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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

For several months, a 45-year-old woman has had ocular irritation, tearing, blurred vision, and swelling of the eyelids in both eyes. Her medical history includes lupus and seasonal allergies, for which she has been taking hydroxychloroquine and loratadine. Your dx?

A 9-year-old boy presented with a 1-week history of pruritus and rash on his elbows, knees, back, and legs. He had recently run through a field of tall grass but denied any other exposure history. Your dx?

This 66-year-old black woman presented with a 2-year history of a painless skin eruption. She stated that her skin had “changed overnight” while she was caring for her mother who had been hospitalized. Your diagnosis?

This lesion, present for 4 months, had not responded to oral nystatin or fluconazole. Multiple, nontender, whitish, vertical striations were noted along its right lateral edge. Your dx?

An otherwise healthy 24-year-old man is concerned about this mildly pruritic, scaly rash on his chest, which erupted during the late spring. What do you suspect is the diagnosis?

A 42-year-old woman, who has a family history of non-melanoma skin cancer, is worried about these 2 small yellowish papules on her forehead. Can you identify these lesions?

Five days after starting a new medication, this lesion appeared on a man’s neck. It slowly resolved after the drug was stopped. Which of these drugs do you suspect might have caused the lesion?

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