What is the likely diagnosis for a patient presenting with an erythematous maculopapular rash with center clearing?

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Study for the AANP Family Nurse Practitioner Certification Exam. Prepare using flashcards and multiple choice questions with hints and explanations. Get ready to succeed!

The presentation of an erythematous maculopapular rash with central clearing is characteristic of tinea corporis, often referred to as ringworm. This fungal infection typically appears as circular, raised lesions that are red and inflamed at the edges, with clearer skin in the center, giving it the classic ring-like appearance. This pattern arises because the periphery of the lesion is where the active fungal infection is occurring, while the center begins to heal as the immune system responds to the organism.

In contrast, psoriasis presents as well-defined plaques, often with silvery scales, but does not usually have a central clearing. Contact dermatitis typically appears as localized redness and swelling without the distinct ringed pattern associated with fungal infections. Scabies, caused by mites, results in intense itching and a different rash appearance, often with burrows or vesicular lesions, rather than the defined clearing seen in tinea corporis.

Identifying the characteristic features of tinea corporis, such as the central clearing and the circular shape of the rash, is essential for making an accurate diagnosis and initiating appropriate antifungal treatment.

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