%27%3e%3cg%20id=%27Group-14%27%20transform=%27translate(13.000000,%20103.176124)%27%3e%3cg%20id=%27Group-Copy-5%27%20transform=%27translate(0.000000,%20182.676124)%27%3e%3crect%20id=%27Rectangle-8%27%20fill=%27%23E2E0DE%27%20x=%270%27%20y=%270%27%20width=%2736%27%20height=%2736%27%20rx=%2718%27%3e%3c/rect%3e%3cpath%20d=%27M28,27.6503435%20C28,22.127496%2023.5228474,17.6503435%2018,17.6503435%20C12.4771525,17.6503435%208,22.127496%208,27.6503435%20M18,16.3472505%20C20.8165136,16.3472505%2023.099749,14.0640151%2023.099749,11.2475015%20C23.099749,8.43098783%2020.8165136,6.1477524%2018,6.1477524%20C15.1834863,6.1477524%2012.9002509,8.43098783%2012.9002509,11.2475015%20C12.9002509,14.0640151%2015.1834863,16.3472505%2018,16.3472505%20Z%27%20id=%27Combined-Shape%27%20fill=%27%23FFFFFF%27%20fill-rule=%27nonzero%27%3e%3c/path%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/svg%3e)

### Deleted account

Three sisters (5, 12 and 18) in a Brazilian slum present with a one month history of a solitary painful skin lesion on the lower limb, with identical appearance. No significant medical history, no accompanying symptoms. Thoughts?

* * *

### Why you should join Figure 1

- Share your knowledge with our global community of healthcare professionals
- Get help from experts in your field
- Learn from our library of real-world cases and quizzes

##### Similar cases

1.  Young healthy patient with two week history of skin changes as seen. What is the appearance diagnostic of and what is the treatment? Systemically well, no past medical history of note, normal bloods (and not an athlete;)

2.  7 year old female with one month history of weight loss and productive cough. No fever. What do you see? Impression?

3.  Update from previous case. Patient has improved on Minocycline and Rifampin in one week. Biopsy had positive Ziehl-Neelson stain for acid fast organism.

4.  Patient with right-sided flank and back pain and fever, urinary frequency but normal urinalysis and CRP of 148 seen in ER.

5.  A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back.

6.  A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days.

7.  Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history.