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A Pig Farmer With Pruritic Pink Papules and Plaques—Quiz Case
David R. Byrd, MD;
Daniel P. Vandersteen, MD;
Emma J. Beech;
Mark D. P. Davis, MD
Mayo Clinic, Rochester, Minn
Arch Dermatol. 2003;139:803-808.
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REPORT OF A CASE
A 37-year-old white man presented with a 3-month history of a pruritic rash involving the upper extremities, thighs, scrotum, and buttocks. He had associated arthralgias and a low-grade fever. He was concerned that his symptoms were related to his pig-farming occupation. On physical examination, pink papules and plaques measuring 4 to 10 mm in diameter were noted predominantly over the thighs, forearms (Figure 1), dorsal aspects of the hands, and face. Rare similar papules also were present over the buttocks, scrotum, lower aspects of the legs, and dorsal aspects of the feet. There was no evidence of lymphadenopathy or arthritis. A skin biopsy specimen was obtained (Figure 2 and Figure 3). Because of a suspicion that the findings in this case represented a systemic process, chest radiography was performed (. . . [Full Text of this Article]
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A Pig Farmer With Pruritic Pink Papules and Plaques—Diagnosis
Arch Dermatol. 2003;139(6):803-808.
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