[NP-Clinical] Derm King and others....

[Patty Davis]

How about tinea versicolor.  It is notorious for getting worse in the
heat and summertime.  Also reoccurring.  Did you do a KOH?

-----Original Message-----
From: np-clinical-bounces at nurse.net
[mailto:np-clinical-bounces at nurse.net] On Behalf Of Christine Smith
Sent: Wednesday, February 21, 2007 7:00 PM
To: ACC-Circle at listserve.com; np-clinical at nurse.net
Subject: [NP-Clinical] Derm King and others....


Ted and other Derm experts...
It
I need some help with a dx for a 19 yo male. He saw me for another
problem but asked if I knew anything about his chronic - over 5 years
long skin condition. Initially, when I first glanced at his thorax I
thought it was Pityriasis. He is a thin athletic Italian looking
Caucasian covered from  chest/back to legs with a sort of  variegated
pink/red rash - mainly flat, no scaling that I can recall, all over -
most of them appear round or oval like but they all seem to kinda' run
into each other. Sort of looks like he is mottled  but pink and red
mottling. It does blanch.  No real sharp edges.  No itch, no sx. 
 
He said that he was given some kind of cream several years ago and it
went away after a few months using the cream but then returned. No other
family members with it. Mother confirms the story/hx. She does not
recall what the condition or the cream was called. He thinks it is worse
in the sun and does not usually go shirtless but it is on his legs,
buttocks and even his feet sometimes.
 
No insurance so begging once again for a free internet consult :>)
 
Christine Smith, NP
Antioch, CA

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