History A 40-year-old woman presented with a history of erythematous skin lesions appearing on her face, neck and chest over the past six weeks. She complains of burning and slight itching with the onset of new lesions which then settle over a few weeks leaving marked pigmentation on her skin. Intermittently she has developed new lesions in addition to the old lesions flaring. She had no previous history of skin problems.
Past medical history includes mild asthma, hay fever and hypertension. Her medication includes beclometasone and salbutamol inhalers, simvastatin, atenolol and ramipril. (the latter was commenced within the last 2 months to help control her hypertension) Examination There are multiple annular hyperpigmented macular lesions on the skin over her face, neck and upper chest (Image attached). No new erythematous lesions or recently ‘reactivated’ lesions are apparent at the…
