Quiz

 
A 61-year-old patient with chronic myelomonocytic leukemia presented with a red-to-brown maculopapular rash on the back (Figure 1). Some of the papular lesions seemed to be different from the other lesions (Figures 2, 3) and had a particular dermatoscopic appearance (Figure 4). What is your diagnosis?

View Figure  		 Figure 1.  Clinical presentation of the patient. A widespread erythematous maculopapular rash on the back of the patient. [Copyright: ©2012 Tschandl.]

View Figure  		 Figure 2.  Clinical image of a papular lesion. [Copyright: ©2012 Tschandl.]

View Figure  		 Figure 3.  Close-up of the lesion in Figure 2. [Copyright: ©2012 Tschandl.]

View Figure  		 Figure 4.  Dermatoscopic image of the lesion in Figures 2 & 3. [Copyright: ©2012 Tschandl.]
 
Please send your answer to dpc@derm101.com. The first correct answer will receive a complimentary copy of the book, Dermatoscopy. An Algorithmic Method Based on Pattern Analysis [Facultas Verlag, 2011].
 
The case and the answer to the question will be presented in the next issue of Dermatology Practical and Conceptual.