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A Photo Quiz to Hone Dermatologic Skills

机译：皮肤科技能摄影测验

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Increased pigmentation on her lower back is noted by a 38-year-old woman who has used a heating pad for several months for low backpain. What condition are you looking at here? A. Erythema annulare centrifugum. B. Erythema chronicum migrans. C. Erythema dyschromicum perstans. D. Erythema ab igne. E. Erythema gyratum repens. During a skin examination, a lesion is noted on the thigh of a 32-year-old woman. The patient says she has had the "spot" all of her life, and its appearance has not changed. What is your next step? A. Measure the lesion and reexamine the patient in 6 to 12 months. B. Perform a shave biopsy immediately. C. Perform a punch biopsy immediately. D. Schedule the patient for an excisional biopsy within the next few weeks. E. Treat the lesion with cryosurgery.
机译：一名38岁的女性注意到她的下背部色素沉着增加，该女性使用加热垫治疗了几个月的低腰痛。你在这看什么状况A.环形红斑离心。 B.慢性红斑。 C.紫斑病紫斑病。 D.红斑再燃。 E.Gyratum片。皮肤检查期间，在32岁女性的大腿上发现了病变。病人说她一生都患有“斑点”，而且外观没有改变。下一步是什么？ A.测量病变并在6到12个月内重新检查患者。 B.立即进行刮胡活检。 C.立即进行打孔活检。 D.在接下来的几周内安排患者进行活检。 E.用冷冻手术治疗病变。

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