Cases: Jun 09
62-year-old woman present with an almost generalized itchy skin papular eruption
with a duration for 2 years.
Temporarily respons to systemic steroids and anti-histamines.
No systemic symptoms.
Diagnosis as well as treatment suggestions are wanted.
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What is the diagnosis and what treatment should be considered?
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See the answer
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Diagnosis: Cutaneous Mastocytosis = Urticaria pigmentosa characterized by oval redbrown macules and papules on the trunk and extremities.
Diagnosis is established by demonstrating a positive Darier’s sign (urticariel respons after slightly trauma) and by biopsy.
Treatment using PUVA light terapy and systemic steroids might reduce the clinical signs.
Examination to rule out internal involvement are needed
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