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Red, Crusted Papules

Poll

A 45-year-old woman had painless, red, crusted papules on the hand. There was no history of trauma. The patient had a home aquarium. Your diagnosis?

A 45-year-old woman had painless, red, crusted papules on the hand. There was no history of trauma. The patient had a home aquarium.

Your diagnosis?

A. Sporotrichosis
B. Leishmaniasis
C. Atypical mycobacterial infection
D. Tularemia
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