A young girl with scaly skin plaques
The patient had numerous thick red plaques on her back and the extensor surfaces of elbows, knees, and forearms.
An otherwise healthy 12-year-old girl came to the office with a 1-year history of a symmetric, generalized scaly eruption. These skin plaques did not itch; she had no recent history of sore throat. She also had no personal or family history of atopy or any similar eruption. She mentioned that the appearance of her skin and the “flaking” was making her very self-conscious and she wanted to have some intervention to make the skin clear.
The patient had multiple red, scaly, thick plaques on her back and the extensor surfaces of her elbows, knees, legs, and forearms (FIGURES 1 AND 2). There were no scalp, mucosal, or nail involvements. Rheumatologic examination and review of systems were unremarkable.
FIGURE 1
Plaques on the arm…
FIGURE 2
…and on the back
What is your diagnosis?
How would you manage this case?
