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Clerkshift

A case from the library

Painful skin ulcers that keep enlarging in a 26-year-old man

DermatologyMedium

Luis Hernandez

26 years · Male

Vitals

Heart rate
103 bpm
Blood pressure
128/80 mmHg
Resp. rate
16 /min
SpO₂
98%
Temperature
99 °F

How hard it is

A real-world presentation with one or two atypical features. You'll need targeted questions and the right test to narrow the differential.

The diagnosis is not shown here. Finding it is the case.

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Source

Adapted from a case report published in Case Reports in Rheumatology, under the CC BY 4.0 license. The patient's name and some details are invented; the clinical picture follows the report. The report names the diagnosis.