Access Dermatology

History

A 35-year-old, 23-weeks pregnant primigravida woman was referred to our outpatient clinic with a 4-month history of an asymptomatic, persistent, erythematous eruption on the right side of her upper chest wall, shoulder and medial aspects of her right arm. Her pregnancy had been unremarkable except for the development of a flushing eruption, intensified by emotions. She was otherwise healthy and had no history of liver disease, alcohol abuse or oral contraceptives use. No family member had similar lesions. Interestingly, the patient used to notice a slight transient flushing on the right side of her upper chest wall during puberty after alcohol intake.