The Pimple That Wasn’t

These "pimples" are unpoppable! See if you can pair each stubborn pustule with its proper diagnosis.

Case presentations and photographs courtesy of Cutis. Copyright 2018 Frontline Medical Communications Inc.

Answers to May “Picture This” (Clinician Reviews. 2018;28[5]:17): 1b, 2d, 3a, 4c

Question 1 of 4

A 29-year-old man from Saudi Arabia presents with slightly tender skin lesions that have manifested in crops over the past seven years. The patient denies fever, chills, sweats, chest pain, shortness of breath, and unexpected weight loss. Physical exam reveals multiple erythematous papulonodules, some ulcerated with a superficial crust, grouped predominantly on the medial aspect of the right upper arm and left lower inguinal region. Isolated lesions are also present on the forearms, dorsal aspects of the hands, abdomen, and thighs.

A 29-year-old man from Saudi Arabia presents with slightly tender skin lesions that have manifested in crops over the past seven years. The patient denies fever, chills, sweats, chest pain, shortness of breath, and unexpected weight loss. Physical exam re Source: Cutis. 2017;100(1):E15-E17.

Match the diagnosis to the photo by letter

Disseminated superficial actinic porokeratosis

Lymphomatoid papulosis

Metastatic renal cell carcinoma

Eccrine poroma

Clinician Reviews. 2018 June;28(6)

This quiz is not accredited for CME.

More from Picture This

QUIZ

Not-So-Mellow Yellow
Lesions Sing the Blues
Leaves of Three
A Paler Patch of Skin
The Kiss That Keeps on Giving
Reading Between the Lines
Of Macules and Melanocytes
What Do You See in This ECG?
When Dermatology Turns Deadly
Marks of Devotion
So Much For That Pregnant “Glow”
A Tale of Tortured Toes
Classic Childhood Exanthems