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History

A 23 year old man presents with a 12 month history of recurring crops of inflammatory papules and nodules on his trunk and limbs. These lesions develop acutely as tender papules which rapidly enlarge and then undergo central ulceration before healing with scarring within a few weeks. At any given time there may be between 2-10 lesions present. About 15 months ago be had travelled extensively through South East Asia, Africa and South America. There is no medical history of note, he takes no medications, and his general health is good.