Secondary Logo

Journal Logo

Symptom: Rash on Chest and Back

Filippone, Lisa M. MD

Quick Consult

Dr. Filippone is an assistant professor of emergency medicine at Drexel University College of Medicine and the director of the division of emergency ultrasound at Mercy Hospital of Philadelphia.

Figure

Figure

A 42-year-old man presents to the ED complaining of a rash on his chest and back. He says it's been there for some time, but it waxes and wanes in severity. It does not hurt, and is only mildly itchy. He denies any other complaints.

Figure

Figure

He has made no changes to his diet nor switched detergents, soaps, or shampoos. He takes no medications, and has no allergies. His physical exam is unremarkable except for this erythematous rash present on his trunk.

There is minimal induration and scaling associated with it. The largest of the lesions is pictured here. He has no lymphadenopathy.

What is your diagnosis? Are there any other pertinent historical questions or physical exam findings that may help in the diagnosis? See p. 10.

© 2005 Lippincott Williams & Wilkins, Inc.