A patient sent these photos to the office. Male, 34y/o, c/ | Figure 1

A patient sent these photos to the office.

Patient Details:

• Age: 34 years old
• Sex: Male
• Chief Complaint (c/o): Papules that started on palms of hands and soles of feet and disseminated to arms and trunk.
• Duration: About 7-10 days (patient unsure of exact duration).
• Symptoms: Denies fever, pain, itching, cough or general malaise. Stated, "I feel fine, but they aren’t going away".
• Medical History: History of schizophrenia, 10 years medication history of clozapine, loxapine, Ativan, and escitalopram.
• Lab Results: Last labs drawn show slightly elevated Cr and CK.
• Living Situation: Lives with family in a home with one cat and one dog.
• Work Environment: Works in community and is frequently around people.