A 55-Year-Old with a Recent History of Rash

A 55-year-old female presents to urgent care with a few weeks of a mildly pruritic rash on her trunk and arms. On examination, there are scattered erythematous, fine, scaly plaques. The coin-like plaques are round or oval in configuration and affect her extremities symmetrically.

The patient denies current medications or any personal or family history of dermatologic conditions. She reports no systemic symptoms. However, she shares that she has been taking longer and more frequent bubble baths recently.

View the image and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.