A 40-year-old farmer in southern Florida visited the emergency room concerned about a plaque with ulcer on his arm that developed along the lymphatics shortly after a small wound he received on the farm. He was very worried when it looked like another lesion was beginning to form.
A 42-year-old woman went to urgent care complaining of an erythematous rash on her thigh and upper arms. She also had a sore throat, spiking fever, and arthralgias. When the PA who first examined her stroked her skin firmly, a wheal and flare appeared. However, when the doctor arrived for her exam, the wheal had almost disappeared.
A 75-year-old man went to the doctor complaining of many blanching patches that had developed over the last several days as the weather turned cold again. The lesions formed a symmetric reticular pattern across his legs and feet. He had been diagnosed with Parkinson’s three years earlier, and a prescription of amantadine helped him manage his symptoms.