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Pustule-Studded Plaques After Abrasion Injury—Quiz Case
Kristin H. Magee, MD;
Brian P. Pollack, MD, PhD;
Gregory J. Raugi, MD, PhD
Emory University, Atlanta, Ga (Drs Magee and Pollack), Veterans Affairs Puget Sound Health Care System, Seattle, Wash (Dr Raugi), and University of Washington, Seattle (Dr Raugi)
Arch Dermatol. 2006;142:1643-1648.
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REPORT OF A CASE
A 59-year-old man presented with a 3-week history of painful, enlarging lesions on his abdomen that had developed after he sustained a pavement abrasion injury. Daily cleansing with hydrogen peroxide was of no benefit. The patient was a recovering alcoholic; his medical history was significant for hypertension, chronic obstructive pulmonary disease, and depression. His medications included albuterol, ipratropium bromide, and fluoxetine. He had no history of halogen ingestion or recent travel. A serologic test had been negative for human immunodeficiency virus infection 4 years earlier.
Physical examination revealed 2 vegetating, erythematous, exudative plaques, measuring 9 x 9 and 3 x 7 cm in greatest dimension, on the abdomen. The borders were elevated, violaceous, and irregular but well-demarcated (Figure 1). The plaques were studded with smallpustules (Figure 2) and appeared to be focally . . . [Full Text of this Article]
RELATED ARTICLE
Pustule-Studded Plaques After Abrasion Injury—Diagnosis
Arch Dermatol. 2006;142(12):1643-1648.
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