NJEM+derm+photo+sign lellis black arm derm primarycare hpv hsv diagnosis striae necrosis

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Esophageal Necrosis
Etiology:
- Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
- Associated

(Candida, CMV, HSV ... circumferential black ... unless patients are ... most common long term ... #diagnosis #management

Lichen Planus- ...On examination, numerous purple papules were noted on the anterior surface of the forearms

confirming the diagnosis ... association with HCV ... association between HCV ... #photo #lichen # ... planus #derm #wickhams

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