Scaly plaques spread from head to toe

Scaly plaques spread from head to toe
Scaly plaques spread from head to toe

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A 33-year-old Caucasian man presented with an 11-month history of an erythematous, pruritic, scaly rash that began on the scalp and spread to the rest of the body. The patient previously failed five months of treatment with oral and topical corticosteroids as well as antibiotics. The patient was generally healthy with a history of hypertension, asthma, and neuropathy secondary to a shoulder injury. Medications on presentation included a fluticasone/salmeterol inhaler, an albuterol inhaler, and lisinopril. He had no known drug allergies.

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