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 Printable version |
Diffuse psoriasiform eruption in a young adult |
European Journal of Dermatology. Volume 11, Number 5, 479-80, September - October 2001, Votre diagnostic !
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 Résumé
 Free Article
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Author(s) : Jean KANITAKIS |
Summary : A 20-year-old male soldier presented with a diffuse skin eruption that had started three weeks previously with the development of erythematous lesions scattered over the trunk and limbs. The diagnosis of varicella was initially suggested by a general practitioner and the patient was kept under surveillance. However the lesions progressively spread. The patient was referred to a dermatologist who suggested the diagnosis of psoriasis guttata and referred the patient to the Dermatology Department of the 424 General Military Hospital of Thessaloniki (Greece). Physical examination revealed a diffuse eruption made up of several hundred erythematous, copper-colored, slightly infiltrated, scaly papules (Figs. 1 and 2) some of which were surrounded by a scaly collarette (Fig. 3). They predominated on the trunk (chest and abdomen), the back, the anterior aspect of the upper limbs and the legs. Scattered lesions were found on the chin, the neck, the palms and soles, the penis shaft and the scrotum. The papules were usually discrete but occasionally coalesced to form small psoriasiform plaques. The lesions were asymptomatic but the patient complained of fatigue. The hair and nails were not affected, and no mucous lesions were found. There was moderate, firm swelling of axillary and inguinal lymph nodes. Family and personal history were unremarkable. |
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