UPMC Dermatopathology

UPMC Dermatopathology "Case of the Month" Presentations

UPP - Department of Dermatology, Dermatopathology Unit

5230 Centre Avenue (412) 864-3860           Pittsburgh, PA 15213 (412) 864-3890 FAX


Justin Haught, MD; Timothy Patton, DO; Arash Radfar, MD PhD

September 2008 CASE OF THE MONTH


CLINICAL FINDINGS

Clinical History

A 46 year-old white female presented with a 3-year history of a rash localized to her neck, axillae, inframammary folds, antecubital fossae, and popliteal fossae.  She had tried various steroid and antifungal creams with minimal success.  Although the rash waxes and wanes in severity, she states that it is worse when she sweats.  There is mild pruritus.  She denies a family history of a similar rash. 

Physical Exam

Multiple pink, macerated, eroded patches/plaques with some pustules are noted on both sides of her neck, axillae, inframammary folds, and antecubital/popliteal fossae bilaterally.  (Figures 1, 2, and 3)

Histopathology:

Suprabasilar clefting with marked acanthosis creating a “dilapidated brick wall� appearance.  (Figures 4 and 5)

 

 

 

Dermatopathology Homepage