Interactive Quiz: Abdominal Rash
A 22-year-old male college student presented to primary care with a pruritic rash on his mid abdomen for the past 2 weeks. He reported mild to moderate pruritus and had been scratching the area above his belt buckle.
History. He had not tried any treatments. He had no other comorbidities but stated that he had developed a similar rash in the past. He is physically active on and off campus, and he has frequent contact with recreational equipment, a laptop, a cell phone, ear buds, musical instruments, costume jewelry, keys, coins, sunglasses, belt buckles, and jeans.
Physical examination. The patient’s initial physical examination revealed a localized, 4.0 × 2.5-cm, erythematous, eczematous rash, with a symmetric pattern localized at the site of contact, the mid-central abdomen above his belt buckle. The erythematous base had overlying pruritic papules but no vesicles, lichenification, or hyperpigmentation.