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Hyperpigmented, reticulated rash in a 15-year-old female

Infectious Diseases in Children, April 2015
Carrie C. Coughlin, MD; Marissa J. Perman, MD

A 15-year-old female presents to your office with rash. She is afebrile and feels well. The patient reported that she noticed the rash 2 weeks before her appointment, and the color has gradually progressed from red to brown. She has not experienced a rash like this before. The patient does not take any medications other than ibuprofen, as needed, and is otherwise healthy. She plays basketball and rides horses.

Due to the cold winter, the patient noted that she has a space heater at her desk while she does homework at night. Her family history is notable for pertinent negatives, but there is no family history of connective tissue disease or clotting disorders.

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