Monday, December 08, 2008

Rash after a hunting trip


46y white man, with no PMH, comes to the office c/o skin eruptions that started after a hunting trip in the woods. The eruptions started on his ankles and have gradually spread all over his body. He denies taking any medications or recent change in detergents, soaps etc. On exam, he has multiple papules on his arms and legs, some of them unroofed, from scratching. What is the most likely diagnosis?

A. Allergic contact dermatitis
B. Insect bite reaction- ANSWER
C. Folliculitis
D. Scabies
E. Erythema migrans