Multiple Annular Plaques on the Face of a Middle-aged Woman
Kim L. Carlson-Sweet, MD;
Eric L. Wyatt, MD;
Steven H. Sutter, MD
The University of Oklahoma, Oklahoma City
Arch Dermatol. 2000;136:925-930.
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REPORT OF A CASE
A 30-year-old black woman presented for the evaluation of multiple plaques on her face and scalp. The plaques, which were asymptomatic, had been present for approximately 2 months. The patient had no significant medical history. There was no family history of similar lesions. Physical examination revealed several violaceous annular plaques with slightly raised scaly borders scattered over the face and scalp (Figure 1). The plaques on the scalp were alopecic. The remainder of the physical examination was significant only for scattered brown macules on the bilateral aspect of the palms. A punch biopsy specimen was obtained from a scalp plaque (Figure 2 and Figure 3).
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Figure 1.
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Figure 2.
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Figure 3.
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What is your diagnosis?
Diagnosis: Secondary syphilis.
The biopsy specimen showed parakeratosis with neutrophils overlying an acanthotic epidermis. The dermis contained a lichenoid and perivascular infiltrate . . . [Full Text of this Article]
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