b12 peds clinical photo nejm syndrome diagnosis management treatment cardiology derm bacilliformis

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Oroya Fever
Hematologic disease caused by Bartonella bacilliformis
Restricted to the Andes highlands of Peru & Ecuador
B. bacilliformis:

Incubation period: 3-12 ... Lutzomyia verrucarum Clinical ... Chronic phase: Derm ... TREATMENT: • Acute ... #management #Bartonella

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

confirming the diagnosis ... used in primary treatment ... #NEJM #clinical ... #photo #lichen # ... planus #derm #wickhams

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