Presenter: Roxanne Rajaii DO, Derek Hirschman DO, Summer Moon DO, Megan Furniss DO, Nichelle Arnold DO, Bryan Gray DO
Dermatology Program: Botsford Hospital
Program Director: Annette LaCasse DO
Submitted on: Mar 12, 2017
CHIEF COMPLAINT: Erythematous and mildly pruritic rash on central chest and bilateral breasts.
CLINICAL HISTORY:
Signs and symptoms: A 29-year-old Caucasian female presented with chief complaint of an erythematous and mildly pruritic rash localized to bilateral breasts and present for approximately one year. The patient denied any recent infections, new medications, or exacerbating factors. She denied any other constitutional symptoms including but not limited to fever, chills, and night sweats. She did admit to a long-standing history of smoking but stated that she is in the process of cessation. Patient reported exacerbation of skin lesions with sun exposure.