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Serpiginous Plaques on the Leg
Marion W. van Gasselt, MD;
Miekel van de Sandt, MD
Slotervaartziekenhuis, Amsterdam, the Netherlands
Arch Dermatol. 2000;136:1559-1564.
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REPORT OF A CASE
A 29-year-old white woman presented with an extremely pruritic dermatosis on her right upper leg area. The problem had started 1 month before, during a holiday in Mexico, where she had gone to the beach on several occasions. Back home, she consulted a family physician and was treated with a scabicide lotion, systemic antibiotics, and antihistamines, without improvement of the eruption. Her medical history was noncontributory.
Physical examination revealed a bizarre pattern of serpiginous lesions, consisting of urticarial papules and erythematosquamous plaques and crusts, predominantly on the right upper leg area and, to a lesser extent, on the left upper leg area (Figure 1 and Figure 2).
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Figure 1.
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Figure 2.
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Laboratory investigation showed a slight eosinophilia (total number of leukocytes, 8 x 109/L [reference range, 4-11 x 109/L]; eosinophils. 0.08 [reference range, 0.00-0.06]; and total . . . [Full Text of this Article]
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