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A Veterinarian with Multiple Skin Ulcers after Travel to Costa Rica 

A Veterinarian with Multiple Skin Ulcers after Travel to Costa Rica
Chapter:
A Veterinarian with Multiple Skin Ulcers after Travel to Costa Rica
Author(s):

Daniel Caplivski

and W. Michael Scheld

DOI:
10.1093/med/9780199735006.003.0062
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date: 26 May 2019

Case 13a: A 32-year-old man returned from a 14-day vacation to Costa Rica with several ulcerative skin lesions on his left wrist, right and left flanks, and left leg. He also noted palpable nodules on his left arm proximal to the left wrist lesions. Besides the ulcers on his wrist (which began as papules), he also noted three ulcers on his flanks, as well as two on his lower legs. He did not recall any trauma to the areas, and initially thought the lesions were due to insect bites.

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