Article: What's your assessment? the "what's your assessment?" series includes a short case presentation and differential diagnosis. It is followed by a discussion of the disease or condition and the rationale used in each step of the assessment.(Clinical Skills)(Case study)

History

This 62-year-old Chinese male presented to the dermatology clinic complaining of an intensely pruritic dermatitis on his right hand. The lesions started as small papules and have become larger and more pruritic. There is a large, raised plaque on the dorsum of the involved hand but all of the red lesions are on the ventral wrist and lower arm. He has applied betarnethasone 0.050/0 ointment (his wife's medication prescribed for eczema) to the site twice daily for 1 week. He states it relieves the pruritus but has not helped the lesions resolve.

He is an immigrant from China and has been in America for 15 years. He works as a bus driver for the ...

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