Excoriations on extensor surfaces


A white woman, aged 36 years, presented with a severely pruritic eruption on her upper and lower extremities and on her lower back. The rash had been present for six months and tended to wax and wane with no alleviating or aggravating factors.

Erythematous excoriated papules were noted on bilateral extensor forearms, elbows, lower back, buttocks, and knees. Hypopigmented ...