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Make the Diagnosis: His Skin Is Slacking Off

MedpageToday

Presentation

A 43-year-old man presented to the doctor with a rash that had developed on his trunk over the last couple of days. On examination, skin atrophy and multiple smooth papules and hypopigmented macules in an oval configuration were visible. Upon observation and palpation of the lesions, the doctor noticed that their examining finger “sunk” into a pit with distinct edges, like the ring of a hernia. The patient was immunocompetent, and his medical history was unremarkable except for a history of lichen planus. The patient appeared well, was not on any medications, and reported no systemic symptoms.

Can you diagnose the patient?

to use the Differential Builder in VisualDx to help you.

166% A. Atrophoderma

113% B. Lichen sclerosus

82% C. Anetoderma

98% D. Steatocystoma multiplex

Learnings

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