Presenter: Sarah Hocker, D.O. and Lauren Dozier, D.O.

Dermatology Program: Larkin Community Hospital, South Miami, FL

CHIEF COMPLAINT:  A 12-year-old male with a history of blindness in his left eye, presented to our clinic for evaluation of an itchy, scaly rash on his body, face, and scalp.

CLINICAL HISTORY: The patient states that the rash had been present for 5 years now, and is worsening. He admits to itching but denies pain. The patient reports previously seeing a dermatologist a few years ago that performed two punch biopsies that came back as severe plaque psoriasis. He denies a family history of a similar rash. He tried lactic acid creams, urea cream, numerous topical and intralesional corticosteroids and pimecrolimus.