An otherwise healthy 57-year-old woman presented with several erythematous, annular lesions on her arms and legs. The lesions, which had gradually increased in size and number over the last 6 years, were occasionally pruritic. She had completed several courses of oral antifungal agents, which had been prescribed by her primary care physician, with no improvement. Her medical history was significant for a mild stroke that had occurred without any residual neurologic sequelae 2 months earlier. Her medications included clopidogrel and simvastatin, which she had begun taking shortly after her stroke. She denied having any systemic complaints.
Sniezek PJ, Kristjansson A, Stone MS. Annular Atrophic Plaques on the Arms of a 57-Year-Old Woman—Quiz Case. Arch Dermatol. 2006;142(6):775-780. doi:10.1001/archderm.142.6.775-a