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History

A 48-year-old farmer from Bairnsdale presents with an 8-week history of a slowly enlarging sore on the Achilles tendon of his right foot.

The lesion is painless and has not been pruritic. There was no change with a trial of oral flucloxacillin from his local doctor.

He is generally healthy, with no history of serious illness, and there are no other lesions elsewhere nor other abnormal findings on general examination..