Aa
Intermittent back rash
Pt is a 23 yo Caucasian male presenting with a rash over the entirety of his back with blotchy concentration on the lateral area over the latissimus dorsi and solid concentration over the shoulder area. The rash is red in nature, does not itch, is not raised. The severity comes and goes without known cause, but remains constantly. Presentation began 2 months ago and has increased in severity since.
Pt has no known food or drug allergies. Pt is not taking any prescription medication or recreational drugs; however, he has just finished a prednisone dose regiment. Pt consumes alcohol weekly. No significant change in diet. Pt works out 6 to 7 days a week with an average of 12 hours weekly. He swims 3 days a week, lifts weights 2 days a week, runs 3 to 4 days a week and cycles 3 days a week.
Antibiotic cream and hydrocortisone cream were applied without significant changes in presentation.
Pt has no known food or drug allergies. Pt is not taking any prescription medication or recreational drugs; however, he has just finished a prednisone dose regiment. Pt consumes alcohol weekly. No significant change in diet. Pt works out 6 to 7 days a week with an average of 12 hours weekly. He swims 3 days a week, lifts weights 2 days a week, runs 3 to 4 days a week and cycles 3 days a week.
Antibiotic cream and hydrocortisone cream were applied without significant changes in presentation.
A course of vitA for 10 days.
(contraindication for high dose in females during pregnancy-just for information!), and calamine for application
Good wishes..
(contraindication for high dose in females during pregnancy-just for information!), and calamine for application
Good wishes..
Yes, the area does blanch with pressure. Upon further research of both disorders, your diagnosis looks to be correct. The following image is very similar to the lesions along the sides of the back over the lats and the solid lesions at the top match the other description of the tinea versicolor.
http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002436/figure/A001465.B1890/?report=objectonly
Pt has had a more extreme outbreak of the monomorphic steroid induced acne over the left deltoid since first publication.
http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002436/figure/A001465.B1890/?report=objectonly
Pt has had a more extreme outbreak of the monomorphic steroid induced acne over the left deltoid since first publication.
Also notice the white blotchy area in between the scauplae and on the upper right shoulder. That is the color of the normal skin and the darker red pigmentation is the affected area.
Prednisone was given to treat impingement in the left shoulder due to inflammation of the supraspinatus. Rash developed before the dosage of prednisone.
Have an Answer?
You are reading content posted in the Dermatology Community
Learn to identify and prevent bites from summer’s most common pests.
Doctors argue for legislation to curb this dangerous teen trend in the latest Missouri Medicine report.
10 ways to keep your skin healthy all winter long
How to get rid of lumpy fat on your arms, hips, thighs and bottom
Diet “do’s” and “don’ts” for healthy, radiant skin.
Images of rashes caused by common skin conditions
Does the area blanch the blotchy area?