58yom was unaware of this lesion on his back. I found it dur | Figure 1

TheFastDoctor

Family Medicine

58yom was unaware of this lesion on his back. I found it during routine examination. About 9.5 mm in diameter. Since he leaves for his home country the day after being seen, there was no opportunity for biopsy. Would you just follow up, arrange for biopsy, freeze or something else? I expect to see again in about one year.

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Patient used beclomethasone, but stopped and went back to over the counter hydrocortisone because she stated the high dose steroid made the rash hurt. Regardless, she notes the rash is fading (at about 50% of prior) and she is feeling better. If she represents with blisters I will biopsy uninvolved skin of thigh for DIF and consider oral steroids.

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