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Annular Atrophic Plaques on the Arms of a 57-Year-Old WomanQuiz Case
Patrick J. Sniezek, MD;
Arni Kristjansson, MD;
Mary Seabury Stone, MD
University of Iowa Hospitals and Clinics, Iowa City
Arch Dermatol. 2006;142:775-780.
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REPORT OF A CASE
An otherwise healthy 57-year-old woman presented with several erythematous, annular lesions on her arms and legs. The lesions, which had gradually increased in size and number over the last 6 years, were occasionally pruritic. She had completed several courses of oral antifungal agents, which had been prescribed by her primary care physician, with no improvement. Her medical history was significant for a mild stroke that had occurred without any residual neurologic sequelae 2 months earlier. Her medications included clopidogrel and simvastatin, which she had begun taking shortly after her stroke. She denied having any systemic complaints.
Physical examination revealed a healthy-appearing, well-nourished woman in no acute distress. There were numerous 1- to 6-cm annular, atrophic plaques with elevated pink borders on her arms and legs (Figure 1). A biopsy specimen was obtained from the border of a . . . [Full Text of this Article]
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Annular Atrophic Plaques on the Arms of a 57-Year-Old WomanDiagnosis
Arch Dermatol. 2006;142(6):775-780.
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