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A 21-year-old man presents to urgent care concerned about a painless blackish lesion that had developed on his left heel. On examination, a stippled, deeply violaceous, blackish patch with overlying scale was seen on his plantar heel. He had no history of dermatological disease but mentioned he played in a basketball tournament last week.

View the image above and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.

Talon Noir
Figure 1.
21-Year-Old With Heel Lesion
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