Desquamative erythematous rash in a young woman

A 22-year-old woman presented with a worsening nonpruritic rash on the anterior aspect of her chest and underarms for the past 6 months. The rash was associated with dryness, desquamation, and a burning sensation. She had no preceding new contactants or medications. In addition, she had discontinu...

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Bibliographic Details
Main Authors: Lim, Delwyn Zhi Jie, Cai, Sophie Carrie Shan, Lim, Joel Hua-Liang, Lee, Joyce Siong See, Tey, Hong Liang
Other Authors: Lee Kong Chian School of Medicine (LKCMedicine)
Format: Article
Language:English
Published: 2024
Subjects:
Online Access:https://hdl.handle.net/10356/173632
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Institution: Nanyang Technological University
Language: English
Description
Summary:A 22-year-old woman presented with a worsening nonpruritic rash on the anterior aspect of her chest and underarms for the past 6 months. The rash was associated with dryness, desquamation, and a burning sensation. She had no preceding new contactants or medications. In addition, she had discontinued all contactants upon the onset of her rash; however, her condition continued to progress despite the cessation of contactants for more than a month. Her rashes also persisted despite continual use of topical corticosteroids and topical tacrolimus. She reported going on a crash diet one year ago for weight loss and lost a total of 6 kg in the first 3 months. Currently, she only consumes 500 to 800 calories a day and currently weighs 38 kg with a body mass index of 16.78 kg/m2 . She denies any bulimic symptoms, recent stressors, or mood problems. Her medical history is significant for asthma, allergic rhinitis, and a previous anxiety disorder.