74 year old white man with rash to bilateral hands "since I | Figure 1

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Patient Case Study

74 year old white man with rash to bilateral hands "since I can remember." Areas are slightly raised, rough, and plug-like but do not seem to ever fall out. He reports callouses to the center palms of both hands. He denies chemical exposures. No recent changes, but he reports he has never been diagnosed. He was here for unrelated issues. Any thoughts?

Additional Patient Cases

Case 1

A 53-year-old man comes to the health unit reporting the appearance of pruritic erythemato papular rash in the palm of his hands yesterday. He reports that before there was a purulent lesion in the hand, that is in treatment with silver sulfadiazine. Has a history of Diabetes, in bad control, alcoholism, smoking and bowel tumor (diagnosed 3 years ago, it was excised, but reports hematochezia), in follow-up with gastroenterology. It reports previous hypuricemia with a similar rash on the hand. It denies other systemic signs, denies unprotected sex, denies penile lesions. Laboratory tests were requested: uric acid, serology for syphilis, HIV, and lab review. What are the diagnosis and treatment?

Case 2

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Case 3

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Case 4

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Case 5

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Case 6

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Case 7

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Case 8

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