The Clinical Picture : Generalized pruritus after a beach vacation

@article{VaGalvn2008TheCP,
  title={The Clinical Picture : Generalized pruritus after a beach vacation},
  author={Sergio Va{\~n}{\'o}-Galv{\'a}n and Paula Moreno-Mart{\'i}n},
  journal={Cleveland Clinic Journal of Medicine},
  year={2008},
  volume={75},
  pages={474-478}
}
25-YEAR-OLD MAN PRESENTS with a 2month history of generalized itching that began 5 weeks after returning from a trip to a beach in Brazil, during which he had sexual relations without protection. He has already been treated with topical steroids and antihistamines, with no improvement. On physical examination, he has papules and excoriations on the abdomen (FIGURE 1A) and buttocks (FIGURE 1B), a linear grayish threadlike elevation on the flexor surface of the left wrist (FIGURE 1C), and… 
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