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![](../photos/rem_clin1a.jpg)
Image 1-Reticulated rash on chest.
![](../photos/rem1_2a.jpg)
Image 2 -Low power magnification shows a superficial and deep, perivascular and periadnexal lymphocytic infiltrate.
Image 3-The infiltate is focally dense around hair follicles.
![](../photos/rem1_6a.jpg)
Image 4-The deeper reticular dermis shows an accentuated perivascular infiltrate.
Image 5-Highest power magnification of the deep reticular dermis shows the thick collagen bundles separated by wispy basophilic staining material.
Image 6-Colloidal iron stain stains the intercellular stromal material blue.
What is your diagnosis? |
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Case Study
This is a 28 year old woman who presents with a reticulated rash on her chest. She has been on topical and oral steroids without resolution. Doxycyline seemed to make it worse. The area is photosensitive and has been present for 1 year without resolution and without new lesions.
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