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Question: Can you identify this condition?

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Vol 56: june • juin 2010 Canadian Family Physician•Le Médecin de famille canadien

553

Practice

Dermacase

Can you identify this condition?

C. Nicole Hawkins

MD

Benjamin Barankin

MD FRCPC

A

24-year-old female patient presents with multiple pruritic erythematous papules on her arms and abdomen, which developed toward the end of a trip to Mexico. Her past medical his- tory includes only occasional migraines and pre- menstrual cramping. The patient is bothered by the pruritus and the appearance of the rash.

The most likely diagnosis is 1. Scabies

2. Dermatitis herpetiformis 3. Bedbugs

4. Prurigo nodularis

Answer on page 555

Ophthaproblem

Can you identify this condition?

David S. Ehmann Kelly Schweitzer

MD

Sanjay Sharma

MD MBA MSc FRCSC

A

60-year-old woman presented with a 1-day history of bleeding from the right eye; the bleeding began upon awakening and resolved 1 hour after onset. There were no other ocular symptoms. Her past ocular history was notable for bilateral blepharitis and recurrent chalazia in her right eye, which was treated by incision and curettage. She was otherwise healthy, and the rest of her medical history was unremarkable.

Her visual acuity was 20/20 in both eyes. Visual fields, pupils, extraocular movements, intraocu- lar pressure, and fundoscopy results were nor- mal. No lesion was visible upon gross external examination; however, a red, beefy, peduncu- lated nodule protruded from the inferior palpe- bral conjunctiva of the right eye upon manual lower lid retraction.

The most likely diagnosis is 1. Chalazion

2. Squamous cell carcinoma 3. Pyogenic granuloma 4. Malignant melanoma

Answer on page 556

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