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Rash With Regional Lymphadenopathy—Quiz Case
Valentina R. Bradley, MD;
Vincent Liu, MD;
Harley A. Haynes, MD
Harvard Medical School (Drs Bradley, Liu, and Haynes) and Brigham and Women's Hospital (Dr Haynes), Boston, Mass
Arch Dermatol. 2003;139:1075-1080.
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REPORT OF A CASE
A 32-year-old man presented with a 6-week history of 3 pruritic skin lesions on his lower back area and thigh. The lesions were temporally related to a vacation that he had taken in Costa Rica. He did not recall having been bitten by an insect while he was traveling. A review of systems revealed no abnormalities. The patient's medical history included asthma and seasonal allergies.
Initial examination revealed three 1-cm firm nodules with central erosion surrounded by a localized area of eczematous dermatitis. There were 2 lesions on the left lower back area and 1 on the posterior aspect of the upper part of the thigh. After intralesional steroid injection, the nodules regressed, and diffuse erythema, shiny papules, and weeping erosions developed 1 month later (Figure 1). The physical examination also demonstrated a nontender, multinodular cord on . . . [Full Text of this Article]
RELATED ARTICLE
Rash With Regional Lymphadenopathy—Diagnosis
Arch Dermatol. 2003;139(8):1075-1080.
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