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Widespread Annular Eruption in a Black Man—Quiz Case

Daniel L. Popkin, BA; Riley E. Greene, BS; Jason F. Fung, MD
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Michael E. Ming, MD
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Copyright 2005 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

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Arch Dermatol. 2005;141(1):93-98. doi:10.1001/archderm.141.1.93-a
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REPORT OF A CASE

A 53-year-old black man presented with a 1-month history of large annular pruritic plaques on his trunk and extremities. The plaques had raised, violaceous borders and dusky, depressed centers, through which superficial dermal blood vessels could be readily visualized. Some of the plaques were confluent and rather extensive (Figure 1). The patient’s hair, nails, and mucosal surfaces were normal. His medical history was unremarkable, and he was taking no medications.

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Figure 1.

Grahic Jump Location

One punch biopsy specimen was obtained from the border of a representative plaque on the trunk (Figure 2, hematoxylin-eosin), and another one was obtained from the center of the same plaque on the trunk (Figure 3,Verhoeff–van Gieson).

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Figure 2.

Grahic Jump Location
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Figure 3.

Grahic Jump Location

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Figure 1.

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Figure 2.

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Figure 3.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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To understand the clinical management of acute heart failure syndromes.
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