Presenter: Krina Chavda, D.O., Suzanne Sirota Rozenberg, D.O.

Dermatology Program: St. Johns Episcopal Hospital, Far Rockaway, NY

CHIEF COMPLAINT:  Itchy brown patch on left axilla.

CLINICAL HISTORY: A 6 year old African American male presented to our clinic with the above chief complaint. As per his father, the patient developed this patch approximately 4 to 5 months prior to his visit to us. He states that it recently started increasing in size. No prior treatment. The patient was on Trileptal for seizure disorder. He also had recently developed flaccid paraparesis for which he had an appointment scheduled for a Pediatric neurologist.