REPORT OF A CASE
A 16-year-old girl was first seen by pediatricians for treatment of red, painful, round to oval circumscribed macules, which had been present on her extremities for three days. She reported that it was the third occasion in two years that "spots" had occurred. She remembered that with each succeeding episode, pain and inflammation involved new as well as old sites. The patient indicated that blisters sometimes formed in the centers of the lesions. The lesions would become very pruritic and then partially fade within four to five days of onset, leaving residual discoloration.The patient was in good health and her medical history was normal. She denied taking prescribed medications, although she admitted to the occasional use of over-the-counter preparations for treatment of common colds, headaches, allergies, and mild constipation.Cutaneous examination revealed the presence of macules over the right forearm, both hands, the thighs, and
Stroud MB, Rosio TJ. A Case of Recurring Painful Red Macules. Arch Dermatol. 1987;123(9):1230A–1230B. doi:10.1001/archderm.1987.01660330142030
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