Consultant. Vol. 50 No. 2

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What's Your Diagnosis?
Sharpen Your Physical Diagnostic Skills

A Man With a Refractory Groin Rash

By HENRY SCHNEIDERMAN, MD—Series Editor
Dr Schneiderman is vice-president for medical services and physician-in-chief, Hebrew Health Care, West Hartford, Conn, and president of its Connecticut Geriatric Specialty Group. He is professor of medicine (geriatrics) and associate professor of pathology, University of Connecticut Health Center in Farmington, and clinical professor, nursing, Yale University. He is a recipient of the American Geriatrics Society Clinician of the Year award and received the Laureate award of the Connecticut chapter of the American College of Physicians.
| February 5, 2010

HISTORY

A 51-year-old man is seen because of a painful groin rash. Has not cleared despite 3 months’ topical corticosteroids and antifungals. Does not have diabetes but does abuse alcohol(Drug information on alcohol) and has alcoholic cardiomyopathy; obese.

PHYSICAL EXAMINATION

Normal vital signs. Malodorous rash in groin, from upper thigh across inguinal crease and onto medial scrotum. Includes shallow erosions, especially on scrotum, and fine scale, especially at upper margin and deepest in inguinal recess.

WHAT'S YOUR DIAGNOSIS?

(answer on next page)

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by Nathaly Isidore-Blackmore | April 11, 2012 3:47 PM EDT

candida?

TOPIC INDEX

Developmental/Genetic

Nutritional/Metabolic

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A Man With a Refractory Groin Rash

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