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Image Number 1104 (Insect bite reaction 1)

Unusual shapes

Diagnosis: Insect bite reaction 1

Site: Shoulder

Sex: M

Age: 60

Type: Clinical

Description: Black papule on back!

Submitted by: Ted Rosen

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Differential Diagnosis

History: While out in the woods, hiking, this unfortunate gentleman acquired an embedded tick. He found this asymptomatic ectoparasite accidentally, while showering. The organism was removed, along with mouthparts, via superficial shave, and the patient was placed on prophylactic doxycycline.

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