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Clinical Quiz Question

Red Plaque on a High School Wrestler

Brian B. Adams, MD

THE PHYSICIAN AND SPORTSMEDICINE - VOL 29 - NO. 2 - FEBRUARY 2021


A 15-year-old freshman on a nationally ranked high school wrestling team had a 1-week history of a pruritic plaque on his left arm. He had no history of atopic dermatitis or a similar lesion. He had been treating the lesion with over-the-counter 1% hydrocortisone cream for 7 days without resolution.

He noted that several other wrestlers on his team had similar lesions of varying sizes.

On physical examination, the patient had a well-defined, erythematous, scaling plaque of approximately 2 cm on his left arm (figure 1). He had no other skin lesions.

[Figure 1]

Based on this information, what is your diagnosis?

Dr Adams is an assistant professor in the department of dermatology at the University of Cincinnati College of Medicine and chief of dermatology at the Veterans Administration Medical Center in Cincinnati. Address correspondence to Brian B. Adams, MD, Dept of Dermatology, University of Cincinnati, College of Medicine, Box 670592, Cincinnati, OH 45267-0592; e-mail to [email protected].


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