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DERMATOLOGY CONSULTATION

HISTORY: The patient came here complaining of two moles, which had gotten bigger during her pregnancy and is hurting her. The patient is currently 6 months pregnant. She is not allergic to any medicines. She is not taking any medicines. She has no significant past medical history.

PHYSICAL EXAMINATION: On clinical examination, scalp has no lesions. Face, neck, chest, back, and arms have isolated 3-8 mm pigmented macules and papules. On the left neck and upper back, there are 2 pigmented papules with scratch marks. 

DIAGNOSIS: Nevi. 

PLAN: Nevi, secondary to scratch. In view of the fact that she has so many moles and only these two are bothering her, we did shave excision of these lesions. Advised her to apply bacitracin. Recheck in 1 week.