They had a Similar Lesion on the Thigh a Few Months Ago
A 62-year-old presents with this severely pruritic cutaneous eruption. Two weeks ago, the top of a tractor fell on their back so they thought this was a reaction to the trauma. Do you recognize this?
This case was shared by a family medicine physician in the Figure 1 community. Below is a valuable discussion between physicians, where a dermatologist was able to assist in the diagnosis of this case.
Dermatologist 1: “Nostalgia paresthetica with secondary lichen amyloid, rather than the more typical macular amyloid.”
Dermatologist 2: “Notalgia parasthetica is the first differential diagnosis coming up to my mind, but there is no sign of scratching due to severe pruritus?!”
Family medician physician: “Now it makes sense: his pruritus improved with capsaicin but the symptoms overall improved with physical therapy for the trauma on his neck! Thanks!”
Want more clinical cases?
Join Figure 1 for free and start securely collaborating with other verified healthcare professionals on more than 100,000 real-world medical cases just like this one.