Dermatology

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Dirty Hands

The 60-year-old black woman has a history of joint pain, muscle weakness, and Raynaud phenomenon. Why the “dirty hands”?

A 25-year-old man presents with progressive dysphagia to solids. You order an upper endoscopy. What do the results tell you?

The "bruise" arose after the 20-month-old bumped his cheek on a piece of furniture 1 month ago. Can you identify the lesion?

A 31-year-old woman presents with ongoing weakness and malaise and says her skin seems to be getting darker without exposure to the sun. Your Dx?