A middle-aged gentleman has massive patches of red dots on the skin. New patches appeared monthly… Show more A middle-aged gentleman has massive patches of red dots on the skin. New patches appeared monthly on his legs and hips over the past two years and seems to be getting worse. There is no discomfort except itchiness occasionally. He is currently not on any medications such as aspirin or paracetamol. On examination, he has oval and irregular brown patches with superimposed pinpoint petechiae on his legs. 1) What is the clinical diagnosis? . 2) What are the differential diagnoses? 3) What other parts of the body will you examine? 4) What are the causes of this skin disease? 5) How would you treat this patient? • Show less



