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Alopecia, Ulcerations, and Ecchymotic Lesions: Take this Image IQ Test

Alopecia, Ulcerations, and Ecchymotic Lesions: Take this Image IQ Test

Figure

1. Fever, weakness, and unusual ecchymotic lesions
A 22-year-old Filipino man with fever, lethargy, weakness, and malaise of
5 days' duration was brought to the emergency department by his family. Two
days earlier, oral penicillin had been prescribed for streptococcal pharyngitis.
The patient was unable to walk because of profound weakness. Circular and
linear ecchymotic lesions were noted on his back.
What could account for these lesions? Are they related to the patient's
other symptoms?

(Answer on next page.)

Figure

2. Small pink lesion on the nose
A 35-year-old man feared that the
small pink lesion that spontaneously
appeared on the edge of one nostril
was cancer. The polypoid, superficial,
ulcerated nodule first appeared 3 weeks
earlier.
Does this look like a malignant
lesion?

(Answer on next page.)

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