February 2011

Fig.1

 

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History: 65 yo WM with a persistent rash on his right scrotum for 1-2 years. He denied any drainage, pain or itch, but he felt that the rash was enlarging in size without any significant change in color. Prior treatment with triamcinolone ointment 0.1% for 4 weeks and antifungal creams did not improve the rash. He denied having sexual contact for more than 10 years prior to presentation.

 

Past Medical History: hypertension, dyslipidemia, coronary artery disease (MI in 2001 s/p 3 vessel bypass), prostate cancer s/p prostatectomy, osteoarthritis, post traumatic stress disorder, glaucoma

 

Medications: non-contributory except per HPI

 

Allergies: no known drug allergies

 

Physical Exam: Right scrotum: 4 cm annular erythematous plaque with normal testicular exam (Fig. 1)

 

Laboratory/Imaging: N/A

 

 

 

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