plaqulous (plaque / nodule / tumor)

A Teen with Persistent Painful Papules and Plaques

Fearful frustrated parents deliver their ill appearing 17-year-old daughter to your office for evaluation of persistent painful papules and plaques associated with high fever, sore throat, and arthralgias (fig1, 2, 3). The eruption first appeared on the distal extremities 3 days ago and has now disseminated to the proximal extremities and trunk. She was sent home from the local emergency room yesterday with instructions to take plenty of fluids and ibuprofen.

Persistent congenital pigmented plaque

You are called to the newborn nursery to evaluate a healthy vigorous newborn with a large dark brown area on the back of the scalp and neck. The anxious first-time parents are tapping on the nursery window as you examine the child. What's the diagnosis

Covered with ringworm?

You are asked to evaluate a toddler who has been covered with ringed plaques for 2 months. His exasperated mother has watched the eruption progress despite treatment with topical antifungal creams. The asymptomatic lesions are generalized but most prominent on the extensor surfaces of his arms and flexural surfaces of his legs. What's the diagnosis?