Make the Diagnosis: Hyperpigmentation? Psoriasis? Or Something Else?

MedpageToday

Presentation

A 53-year-old man visited his doctor concerned about a spreading rash underneath his arms for the past 3 weeks. He initially thought it was an allergic reaction to a new deodorant, but it wasn’t itchy, and it persisted after stopping the deodorant. The patient had a history of type II diabetes. On examination, a broad, well-demarcated, thin, scaly plaque was seen extending from the lateral chest over the axilla to the upper arm. Can you diagnose this patient?


Click here to use the Differential Builder in VisualDx to help you.

7% A. Acanthosis nigricans

6% B. Erythrasma

2% C. Inverse psoriasis

4% D. Tinea corporis

Learnings

Learn more about this diagnosis on the VisualDx site: Click here now.

If you are not a VisualDx subscriber, sign up for a free trial.

VisualDx is a great way to save time and engage your patients at the point of care from your computer or mobile device.


19 Votes