31 year old indigenous Costa Rican male with pruritic lesion | Figure 1
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31 year old indigenous Costa Rican male with pruritic lesions on nape
says it started 18 years ago when stung by a wasp. Lesion has grown over the years at unknown rate (patient did not realize how large it was until he was shown this picture). Afebrile, denies shaving (cuts hair with scissors)
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