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Can Fam Physician. 2010 October; 56(10): 1023.
PMCID: PMC2954083

Question: Can you identify this condition?

An external file that holds a picture, illustration, etc.
Object name is 1023fig1.jpg

A 44-year-old man presents with a 5-year history of an asymptomatic, progressive, bilateral cutaneous eruption involving the medial aspects of his lower extremities. Physical examination reveals orange-brown irregular patches on the medial aspects of the lower legs, with nonpalpable pinpoint puncta resembling grains of cayenne pepper.

The most likely diagnosis is

  1. Purpuric contact dermatitis
  2. Early mycosis fungoides
  3. Stasis dermatitis
  4. Progressive pigmented purpuric dermatosis
  5. Leukocytoclastic vasculitis

Answer on page 1024

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