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A 54-year-old woman was referred for dermatology consultation with a history of red, severely itchy lesions over the back and upper extremities. She complained of recent onset elevated lesions with dark coloured pigmentation over the same area. There was no personal or family history of atopy. On examination, there were few eczematous papules of variable sizes (maximum up to 1 cm diameter) distributed on the back and upper extremities. Additionally, she had mild lichenification (figure 1). Serum immunoglobulin E was 856 IU/mL and eosinophil count was 8.2%. She was prescribed oral antihistaminics and 0.05% clobetasol propionate cream for local application. However, the lesions were …
Contributors AG and TCY had full access to all the data used in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: AG. Acquisition, analysis and interpretation of data: AG, TCY and KJ. Drafting of the manuscript: AG and KJ. Critical revision of the manuscript for important intellectual content: AG and TCY.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.