ABSTRACT
Common Differentials of a Macular Rash Drug reaction History of drugs (antibiotics, thiazide), fever, affects
trunk and limbs Distribution morbilliform (measles-like), urticarial or
erythema multiforme Freckles Facial, small, light brown macules, darken in sun,
common in redheads Pityriasis rosea Adolescent, generalised eruption preceded by herald
patch (large 2-5 cm oval lesion), lesions are oval, pink, scaly, itchy
Pity. versicolor Fungal (Pityrosporum orbiculare), adolescents, hypopigmented patches in darker skin, affects trunk and proximal limbs
Vitiligo Well-defi ned white macules, no melanocytes, hands, face (eyes and mouth)
Café au lait spots Neurofi bromatosis, oval-shaped creamy brown patches
Plaque Solid, palpable, fl at-topped, area of skin elevation >5 mm diameter.
