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A 60 years old women with skin lesions who can not afford to see any doctor


This is a HIPAA de-identified open-online-patient-record with initial information in patient's voice, posted here after collecting informed patient consent (form downloadable Click Here)  by BMJ Elective Student. 


This is 60 years old women, housemaid by occupation, presented with this painful, itchy and discharging lesions (image attached) over the chest and naval area. She first noticed this lesion 15 days back and since then it has progressively spread. She is hypertensive on medication and has IHD (?she vaguely mentioned about it). She is a very poor housemaid and can not afford to visit any skin specialist.

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