Expanding Leg Ulcer in a Young Woman

Self-treatment has done nothing to slow the progress of this lesion which the patient thought might be an insect bite at first. Your Dx?

Gina presents with an advanced leg ulcer that 5 or 6 weeks ago began as what she presumed was in insect bite. Despite home treatment with antibiotic ointment it has enlarged and become painful. What does this lesion look like to you? Is there anything in her history that could support your presumed diagnosis? Click through the slides and follow the case.

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