REPORT OF A CASE
A 31-year-old woman with a lifelong history of atopic dermatitis presented with increasing pruritus. She stated that her skin condition had been fairly well controlled by using emollients and topical steroids until 2 months previously when new, intensely pruritic plaques appeared on her arms and spread to her legs and under both breasts. During the previous few months, while restoring her home, she removed old lumber and acquired multiple splinters. On physical examination, generalized xerosis with erythema, scale, and scattered excoriations was noted. Multiple, well-demarcated, scaly, slightly indurated purplish plaques (averaging 5 cm in greatest dimension) were seen on both forearms, the anterior aspect of the thighs, and the inframammary regions (Fig 1). A skin biopsy specimen from a representative plaque was obtained (Figs 2 through 4). A chest roentgenogram was unremarkable. The findings from the complete blood cell count and the results from the automated
Yalisove BL, Berzin M, Williams CM. Multiple Pruritic Purple Plaques. Arch Dermatol. 1991;127(5):723–724. doi:10.1001/archderm.1991.01680040131019
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