Last reviewed: November 2017
Last updated: December  2017

Summary

Definition

History and exam

Key diagnostic factors

  • asymptomatic grouped annular pink or flesh-colored dermal papules

Other diagnostic factors

  • flesh-colored, pink, or brown macules or small papules
  • soft-tissue nodules
  • perforating papules, crusting or ulcerated lesions
  • erythematous patches

Risk factors

  • diabetes mellitus
  • hematologic malignancy
  • herpes zoster
  • HIV
  • hepatitis
  • hyperlipidemia
  • thyroid disease
  • medications

Diagnostic investigations

Investigations to consider

  • skin biopsy
  • fasting blood sugar
  • thyroid function tests
  • lipid screening
  • hepatitis screen
  • HIV testing
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Assistant Professor

Dermatology and Internal Medicine

University of Pennsylvania

Philadelphia

PA

Disclosures

MR is an author of a reference cited in this monograph. MR declares that he has no other competing interests.

Dr Misha Rosenbach would like to gratefully acknowledge Dr Susmita Mukherjee, a previous contributor to this monograph. SM declares that she has no competing interests.

Peer reviewers VIEW ALL

Assistant Professor of Medicine

Associate Residency Program Director

University of Chicago

Chicago

IL

Disclosures

AS declares that she has no competing interests.

Consultant Dermatologist

Department of Dermatology

Nuffield Hospital

Glasgow

UK

Disclosures

RH declares that he has no competing interests.

Dermatologist

Wayne State University School of Medicine

Department of Dermatology

Detroit

MI

Disclosures

BLP declares that she has no competing interests.

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