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Dawn Marie R. Davis, MD; Clark C. Otley, MD; Patricia M. Witman, MD
Mayo Clinic, Rochester, Minn

Arch Dermatol. 2005;141:1457-1462.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 40-year-old woman presented with a 3-year history of an erythematous rash in the axillary and groin regions. Originally, the lesions were small, tense papules; gradually, they evolved into crusted plaques. Six months before the patient’s physical examination, similar lesions had appeared on the anterior aspect of her neck. The involved areas were quite tender and often stung. Her medical history included Wilson disease, which was treated with penicillamine, and endometriosis, which was well controlled with medroxyprogesterone acetate.

Physical examination revealed large erythematous plaques with raised, serpiginous borders in the axillae (Figure 1), along the anterior aspect of the neck (Figure 2), and on the inguinal folds. Intermittent superficial erosion was evident. The left axilla also contained several small, erythematous papules with yellow crust. A skin specimen was obtained from the border of . . . [Full Text of this Article]