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Consultant Vol 44 No 5

During a routine physical examination, a white forelock was noted on a 54-year-old man. The patient stated that the discolored patch of hair had been present since adolescence. Other than mild hearing loss, he had no significant personal or family medical history.

A 46-year-old man with diabetes presented for evaluation of gradual fingernail deterioration, which had failed to respond to several courses of griseofulvin and a recent 3-month course of daily terbinafine. The patient—who worked as a bartender—was otherwise healthy.

A 40-year-old woman
with HIV infection has had an occasionally
pruritic facial rash for several
months. The rash is not associated
with any systemic symptoms.


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