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Persistent pruritic papules.(Photo Quiz)
From:
American Family Physician
| Date:
June 1, 2004
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COPYRIGHT 2004 American Academy of Family Physicians. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group.
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A 63-year-old woman presented with a two month history of tender, pruritic papules on her left lower abdomen. The lesions were first noticed several days after returning from a trip to South America. Physical examination revealed three 6- to 8-mm firm nodules with central ulceration and mild erythema (Figure 1). On closer inspection, the nodules appeared to pulsate. The larva in Figure 2 was manually extracted from one of the lesions.
[FIGURES 1-2 OMITTED]
Question
Which one of the following is the most likely cause of the patient's lesions?
A. Scabies.
B. ...
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