on the trunk. A punch biopsy was performed on the central chest (Figure 3).

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