Clinical Quiz
The Hong Kong Practitioner VOLUME 29 / April 2007

A young man presenting with a mildly pruritic generalized rash
Kuen-kong Lo ¿c°®­è


A monthly clinical quiz is published in The Hong Kong Practitioner. Readers are invited to participate and a prize draw, sponsored by Pfizer Corporation Hong Kong Limited, will be undertaken among the successful entries each month. For entry into the draw, simply answer the question, fill in the reply slip and return it to the College by 25 May, 2007. Each reader is allowed to submit one entry only. The name of the winner and the answer will be published in the May issue.

Clinical history:

A 33-year old driver complained of mildly pruritic, generalized erythematous eruption first noted at his left inner arm for the past 6 weeks. More extensive involvement of scaly erythematous maculopapular rash scattered at his trunk and four limbs in the past 4 weeks. He otherwise enjoyed good health. There were no systemic upset, no sore-throat, nor any herbs or medications intake prior to the onset of skin rash.


The slide and the question were prepared by:
Dr Kuen-kong Lo, FRCP (Edin, Glasg), FHKCP, FHKAM(Medicine)
Consultant Dermatologist-in-Charge,
Social Hygiene Service, PHSB, CHP, DH.

What is the most likely diagnosis?

A. Subacute cutaneous lupus erythematosus
B. Guttate psoriasis
C. Pityriasis rosea
D. Secondary syphilis

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