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Case
A 48-year-old woman presents with several red lesions that are extremely pruritic. They are scattered haphazardly on the back of her leg. A few of the lesions are still smooth nodules, but others are now excoriations; she just can’t stop scratching them no matter how hard she tries. She estimates they appeared nearly a month ago. She reports a history of atopic dermatitis, but “this doesn’t feel like the same thing.”

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

A 48-Year-Old Female with Pruritic Lesions