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Soldier in Training Has Fine, Scaly Plaque on his Face - Can You Diagnose?

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A 22-year-old man enlisted in the military was undergoing some additional training when he visited the doctor for treatment of a fine scaly plaque on his face.

It had started as an annular, pruritic, erythematous lesion and was now starting to get a little bit of crusting on the border.

He was always clean-shaven with a short military brush cut, so he could see that he did not have any other lesions on his head.

They had recently been practicing hand-to-hand combat, so he had been in close contact doing maneuvers and wrestling with other soldiers. 

Is it rosacea, tinea faciei, psoriasis, or allergic contact dermatitis?

Check out the differential in VisualDx.

The correct diagnosis is...

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