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Clinical Challenge: Painful Lip Swelling, Crusting, and Fissures

A 45-year-old male presents with a six-day history of swelling, crusting and fissuring of the lips. The patient reports significant pain, and says he has been unable to eat. Prior to the eruption the patient reports he applied lip balm for chapped lips. He has no prior history of herpes labialis, and denies being in…

Clinical Challenge: A Burning, Acneiform Facial Eruption

A white 24-year-old female presents with erythematous, papulopustular patches of skin in a muzzle-like distribution surrounding the mouth, chin, and glabellar region. Her history includes a variety of topical antibiotics that were previously successful with complete resolution; however, at present the lesions are persisting despite the treatment.