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April 1994

Acquired Persistent Erythematous Patch on the Neck

Author Affiliations

The Ohio State University, Columbus

Arch Dermatol. 1994;130(4):512. doi:10.1001/archderm.1994.01690040119021

REPORT OF A CASE  A 38-year-old man complained of a discoloration on the left side of his neck that began as a small red spot 5 years previously. He stated that when he vigorously exercised the ''rash'' would spread to the other side of his face, neck, and shoulder, and would burn. He also described, on occasion, mild pruritus and a sensation of warmth. Treatment had consisted of hydrocortisone and desoximethasone creams without improvement. His general health was good, and he took no medications. There was no history of trauma nor family history of similar lesions.Physical examination revealed a large, brightly erythematous, partially blanchable patch not warm to the touch on the left side of the neck with several smaller adjacent patches on the neck as well as on his left helix and supraclavicular areas (Figure 1). After exercise, the distribution of these patches was unchanged. Doppler laser velocimetric