Painful Hypopigmented Lesion Photo Quiz
This a 23 year old hispanic female who presented to Joe during a medical mission with these gradually worsening painful hypopigmented lesions. Since most of the medical equipment and testing supplies that we consider routine were largely unavailable, this is about all the information we have to go by. Maybe Joe can give some more details in the comments.
Joe and I have both proposed different diagnoses for this lady. Now by taking a shot at her diagnosis, you can swing the vote in my or his favor or even better, give us a new one to consider. So get cracking!
2 Comments:
First of all it was a male. He was in obvious pain when he walked it to the room. The hypopigmented lesions on his neck looked like vitiligo only, but the thigh lesion was thick, indurated, and painful. It extended over his entire suprapubic region.
The consensus of all the physicians was that it was a "connective tissue disease".
The skin was hard. Scleroderma. I looked hard to make an accurate dx and finlally deceided on Localized Fibrosing Disorders: Linear Scleroderma, Morphea, Regional Fibrosis. You can find this in E-Medicine. I think it fits as linear scleroderma.
Here is a case which is similar and also supports Joe's diagnosis.
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