HOMECARE Case, 33 yo male, only significant pmh includes PTS | Figure 1

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HOMECARE

Case, 33 yo male, only significant pmh includes PTSD w associated anxiety and HSV 1. Area on midline back appeared 3 days ago, no hx of known bite and no puncture marks, no trauma/shearing, NKDA and no new products used. Area slightly tender first day, w some general malaise. No pruitis, drainage or growth of area over past 3 days. Almost perfectly circular, slight lighter area forming in center, area blanchable. Triamcinolone cream applied with no effects.

Tick bite/Lyme? Seems like an odd place for a contact dermatitis. Ideas please.