An elderly old age home resident with generalised pruritic rashes for over one year
Audrey YY Yau, Adrian KC Cheng
|
Readers are invited to participate in the Clinical Quiz*. Simply answer the question, fill in the reply slip and return it to the College by 19 February 2026. Each reader is allowed to submit one entry only.
*Note: There would be no prize award for this issue while sponsorship for Clinical Quiz has been ended in September 2020 issue. The answer of the Clinical Quiz for this issue will be announced in the next issue. Thank you for your support. |
Clinical history:
An 86-year-old man, a resident of an old age home, presented with generalised pruritic rash over his trunk and bilateral upper and lower limbs for over one year. His previous treatments include 2 courses of topical permethrin 5% lotion and intermittent topical corticosteroids, with minimal sustained improvement. On examination, the forearms and dorsum of hands showed ill-defined erythematous patches with excoriations. A characteristic sign was noted over his right thenar eminence, which became more conspicuous on dermoscopic examination.
What is the diagnosis?
| A. | Scabies |
| B. | Allergic contact dermatitis |
| C. | Asteatotic eczema |
| D. | Dermatomyositis |
The slide and the question were prepared by:
Miss. Audrey YY Yau
Year 5 Medical Student,
The University of Hong Kong
Dr. Adrian KC Cheng, MBBS(HK), MRCP(UK), MSc GEOR (CUHK), FHKCP, FHKAM (Medicine)
Specialist in Dermatology & Venereology;
Associate Consultant,