Acta Dermato-Venereologica Issue No. 97-5 97-5CompleteContent | Page 33

QUIZ SECTION 669 Annular Erythematous Scaly Lesions on the Face: A Quiz Jiu-Hong LI, Xiao-yi YANG, Jie CAO, Xiao-lu WANG, Hao GUO and Abdulrahman A. A. AMER Department of Dermatology, No. 1 Hospital of China Medical University, 155N Nanjing Street, Shenyang 110001, China. E-mail: [email protected] A 22-year-old Chinese, unmarried, woman presented to our department with pruritic annular erythematous scaly lesions on her face for 20 days. The eruptions had begun as papules and expanded progressively into annular erythematous scaly lesions. She was initially diagnosed with tinea faciei at a local clinic and was treated with topical antifungal agents for 3 weeks, but the skin lesions expanded in both size and number. No other symptoms, such as fever, malaise, headache, or arthralgia, were reported. Physical examination was normal with no lymphade- nectasias. Skin examination revealed multiple, annular erythematous scaly plaques with clear centres and defined borders on both eyelids, upper and lower lips and the bi- lateral angle of the mouth (Fig. 1). No skin lesions were observed on the mucous membranes and other skin surfaces. Laboratory tests, including complete blood counts, urine, blood sugar, and renal and liver function tests, were within normal limits. Direct microscopic examination was nega- tive for dermatophytes. The patient refused skin biopsy for further diagnosis. What is your diagnosis? See next page for answer. Fig. 1. Multiple, annular erythematous scaly plaques with clear centres and defined borders on both eyelids, upper and lower lips, and the bilateral angle of the mouth. Written permission has been given by the patient to publish this photograph. This is an open access article under the CC BY-NC license. www.medicaljournals.se/acta Journal Compilation © 2017 Acta Dermato-Venereologica. doi: 10.2340/00015555-2614 Acta Derm Venereol 2017; 97: 669–670