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Kim C. Nussbaum, MD, MBA; Kathryn Colleen Barlow, MD; Mark Allan Berk, MD; Neha Robinson, MD; Fred Levit, MD
Dermatology Associates, Manitowoc, Wisconsin (Dr Nussbaum); Loyola University Medical Center, Maywood, Illinois (Dr Barlow); The Skin Care Center, Glenview, Illinois (Dr Berk); Dermatology and Aesthetics of Wicker Park, Chicago, Illinois (Dr Robinson); and Northwestern Memorial Hospital, Chicago (Dr Levit)

Arch Dermatol. 2008;144(6):795-800.

	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 57-year-old woman presented with a 9-month history of painful, erosive plaques in the groin, extremities, and perioral regions, which spontaneously remitted and recurred. Her review of systems was positive for glossodynia, a weight loss of 40 lb (18 kg), and an 18-month history of progressive neurological deterioration, including decreased cognition, deterioration of speech and writing, ataxia, and bowel and bladder incontinence. Physical examination revealed confluent, erythematous, eroded, scaly plaques periorally and in the groin, extending onto the upper thighs and abdomen (Figure 1), and a mild glossitis. Laboratory test results showed a decreased hemoglobin level (10.6 g/dL [reference range, 14-17 g/dL] [to convert to grams per liter, multiply by 10]), low serum zinc level (30.1 µg/dL [reference range, 60.0-120.0 µg/dL] [to convert to micromoles per liter, multiply by . . . [Full Text of this Article]

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Arch Dermatol. 2008;144(6):795-800.
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