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Consultant Vol 43 No 13

A 79-year-old man was brought to the emergency department with mental status changes. A CT scan revealed a lacunar infarct. Numerous asymptomatic nodules had been present for many years on the patient’s scalp and forehead.

For 2 years, a slightly pruritic, light brown, scaly rash had been present on a 20-year-old man’s neck. During the past 8 months, the eruption spread to the upper chest and upper arms. The patient reported that the rash changes color with the seasons. Multiple round to oval, hypopigmented, slightly scaly macules were noted on the neck, chest, and upper arms. Tinea versicolor was strongly suspected.

A 34-year-old man came to the emergency department after a mishap during sexual intercourse resulted in a cracking sound in his penis with immediate pain and loss of erection. He had no significant medical history. The patient was in moderate physical pain but severe emotional distress. Vital signs were normal.

For 3 years, a linear plaque had been slowly developing on the left palm of a 47-year-old woman who had difficulty in opening and closing her hand. There was no contributory family history.


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