[et_pb_section admin_label=”section”][et_pb_row admin_label=”row”][et_pb_column type=”1_4″][et_pb_team_member admin_label=”Person” name=”David Reens, MD” position=”Chief Resident, Emergency Medicine” image_url=”http://theempulse.org/wp-content/uploads/2016/04/Reens-David.jpg” animation=”off” background_layout=”light” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]
Dr. Reens is the creator of the MEDCRUSH Monday case series.
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The Case
An 18 year old male college athlete presents to the ED with a rash. The patient has been feeling under the weather for the past few weeks ever since he came home from school for his winter holiday break. He was seen in the ED 2 weeks ago with a viral URI and at that time it was noted that he had a scaly rash on his lower abdomen. The rash is seen above.
The patient’s viral URI was treated with supportive therapy and his rash was treated with a topical antifungal. The patient returns to the ED today because his rash has spread. He says that his URI symptoms have improved; however, the topical antifungal did not help his rash. Now he has multiple, similar but smaller rashes all over his back and chest
The rash does not involve his extremities, palms or soles. He denies any sexual activity.
What is the diagnosis?
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