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Image IQ

Image IQ

A brief description of the clinical highlights and a single image: your best diagnostic guess? 

Image IQ

A 60-year-old homosexual man presented to the outpatient clinic with a 3-day history of facial rash associated with pain. The rash did not affect any other part of the body. He was not currently taking any immunosuppressive medication. What’s your diagnosis?

A 58-year-old man asks about this painless lesion on his left third digit. It does not itch, burn, or sting and there are no other similar lesions. He had a history of basal cell carcinoma on the arm and several more recent actinic keratoses on his scalp. What’s your diagnosis?

This annular violaceous plaque, which had been present for a few months, was unresponsive to treatment for tinea corporis with topical antifungals. Which of the following statements is true?

A 26-year-old man reports worsening fatigue and weakness for a few months. The patient’s father and grandfather had colon cancer when they were in their 40s. Colonoscopy revealed innumerable polyps carpeting the mucosa from the rectum to the cecum. Your diagnosis?

Acromegaly was diagnosed in a 36-year-old woman who presented with loss of vision in the right eye that had initially involved the peripheral field. Which statement about acromegaly is NOT true?

A 66-year-old woman had a mildly pruritic rash on the buttocks, lower back, abdomen, and upper posterior thighs. The eruption had been present for approximately 18 months. Your diagnosis?

A 62-year-old man had multiple, randomly distributed, flesh-colored nodules on his trunk, arms, and face. The lesions measured 0.5 to 1.0 cm and appeared slightly pedunculated. Tissue biopsy showed Schwann cells. Your diagnosis?

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