What do you think this is? We have a guess but we are still | Figure 1

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What do you think this is? We have a guess but we are still studying the patient so we don't have a definitive answer but I would like to read your thoughts.

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can anyone help we have done the following treatments. we have tried triamcinolone cream, una boot. She takes lasix 2 a day. She is type 2 diabetic. We tried compression socks and lymphedema machine to compress the legs. We tried to elevate. She does have heart and kidney issues we go back to the doctors in two months to reassess. They said it was lymphedema. We tried the treatments and the treatment failed. We wrap change two times a day. we tried doing Una boot the week, long ones no improvement, just more itchy and more red.

We have been in the field for 6 days, no showers. Spider bite cellulitis with pitting edema.

Update from previous case. 3 days later lesions on the upper extremities have faded and seem less raised but new ones have appeared in the lower extremities. We decided to watch and wait since there was no improvement on antihistamines or methylprednisolone.

this is the genital lesion we have diagnosed as lichen planus. Since some have asked to see it!

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