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The patient is a 51-year-old male with uncontrolled type 2 diabetes who presents with a painful, raised, pruritic rash that began after an afternoon of gardening eight days ago. In the interim, he self-treated with over-the-counter topical hydrocortisone 1 percent without relief.

View the photo and consider what your diagnosis or next steps would be.

Type 2 diabetic male experiencing painful rash

David Boyd, MD

Family Practitioner at Western Regional Medical Center
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