Print this Content

Week 11

 

Return to Image Quiz Archive

Quiz 11 Context:

A 16-year-old teenager presents for routine school-related physical exam. He has just moved to the area from Connecticut. He denies any past medical history. He is a non-smoker and does not consume alcohol. He is an avid outdoorsman and spent most of the spring and summer camping. He does report a brief febrile illness with diarrhea, which occurred about 3 weeks ago and has since resolved. He otherwise denies any current symptoms.

Physical examination is most remarkable for a diffuse eruption occurring at the face, chest and back. The eruption consists of superficial papules and pustular lesions along with deeper cystic nodules. The surrounding skin has an "oily" consistency. There appear to be some scars with hyperpigmentation as well. Individual lesions are tender to palpation. There is no associated pruritus.

The skin finding is pictured above.

This is most consistent with which of the following?

  1. Infectious exanthem
  2. Dermatitis herpetiformis
  3. Erythema multiforme
  4. Sweet's syndrome (acute febrile neutrophilic dermatosis)
  5. Acne vulgaris

 

Bookmark this Chapter
Copyright © 2000-2014 The Cleveland Clinic Foundation. All Rights Reserved.
Center for Continuing Education | 9500 Euclid Avenue, KK31, Cleveland, OH 44195
Copyright © 2000-2011 The Cleveland Clinic Foundation. All Rights Reserved.
Center for Continuing Education | 9500 Euclid Avenue, KK31, Cleveland, OH 44195