A 24-year-old woman presented with a painful lesion on her right buttock that began during her pregnancy four years prior. The lesion appeared as a large, reddish-brown, scaly plaque with well-defined borders and central atrophic changes covering the entire surface of the right buttock (Image 1). The lesion was tender and warm with notable expression to the light touch of purulent material through multiple fissures along the periphery. The patient reported no other symptoms, such as fever, chills, cough, or fatigue.
Physical examination Vital signs were within normal limits, the skin demonstrated no other significant changes, and the patient had no notable lymphadenopathy. History The patient reported the skin lesion had progressively increased over the past four years. She had been previously diagnosed with psoriasis and was treated with multiple topical therapies, including…
