Itchy lesion on a marathon runner

Presenter: Adeline Kikam DO, Carlos A. Rivera MD
Dermatology Program:  South Texas Dermatology Residency Program, Bay Area Corpus Christi Medical Center
Program Director: Rick Lin, DO MPH

Submitted on: Oct 18, 2018

CHIEF COMPLAINT:  ¨Itchy lesion on right leg”

CLINICAL HISTORY:

Signs and symptoms:  36-year-old Hispanic male complaining of a lesion on the right lateral leg that began sometime around September of 2017. The patient recalls itching but no pain to the area followed by mild scaling. He does not recall any foreign travel around September of 2017 but he says he runs bushy trails around Houston, Dallas, and Austin. His last international travel was to Cancun Mexico in 2016. He denies any systemic symptoms such as fever, fatigue, and weight loss. All other review system questions and physical exam was unremarkable.

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