Skin

Tophaceous Gout

50 years old gentleman, came to us for periodic offshore(OGUK) medical check up. Bilateral upper limbs – multiple tophi noted over both small phalangeal joints, wrist and elbow. This gentleman has limited range of movement over his both hands, with unable to flex his fist fully. Lower limb – bilateral tophi over the podagra He …

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CHRONIC LARVA MIGRANS (CLM)

30 years old Indonesian construction worker, came to us with 2 weeks history of left calf itchiness. Picture showed track-like lesions with mild erythematous surrounding skin and also old healed track scar. DIAGNOSIS: CHRONIC LARVA MIGRANS (CLM)