50 yo M in for a routine Physical examination, presented wit | Figure 1

50 yo M in for a routine Physical examination, presented with a violaceous lacey rash on his lumbar area. He complains for frequent back pain and stiffness, but is otherwise healthy. 60lb intentional weight loss recently, following advice to do so. He had gained a lot of weight from his chronic antipsychotic medications for his schizophrenia.

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