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  Vol. 145 No. 4, April 2009 TABLE OF CONTENTS
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Agminated Papules and Pustules on the Flank—Quiz Case

James M. Shehan, MD; Jeff F. Wang, MD
Creighton University School of Medicine, Omaha, Nebraska

Arch Dermatol. 2009;145(4):479-484.

Since this article does not have an abstract, we have provided the first 145 words of the full text and any section headings.

REPORT OF A CASE

A 57-year-old cattle rancher presented with an eruption near his right hip of 4 months' duration. The lesion was slowly enlarging and slightly pruritic. His medical history was unremarkable. He had no constitutional complaints. The patient had worked on his cattle ranch in western Iowa for many years.

Physical examination revealed agminated red papules and pustules on his lower right flank near the hip (Figure 1). The results of the rest of the skin examination were normal. A punch biopsy specimen was obtained from 1 of the pustules. Microscopic examination revealed scattered inflammatory aggregates in the dermis with multiple eosinophils. The microscopic findings were not diagnostic, and a lactophenol cotton blue preparation (Figure 2) and fungal culture (Figure 3) were performed.


 
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Figure 1.



 
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Figure 2.



 
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Figure 3.


What is your diagnosis?

SECTION EDITOR: MICHAEL E. MING, MD, MSCE; ASSISTANT SECTION EDITORS: CARRIE ANN R. CUSACK, MD; SENAIT W. DYSON, MD; JACQUELINE M. JUNKINS-HOPKINS, MD; VINCENT LIU, MD; KARLA S. ROSENMAN, MD



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RELATED ARTICLE

Agminated Papules and Pustules on the Flank—Diagnosis
Arch Dermatol. 2009;145(4):479-484.
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