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July 1992

An Intensive Care Unit Nurse With a Recurring Annular Lesion

Author Affiliations

University of Illinois, Chicago, and Loyola University School of Medicine, Maywood, Ill

Arch Dermatol. 1992;128(7):977-978. doi:10.1001/archderm.1992.01680170109018

REPORT OF A CASE  A 36-year-old white woman presented to the dermatology clinic with complaints of a nonpruritic annular eruption on her right arm and back. The lesions were of 2 months' duration. The eruption began as small erythematous papules that coalesced into an annular form with central clearing. The patient denied recent travel, tick bites, weight loss, dental problems, headache, photophobia, or viral prodrome. No family member had similar symptoms. The results from her last purified protein derivative test, which was 2 years before the onset of the eruptions, were negative. She had experienced a similar unexplained eruption on her left breast 1 year previously. This eruption resolved spontaneously in 1 month. Before the onset of the eruptions, her adolescent son had culture-proven streptococcal pharyngitis. Her medical history was significant for bronchitis and tobacco use. She denied a history of asthma or hay fever and also denied exposure to

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