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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

Ronald Billips, MD

Family Medicine Physician at Princeton Community Hospital

David Boyd, MD

Family Practitioner at Western Regional Medical Center

John P. Sherrod, MD

Family Medicine Physician at St. Francis Family Medicine
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