A 52-year-old African American man presents to the clinic with a rash that has been worsening for…

A 52-year-old African American man presents to the clinic
with a rash that has been worsening for several months. Review of systems is
notable for a chronic cough. Examination reveals multiple red-brown,
dermis-based papules on the trunk, arms, and face. Several lesions are
clustered near the nares. The examination is otherwise unremarkable.

Questions

A. What is the likely diagnosis? What information is
necessary to confirm the diagnosis?

B. Which organ system (in addition to the skin) is at risk
for disease involvement based on the clinical examination?

C. What are the
View complete question »

A 52-year-old African American man presents to the clinic
with a rash that has been worsening for several months. Review of systems is
notable for a chronic cough. Examination reveals multiple red-brown,
dermis-based papules on the trunk, arms, and face. Several lesions are
clustered near the nares. The examination is otherwise unremarkable.

Questions

A. What is the likely diagnosis? What information is
necessary to confirm the diagnosis?

B. Which organ system (in addition to the skin) is at risk
for disease involvement based on the clinical examination?

C. What are the histopathologic features of this disease?

D. How does the disease present clinically?

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