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Visual Diagnosis # 7

Hutchinson-sign 2- 60secondem

 

A 42 yr old male presents with complaints of low-grade fevers and general malaise over the past 5 days. He denies headache, cough, vomiting or diarrhea. He has no significant PMHx. No known sick contacts, recent travel or recent illnesses. Today he awoke with a painful lesion on his nose. He is currently afebrile with normal vital signs.

1. What is this skin manifestation?

2. What is the cause?

3. What is your next step?

 

 

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