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Clinical Quiz Sept 2020

This 60 years old gentleman presented with slowly progressive sprinkled colour changes involving both lower legs for 1-2 years.

King-man Ho

Readers are invited to participate in the Clinical Quiz. A prize draw, sponsored by Love Your HeartPfizer Cardiovascular, will be undertaken among the successful entries. For entry into the draw, simply answer the question, fill in the reply slip and return it to the College by 18 November 2020. Each reader is allowed to submit one entry only. The name of the winner and the answer will be published in the December 2020 issue.


Clinical history:

This 60 years old gentleman presented with slowly progressive sprinkled colour changes involving both lower legs for 1-2 years. He was otherwise well and asymptomatic.


What is the most likely clinical diagnosis?


A. Pigmented purpuric dermatosis
B. Cutaneous polyarteritis nodosa
C. Majocchi granuloma
D. Stasis eczema

Answer:
A. Pigmented purpuric dermatosis

N/A
The slide and the question were prepared by:
Dr King-man Ho, FRCP (Glasg, Edin), MRCP (UK), FHKCP, FHKAM (Medicine)
Consultant Dermatologist-in-Charge,
Social Hygiene Service, PHSB, CHP, DH

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