Diagnosing a Scaly Rash Under an Elderly Woman’s Breasts

A 68-year-old woman presented with a 6-week history of a persistent rash that had appeared simultaneously beneath both breasts. She described the rash as feeling moderately itchy and stated that it had not spread beyond the submammary folds. She had a history of type 2 diabetes and hypertension, for which she was taking metformin and lisinopril, respectively. She was treating her rash with an over-the-counter topical cream and powder, but received no relief in symptoms. Recent blood tests were reviewed and appeared to be within the normal limits.

Check out this new PhotoDx to see the patient’s photos and read the full case description, and then make your diagnosis!

If you have an interesting photo for a PhotoDx, consider submitting the photo with a case description to us for publication consideration. Check out the author guidelines at http://www.clinicalgeriatrics.com/author-guidelines, or contact the associate editor at amusante@hmpcommunications.com

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