Medscape: A Child with Multiple Erythematous, Crusted Papules on the Trunk and Extremities A Child with Multiple Erythematous, Crusted Papules on the Trunk and Extremities What is reticular erythematous mucinosis? Reticular erythematous mucinosis (REM) is rare form of cutaneous mucinosis. It most often affects middle-aged women.

Understanding the Context

It is also called ‘ midline mucinosis’ or ‘ plaque -like cutaneous mucinosis’. Papules (small bumps) develop on the mid-back or chest and form a net-like pattern (hence the name, ‘reticular’). Acute cutaneous lupus erythematosus Acute cutaneous lupus erythematosus typically presents as transient erythematous patches associated with a flare of systemic lupus erythematosus. Lupus-specific skin changes: Localised acute CLE: malar ‘butterfly' rash – redness and swelling over both cheeks, sparing the nasolabial folds, lasting hours to ...

Key Insights

Facial rashes Patients often present with quite mild signs when they have a facial lesion or rash — due to embarrassment — and the diagnosis may be tricky. Significant itch suggests atopic dermatitis or contact dermatitis. Face: erosions/crusting Herpes simplex Monomorphic clustered vesicles or crusted papules Often locally recurrent in the same site Swabs: Herpes simplex Herpes zoster ... What is erythema annulare centrifugum? Erythema annulare centrifugum is a chronic reactive form of annular erythema characterised by erythematous, circular, arciform, and polycyclic lesions, with a characteristic delicate scale behind the advancing edge (‘trailing scale’).

Final Thoughts

Gottron sign — this refers to symmetrical violaceous macules, sometimes with oedema, over the knuckles, elbows, or knees. Classic skin signs of dermatomyositis include: Periorbital macules — these are violaceous, erythematous ('heliotrope') macules of the eyelids and periorbital tissue, presenting with or without oedema Periungual ... Annular erythema refers to a number of chronic annular and erythematous skin eruptions. The eruption usually begins as a small raised pink-red spot that slowly enlarges and forms a ring shape, while the central area flattens and clears.