Skin & Subcutaneous Tissue

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This 12 year old boy has developed an itchy, scaly rash on both feet - a not uncommon presentation in clinical practice.\n\nGiven his history of allergic rhinitis and conjunctivitis, eczema (i.e. atopic dermatitis) is a differential diagnosis which naturally springs into mind.\n\nLooking at the positive family history, psoriasis is also worth considering, despite the fact that 12 years is usually well below the typical age of onset of the disease, while the rash is in an unlikely site.\n\nAlthough the history does not provide specific details, contact dermatitis (particularly due to footwear) is not improbable either.\n\nThe other possibility in this case is that he has acquired a dermatological infection, possibly from the communal facilities he "}]}

Want to continue playing?

Open your Clinical Odyssey account today.

Enjoy unlimited access to 600+ simulations.
Safely improve your skills, anytime and anywhere.
Get answers to your follow-up questions from practicing physicians.