Crusted Lesions Appear in Woman with Crohn Disease – Let’s Diagnose

A 44-year-old woman with a history of Crohn disease went to the doctor worried about symmetrical demarcated eczematous papules and plaques around her mouth, in the intertriginous area under her breasts, and on her hands and feet. They developed over the past few weeks and didn’t seem to be going away. Some of the lesions had crusted and she hated the way it looked, especially on her face.

Is it psoriasis, acquired acrodermatitis enteropathica, non-bullous impetigo, or allergic contact dermatitis?

Check out the differential we created in VisualDx. Does it match yours?

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