UCSDH photo skin ophthalmology hand hands clinical nejm rash derm actinicgranuloma actinic

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Actinic Granuloma - A 50-year-old woman presented with an 18-month history of asymptomatic skin lesions on

of asymptomatic skin ... dorsum of her hands ... #Clinical #Derm ... #ActinicGranuloma ... #NEJM

Excoriated papules with honey-colored crusting were present on the abdomen, back (Panel A), arms, and legs.

Finally, skin scrapings ... spaces on the hands ... #Clinical #Derm ... Scabies #Microscopy #Rash ... #NEJM

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