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What's your diagnosis?
Tiny smooth brown and black papules
A 22-year-old woman asked her doctor about a number of tiny smooth brown and black papules that had slowly developed across her cheeks over the past year. She wondered if they were the same thing that her mother and aunt had, although they both had a lot more. Would she eventually have as many of the little papules as they did, or could she do something to prevent it?
What's your diagnosis?
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Many areas of purple ecchymosis
An 82-year-old woman who volunteers at a local botanical garden during the summer noticed what appeared to be purple bruises primarily on her arms and hands. These were areas on her body that received uninterrupted sun exposure, but she was diligent about using sunscreen. She hadn't developed the purple marks, or ecchymosis, during previous summers at the botanical garden. The only change in her behavior, she said, was the practice of taking aspirin each day at her doctor's suggestion.
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Crusted lesion of verrucous scaly plaque
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