5 Day F/U photos
The patient was seen 5 days after starting desonide 0.05% cream. His skin lesions have esolved completely with mild post-inflammatory hypopigmentation. The three lesions on back (not treated) have persisted. No new lesions. Our tentative diagnosis is atypical seborrheic dermatitis. Atypical Pityriasis rosea is also considered. We do not feel serology for syphilis and HIV are indicated at this point, based on a discussion of risky behaviors. Will taper desonide over the next two weeks and see patient back in a month as necessary.