Confluent and reticulated papilloma tosis | Figure 1

Confluent and Reticulated Papillomatosis

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  1. Moderately well-defined purpuric macular lesion that's totally asymptomatic present for 2 days. Lesion is non-blanchable but has a bronze colored background. Dx is benign pigmented purpuric eruption. Will self-resolve in weeks to months.
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  2. 30 female patient with this unilateral lesion, DD? and best treatment?
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  3. Not that impressive, but you can appreciate faint hyperpigmentation on her right hand. This is phytophotodermatitis. The patient was asymptomatic, and all she needed was reassurance that the post-inflammatory hyperpigmentation will fade over time and information about sunscreen and sun avoidance.
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  4. 27 yo healthy male presented to the family medicine clinic with a new skin lesion that developed on his 4th digit of his right hand. What could this be? DDX?
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  1. A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.
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  2. A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back.
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  3. A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days.
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  4. Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history.
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