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DERMATOLOGY CONSULTATION

HISTORY:  This is a 55-year-old male who complains of very itchy spots all over his body for several months. He has not used any medicine for these lesions. He also has a rash on his feet and toenails. Past medical history is significant for colon surgery for polyps. He is on no medications by mouth. 

PHYSICAL EXAMINATION: Reveals violet plaques on his abdomen, arms, legs and groin. He has scaly patches on his feet with yellowing and scaliness of the toenails. 

IMPRESSION: Possible lichen planus, onychomycosis and tinea pedis. 

RECOMMENDATION: Biopsy was done of a plaque on the abdomen. He was prescribed Westcort and Spectazole creams. Recommended to followup in one month.