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Recurrent, Pruritic Dermal Plaques and Bullae—Quiz Case
W. Harris Green, MD;
Gil Yosipovitch, MD;
Rita O. Pichardo, MD
East Tennessee State University, Johnson City (Dr Green), and Wake Forest University, Winston-Salem, NC (Drs Yosipovitch and Pichardo)
Arch Dermatol. 2007;143(6):791-796.
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REPORT OF A CASE
A 91-year-old woman with a 6-month history of recurrent, itchy, erythematous plaques and bullae presented with her third eruption of lesions. The initial lesions had started 6 months earlier as itchy, erythematous plaques with central areas of necrosis that resolved after a few weeks of topical therapy with 0.05% fluocinonide. The second eruption of lesions, which appeared several weeks later as erythematous bullae on both arms, developed and fully resolved within a 2-week period. The patient denied any recent history of trauma, arthropod bites, or medication changes. Physical examination revealed an afebrile woman with tense bullae arising from a rosy, irregular, edematous plaque measuring 6 cm in diameter on her right pretibial area that was not warm on palpation (Figure 1). A 4-mm biopsy specimen was obtained from the lesion (Figure 2 and Figure 3). . . . [Full Text of this Article]
RELATED ARTICLE
Recurrent, Pruritic Dermal Plaques and Bullae—Diagnosis
Arch Dermatol. 2007;143(6):791-796.
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