Foresee Your Next Patient

摘要

This itchy rash on the nape of a 25-year-old woman's neck had been present for several months; it had resisted treatment with antifungal cream and shampoo. The patient had a history of atopic phenomena, including asthma, eczema, and urticaria as a child, and seasonal allergies as an adult. There was no family history of psoriasis but a strong history of atopy. The patient admitted that she scratched this rash often and vigorously.Examination revealed a 7 X 3 cm pink patch with a leathery, slightly scaly surface on the nuchal scalp. No lymph nodes were palpable in the area. There were no rashes on the elbows, knees, or remainder of the scalp. The nails were free of pits, onycholysis, and spotting. No nits were visible in the hair.