Spot Dx — A bushland walk and a bloody shoe

During a holiday in regional NSW, a middle-aged woman develops an unusual skin condition characterised by two crusted papules on her right foot. 

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During a holiday in regional NSW, a middle-aged woman develops an unusual skin condition characterised by two crusted papules on her right foot.

She discovers the lesions an hour after walking around bushland. At the time, she also notices blood on her shoe.