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Download the article PDF: Clinical Image Challenges October 2025
A 75-year-old male presents to the walk-in clinic with the chief complaint of an asymptomatic rash on the left temple of his face that developed over the past 2 months. On examination, a shiny deep red papule is visible with scaly macules (actinic keratoses) surrounding. The patient is on rituximab for chronic lymphocytic leukemia (CLL).
View the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.

75-Year-Old Male with Facial Lesion
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