SECTION EDITOR: MARY S. STONE, MD; ASSISTANT SECTION EDITORS: SOON BAHRAMI, MD; CARRIE ANN R. CUSACK, MD; MOLLY A. HINSHAW, MD; ARNI K. KRISTJANSSON, MD; LORI D. PROK, MD;
A 49-year-old African American man presented with a pruritic cutaneous eruption characterized by progressive hardening of the skin of his upper body for the past year. He reported worsening of his eruption with sun exposure but denied ever noting blisters. He had no history of toxin exposure or prior medication use. Findings from a review of systems were positive for tightness of his right hand, associated with progression of the eruption. His medical history was notable only for untreated hepatitis C virus (HCV) infection.
Cohen JB, Taylor A, Shedd A, Hick R. Progressive Sclerotic Skin Lesions in a 49-Year-Old Man—Quiz Case. Arch Dermatol. 2012;148(11):1317. doi:10.1001/archderm.148.11.1317-b