An accountant with scaling rash

25y man, works as an accountant at T. Rowe Price, no significant PMH, comes in for progressively spreading rash over the entire body, mostly in the feet for the past 4 weeks. He denies any exposure to new chemicals precipitating the rash. He has tried OTC anti-fungals with partial relief.
Exam shows small to large, scaling, sharply marginated plaques without pustules on the torso. Feet show considerable erythema with superficial scaling and excoriations.

What is the diagnosis?

1. Inflammatory urticaria
2. Pityriasis rosea
3. Erythema migrans
4. Diffuse inflammatory epidermal dermatophytosis- CORRECT ANSWER
5. Eczema

• Discussion

Young male with vesicular forearm rash

31y man with no significant PMH, developed a skin rash while working in his yard last week. He has been self-treating himself with OTC hydrocortisone and Benadryl, with poor response.
On examining his lt forearm, he had linear erythematous rash with vesicular and bullous eruptions.
What is the diagnosis?

1. Poison ivy/ Oak dermatitis- CORRECT ANSWER
2. Early herpes zoster
3. Erysipelas
4. Inflammatory epidermal dermatophytosis
5. Insect bite

• Discussion by Raj