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December 2000

Serpiginous Plaques on the Leg

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Copyright 2000 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2000

Arch Dermatol. 2000;136(12):1559-1564. doi:

A 29-year-old white woman presented with an extremely pruritic dermatosis on her right upper leg area. The problem had started 1 month before, during a holiday in Mexico, where she had gone to the beach on several occasions. Back home, she consulted a family physician and was treated with a scabicide lotion, systemic antibiotics, and antihistamines, without improvement of the eruption. Her medical history was noncontributory.

Physical examination revealed a bizarre pattern of serpiginous lesions, consisting of urticarial papules and erythematosquamous plaques and crusts, predominantly on the right upper leg area and, to a lesser extent, on the left upper leg area (Figure 1 and Figure 2).

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