In everyday clinical practice, we see mostly ordinary things. But our job description requires us to always at least consider the unusual.

It takes judgement and experience to navigate between being efficient and not missing something rare or dangerous.

This past week, I have seen a couple of patients that made me dig a little deeper into their symptoms.

One man came in with a six-month history of skin rashes. He seemed to have several kinds. Some were isolated little papules on a red background.