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Race for the Case

Race for the Case is a clinical quiz feature published quarterly in DermWorld Directions in Residency — and right here!

Answer the questions below to enter. Looking for the Winter 2023 answers? Review them now. To submit cases and questions, email Dean Monti at dmonti@aad.org.

Diagnose this new case by Jessica Forbes Kaprive, DO

A 16-year-old Middle Eastern female with no past medical history presents with a complaint of skin discoloration, located on the left posterior neck for approximately three years. The patient reports that the discoloration has recently become more noticeable, progressively darker and spreading toward the anterior neck and posterior shoulder blade on the left side. She denies any symptoms associated with the rash such as pruritus or burning. She also denies a personal or family history of any prior dermatologic conditions, autoimmune diseases, or thyroid disease. Review of symptoms is significant for travel history to the Middle East in the past two years where she previously lived.

Images of a skin condition for Race for the Case Spring 2024

1. What is the most likely diagnosis?

2. Describe the findings of this condition?

3. What are common conditions that one could consider on the differential diagnosis?

4. What is the clinical course and prognosis for this condition?

5. What is the treatment of choice for ashy dermatosis?

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