Intended for healthcare professionals

Endgames Spot Diagnosis

Annular, scaly, erythematous rash on the buttocks and thighs

BMJ 2016; 352 doi: (Published 08 March 2016) Cite this as: BMJ 2016;352:i1147
  1. Krishna Sumanth Mukkanna, specialist trainee year 4 dermatology1,
  2. Natalie Stone, consultant dermatologist1
  1. 1Department of Dermatology, Royal Gwent Hospital, Newport, UK
  1. Correspondence to: K S Mukkanna ksumanth{at}

A 63 year old woman presented with a three month history of an itchy, annular, scaly, erythematous rash on both buttocks and upper posterior thighs. The rash had not responded to topical betamethasone valerate 0.122% ointment.


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