with that diagnosis. On physical examination, you note a shiny, erythematous lesion with symmetrical distribution under both breasts. It is well demarcated without drainage and without the presence of any satellite lesions. Examination of the gluteal fold reveals a similar well-demarcated, shiny, erythematous lesion without drainage. On close inspection of the rest of the body around the umbilicus, you note an erythematous patch with silvery scale. You ask Mrs. Jones about the lesion, and she states that it has been there for years. The lesion is worse in the winter, but she attributes this to the closures on her skirts and pants causing irritation. She reports some improvement when applying OTC hydrocortisone cream, although when she stops using the cream, the lesion returns.
For this case, the answers and rationale for your decision making need to be provided.
Please Answer the following questions.
- What clues in Mrs. Jones’ history can help you
determine her diagnosis?
- What signs on physical examination are most helpful
to defend or refute the differential?
- How would you classify the severity of Mrs. Jones’
disease? Be specific in your explanation.
- What would be the treatment(s) of choice in her case?
- What are some important points to include in patient
- What would require a referral to a dermatologist?