Race for the Case

Race for the Case is a clinical quiz feature published quarterly in DermWorld Directions in Residency — and right here!

Answer the questions below to enter. Looking for the Spring 2024 answers? Review them now. To submit cases and questions, email Dean Monti at dmonti@aad.org.

Diagnose this new case by Jessica Forbes Kaprive, DO

A 47-year-old African American patient with a medical history of hypertension and major depressive disorder presented with a chief complaint of rash, located on the face. She describes the rash as asymptomatic and had been enlarging over the past year, involving multiple areas of her face including the bilateral medial canthus, nasolabial sulcus, forehead, and right cheek. She has used topical hydrocortisone periodically. She denied any history of prior skin conditions, recent travel, autoimmune disease, new hygiene products, and has no relevant positive review of systems.

1. What is the most likely diagnosis?

2. Describe the classic histopathologic findings of this condition.

3. What are common conditions that one could consider on the differential diagnosis of pink facial papules/nodules?

4. What is the relevant work-up for this condition?

5. What is the clinical course and treatment?

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