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- W2000633179 abstract "QUESTION: A 28-year-old African American man is concerned about a rash that he has had on his body on and off for many years. He denies any pain or itching in association with the rash, although it is more pronounced in the summer months and when he is sweating. The patient is otherwise well. He states that he is in a monogamous hetero-sexual relationship and practices safe sex.Physical examination reveals hypopigmented macules on the chest, upper arms, and back, some of which have coalesced into larger hypopigmented areas. Close visual inspection shows that there is a light scale over the macules. There are no lesions in the mouth or on the hands, feet, or genitals.What is the differential diagnosis, and what further tests would help you make the diagnosis?ANSWER: The differential diagnosis includes tinea versicolor, vitiligo, pityriasis rosea, and secondary syphilis. With the use of a microscope slide, scale from the macules was scraped to a second slide. Potassium hydroxide (KOH) with dimethyl sulfoxide was placed on this slide and covered with a coverslip. Microscopic examination revealed the typical “spaghetti and meatballs” pattern of tinea versicolor. The spaghetti represents broken hyphae and the meatballs are the spores of Pityrosporum ovale." @default.
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- W2000633179 date "2000-10-01" @default.
- W2000633179 modified "2023-10-16" @default.
- W2000633179 title "What is in a name?" @default.
- W2000633179 cites W2037740177 @default.
- W2000633179 doi "https://doi.org/10.1136/ewjm.173.4.231" @default.
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