Photo Rounds
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Circular patch on chest
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Scaly facial plaques
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Nodule on gardener’s hand
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Scar overgrowth
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Blue-black hyperpigmentation on the extremities
In some cases, diagnosis entails less “what is it?” and more “what caused it?”
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Incidental skin finding
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Macules and abdominal pain
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Teen with hyperpigmented skin lesions
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A worsening abdominal rash
The confluence of 2 treatments (one appropriate, one not) led to a challenge in diagnosing this worsening rash.