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Pruritic Urticarial Papules of the Thighs and Groin
Paul H. Bowman, MD;
John R. Sullivan, MD;
Daniel J. Hogan, MD;
I. Daniel Sanusi, MD;
Joseph W. Burnett, MD
Louisiana State University Medical Center, Shreveport (Drs Bowman, Sulivan, Hogan, and Sanusi), and University of Maryland School of Medicine, Baltimore (Dr Burnett)
Arch Dermatol. 2000;136:1409-1414.
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REPORT OF A CASE
A 29-year-old man presented with an intensely pruritic rash on his thighs and groin. He had just returned from vacationing in Florida, where itching had begun the previous day while he was swimming at the beach; the rash appeared several hours after he left the water. He denied any systemic symptoms.
Physical examination revealed numerous erythematous, urticarial papules on the thighs and groin, in follicular, perifollicular, and linear arrangements (Figure 1). Biopsy specimens were obtained from 2 separate lesions on the hip (Figure 2). The patient's medical history was significant for childhood eczema and asthma, as well as numerous (approximately 40) jellyfish stings during adolescence.
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Figure 1.
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Figure 2.
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What is your diagnosis?
Diagnosis: Sea bather's eruption.
Both biopsy specimens showed similar microscopic changes, consisting mainly of superficial and deep . . . [Full Text of this Article]
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