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Jonathan R. Zirn, MD; Daniel R. Foitl, MD; Christopher R. Shea, MD

Arch Dermatol. 1996;132(1):85-86.

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

REPORT OF A CASE

A 39-year-old woman from the Dominican Republic presented with a 2-week history of generalized rash and constitutional symptoms. She had noted asymptomatic, progressively enlarging, hypopigmented macules on her face and neck for 4 years. Four months before presentation, a physician treated her with rifampin and prednisone. Three weeks before presentation, a dermatologist diagnosed tinea versicolor, discontinued therapy with rifampin and prednisone, and prescribed a single dose of ketoconazole. One week later, a generalized, nonpruritic rash with fevers, chills, arthralgias, and edema of the lower extremities developed.

Physical examination disclosed numerous, well-demarcated, asymmetrically distributed, reddish-brown, indurated, annular, and polycyclic plaques up to 20 cm in diameter on the trunk and extremities (Figure 1). Diascopy showed a faint yellow-brown coloration. The face and neck had several plaques measuring up to 10 cm in diameter with hypopigmented, macular centers and raised, erythematous, annular borders (Figure 2). Many lesions had . . . [Full Text PDF of this Article]

Author Affiliations
New York Hospital-Cornell Medical Center, New York, NY

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