A 16 year-old boy presented with asymptomatic, multiple, erythematous, annular lesions with a collarette of scales at the periphery of the lesions present on the trunk. The most likely diagnosis is:
Correct Answer: Pityriasis rosea
Description: Multiple, erythematous, annular lesions with a collarette of scales at the periphery of the lesions present on the trunk is suggestive of Pityriasis rosea. Lichen planus Purple Polygonal Pruritic Papules; Lacy white markings, Associated with mucous membrane lesions. Seborrheic dermatitis Central facial erythema with overlying greasy, yellowish scale. Pityriasis rosea - Rash preceded by herald patch; - Oval to round plaques with trailing scale; - Affects trunk and eruption lines up in skin folds giving a "fir tree"-like appearance; Tinea versicolor (Malassezia furfur) - Hyperpigmented or hypopigmented scaly patches on the trunk; - Characteristic mixture of hyphae and spores on KOH preparation ('spaghetti and meatballs' appearance) -Rx: Topical Selenium sulfide lotion or azoles
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