Thursday, January 24, 2013
1:49 PM | Posted by Shams Burki | Edit Post
Clinical Vignette: A 40-year-old female presents with a six month history of pruritic papules, vesicles and excoriations on the elbows, knees, buttocks and scalp. Her GP has prescribed topical betamethasone therapy which has been unhelpful. What is the most likely diagnosis?
- Atopic dermatitis (Eczema)
- Dermatitis herpetiformis
- Hennoch-Schonlein purpura
Atopic eczema is non vesicular and would respond to potent topical steroids.
Hennoch-Schonlein purpura is a purpuric rash and is non pruritic.
Scabies usually affect the extremities and rarely affects above the neck line. It does not cause papules and vesicles.