A 48-year-old woman with a three-week history of an eruption of erythematous, asymptomatic papules over her trunk and extremities. She noted an extension of lesions onto her palms and soles over the last week. She also complained of new onset headaches and left eye inflammation over the past month that was previously attributed to an allergic conjunctivitis. She denied genital lesions.

Exam

Generalized erythematous firm papules sparing the face and scalp. Palms and soles: reddish-brown flat round papules with collarette of scale. No lymphadenopathy. Left eye: conjunctival injected. Laboratory: RPR-reactive, VRDL- reactive, HIV-negative, cerebral spinal fluid VRDL: reactive

Findings

Histopathology: The biopsy shows a granulomatous dermatitis with scattered plasma cells.

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MediSage Case Discussions

Explore the case of a 48-year-old woman with erythematous papules, headaches, and eye inflammation. Learn about diagnosis and histopathology findings.

Erythematous Papules Case Study: Diagnosis Insights

Erythematous papules

Clinical case discussion shared for educational purposes and professional medical opinion.