Photo Rounds

Pruritic rash on chest and back

Author and Disclosure Information

Was a recent change in diet to blame for this patient’s rash?


 

References

A 26-year-old woman presented to our clinic with pruritic, hyperpigmented, symmetric edematous plaques on her upper flank, chest, and lower back (FIGURE) 3 weeks after starting a strict ketogenic (high fat/low carbohydrate) diet for postpartum weight loss. The patient was an otherwise healthy stay-at-home mother with an unremarkable medical history.

Edematous, reticulated rash on upper flank and back

WHAT IS YOUR DIAGNOSIS?
HOW WOULD YOU TREAT THIS PATIENT?

Pages

Recommended Reading

Pediatric pruritus requires distinct approach to assessment and management
MDedge Family Medicine
Dermatologists name isobornyl acrylate contact allergen of the year
MDedge Family Medicine
Don’t discount sleep disturbance for children with atopic dermatitis
MDedge Family Medicine
Food allergies and atopic dermatitis: What is the evidence?
MDedge Family Medicine
Atopic dermatitis at 1 year links with persistent food allergies
MDedge Family Medicine
Comorbid skin conditions common in children with lichen nitidus
MDedge Family Medicine
Sore on head
MDedge Family Medicine
Fluorouracil beats other actinic keratosis treatments in head-to-head trial
MDedge Family Medicine
Sudden-onset rash on the trunk and limbs • morbid obesity • family history of diabetes mellitus • Dx?
MDedge Family Medicine
FDA extends Dupixent indication for 12- to 17-year-olds
MDedge Family Medicine