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Annular plaque – 12 cases

This quiz will test your diagnostic skills with annular plaques.

Most physicians are aware that tinea corporis (dermatophyte fungal infection) often presents with annular or ring-shaped lesions, hence the term ringworm. However, other ring-shaped plaques are frequently mistaken for fungal infection so it is very important to confirm the diagnosis by potassium hydroxide examination and fungal culture prior to the use of topical and/or systemic antifungal agents.

The illustrations show some common and non-so-common acute and chronic conditions that may readily be confused with fungal infections. The lesions appear as circular or ovoid macules or plaques with an erythematous periphery and central clearing.

For each of the twelve cases, study the image(s) and then answer the questions. You can click on the image to view a larger version if required.

Each case should take approximately 2 minutes to complete. There is a list of suggested further reading material at the end of the quiz.

When you finish the quiz, you can download a certificate.

Case 2

Chronic discoid lupus erythematosus

Untreated, cutaneous lupus plaques persist for months or longer. The lesion illustrated is scarred and has follicular scaling. Subacute lupus erythematous presents typically with relatively asymptomatic smaller psoriasiform annular plaques on the cape area (upper trunk and upper arms). Biopsy is diagnostic.

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