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A Persistent Itchy Rash on the Leg of a College Athlete

A 22-year-old woman complains of an itchy rash on her leg for 4 weeks.  She is a collegiate swimmer and had a prior ringworm infection during her freshman year. She has been using over-the-counter antifungal cream for the past 3 weeks with no relief. Multiple round, erythematous, scaling lesions are present on her right leg,…

Hyperpigmented Bands Across All Fingernails

A 62-year-old African American man presents to establish care and to undergo skin examination, which he reports receiving regularly since his sister was diagnosed with melanoma. Examination reveals 3-mm hyperpigmented horizontal bands across the nailbeds of all fingernails, which he reports have been present since his 20s. He denies experiencing any other nail changes or…

Horn-Like Projection on a Man’s Skull

A 60-year-old man presents to the clinic with a 1-cm long horn-like projection coming from the skin on the superior aspect of the skull just lateral to midline. The structure is yellowish-white in color and feels very firm to the touch. He states that he noticed a small, hard lesion a few months ago and…

Irritative Lesions in the Abdomen and Genital Region

A 43-year-old African American woman presents to the clinic with irritative lesions in the folds of her abdomen and in her genital region as well as painful ulcers in her oral mucosa. The patient reports noticing some flaccid blisters in addition to the lesions she presents with. On examination, erythematous, vegetative lesions are found. She…

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