skin lesion | Figure 1
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Medical Resident | Family Medicine
Posted Anonymously
Case Description
A 32-year-old female patient with no significant history of medical conditions, presenting with 4 days of the following skin lesion that started after 1 day of localized pruritis. At first, she thought it was some mosquito bites; however, a few more spots appeared and are now painful.
The lesion is localized at the dorsal aspect of the hand between the wrist and the base of the 1st digit.
Other than that, there are no other lesions or symptoms.
Example Cases
Patient: 40 years old, two days ago appearance with the lesion on the first picture on the left leg. After one day become like in the second picture, with erythema and pain on the calf. In history, only obesity. No other disease. No travel, no animal bites. Only on the legs, no other site of the body. No fever. No drugs.
Patient: 33 years old, female, with itching in the center of the chest for two days. The patient has recurrence of these lesions in other regions such as thighs and buttocks. She has a local allergic reaction to contact with metal (for example: metallic shirt buttons). The examination shows erythematous lesions with small papules on the surface.
Patient: 7 years old, male. Itchy lesion in the perioral region 4 days ago. Child complains of local burning.
Patient: Child, 4 years old. There are four days she presents lesions on hand and knees. She feels local pruritus. What is the diagnostic?
Conclusion
This case illustrates the complexity and variability of skin lesions in different patient presentations. Further evaluation may be needed to reach a definitive diagnosis.