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2007:73:6;446-446
doi: 10.4103/0378-6323.37083

Symmetrical erythematous annular and scaly patches

Najeeba Riyaz, Uma Rajan, KB Anuradha
 Department of Dermatology, Medical College, Calicut, India

Correspondence Address:
Najeeba Riyaz
Arakkal Chalapuram, Calicut - 673002, Kerala
India
How to cite this article:
Riyaz N, Rajan U, Anuradha K B. Symmetrical erythematous annular and scaly patches. Indian J Dermatol Venereol Leprol 2007;73:446
Copyright: (C)2007 Indian Journal of Dermatology, Venereology, and Leprology
Figure 4: Improvement of skin lesions after surgery
Figure 4: Improvement of skin lesions after surgery
Figure 3: CT scan of the abdomen showing a well-enhanced, soft tissue lesion 56 x 40 x 30 mm in size with a speck of calcification in the tail of the pancreas
Figure 3: CT scan of the abdomen showing a well-enhanced, soft tissue lesion 56 x 40 x 30 mm in size with a speck of calcification in the tail of the pancreas
Figure 2: Intraepidermal cleft and vacuolated pale epidermal cells (H and E, x400)
Figure 2: Intraepidermal cleft and vacuolated pale epidermal cells (H and E, x400)
Figure 1: Erythematous scaly annular and serpiginous plaques with areas of erosions and pigmentation on the trunk
Figure 1: Erythematous scaly annular and serpiginous plaques with areas of erosions and pigmentation on the trunk

A 52 year-old woman presented with a two-year history of pruritic, burning and expanding red rings involving the entire body. She had marked fatigue, anorexia and weight loss. Examination revealed a cachectic woman with symmetrical erythematous annular and scaly patches involving the trunk [Figure - 1], lower limbs and back. A few pustules and vesicles were present on the trunk. Intertriginous areas showed erosions. Glossitis and stomatitis were also present.

Investigations revealed a hemoglobin (Hb) value of 7.5 gm%, hyperglycemia (postprandial blood sugar, PPBS = 320 mg%), abnormal glucose tolerance test results and aminoaciduria. Skin biopsy showed intraepidermal cleft, vacuolated pale epidermal cells with pyknotic nuclei and neutrophils in the upper epidermis [Figure - 2].

What is your Diagnosis ?



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