Clinical Quiz
The Hong Kong Practitioner VOLUME 30 / September 2008

A woman with a superficial vesicular skin rash
Kuen-kong Lo ¿c°®­è


A 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. For entry into the draw, simply answer the question, fill in the reply slip and return it to the College by 31 October, 2008. Each reader is allowed to submit one entry only. The name of the winner and the answer will be published in the December issue.

Clinical history:

A 68-year old woman, admitted to hospital for management of acute cerebral stroke, was unconscious and remained bedridden for the past 18 hours. She was found to have tiny blistering skin rash at the chest and back as shown. The rash was characterized by small clear and very superficial vesicles and no inflammatory reaction was noted. No scratch marks and no abnormality were noted in the mucous membranes.

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 diagnosis?

A. Transient acantholytic dermatoses
B. Miliaria rubra
C. Steatocystoma multiplex
D. Miliaria crystallina

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