[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.197.142.219. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Citations 0
Off-Center Fold
April 2009

Agminated Papules and Pustules on the Flank—Quiz Case

Author Affiliations
 

MICHAEL E.MINGMD, MSCE

 

CARRIE ANN R.CUSACKMDSENAIT W.DYSONMDJACQUELINE M.JUNKINS-HOPKINSMDVINCENTLIUMDKARLA S.ROSENMANMD

Arch Dermatol. 2009;145(4):479-484. doi:10.1001/archdermatol.2009.35-a

A 57-year-old cattle rancher presented with an eruption near his right hip of 4 months' duration. The lesion was slowly enlarging and slightly pruritic. His medical history was unremarkable. He had no constitutional complaints. The patient had worked on his cattle ranch in western Iowa for many years.

Physical examination revealed agminated red papules and pustules on his lower right flank near the hip (Figure 1). The results of the rest of the skin examination were normal. A punch biopsy specimen was obtained from 1 of the pustules. Microscopic examination revealed scattered inflammatory aggregates in the dermis with multiple eosinophils. The microscopic findings were not diagnostic, and a lactophenol cotton blue preparation (Figure 2) and fungal culture (Figure 3) were performed.

First Page Preview View Large
First page PDF preview
First page PDF preview
×