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Question: Can you identify this condition?

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Vol 58: JulY • JuIllET 2012

|

Canadian Family Physician•Le Médecin de famille canadien

765

Dermacase

Answer on page 769 Answer on page 768

Can you identify this condition?

Lina Abdullah

RN

Ossama Abbas

MD

A

58-year-old woman presented with a 2-year his- tory of multiple progressive, asymptomatic lesions on both sides of the neck. Skin examination revealed white-to-yellow, nonfollicular, discrete, and confluent 2- to 4-mm papules. The patient was otherwise healthy and taking no drug therapy. There was no familial his- tory of a similar condition.

The most likely diagnosis is 1. Syringomas

2. Pseudoxanthoma elasticum 3. Milia

4. Pseudoxanthoma elasticum–like papillary dermal elastolysis

Can you identify this condition?

Lina Abdullah

RN

Ossama Abbas

MD

A

32-year-old man presented with 1-year history of multiple asymptomatic red lesions on his chest and upper back. Some of the lesions had resolved, with no residual scarring, but new lesions kept appearing over time. He did not have any associated constitutional or systemic symptoms. The patient was otherwise healthy and was not taking any medications. He did not have a family history of skin, rheumatologic, or autoimmune disorders. Skin examination revealed multiple indurated erythematous to violaceous papules and plaques, with no surface changes. Findings of the rest of the physical examination were normal.

The most likely diagnosis is 1. Pityriasis rosea 2. Guttate psoriasis

3. Tumid lupus erythematosus

4. Sarcoidosis

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Vol 56: july • juillet 2010 Canadian Family Physician • Le Médecin de famille canadien