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Patient demographic

Age

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Fitzpatrick skin type

Climate zones (including recent travel)

Geographic environment (including recent travel)

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Skin type

Intolerances and allergies

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Presenting complaint

Broad description of problems

Single lesion

2-10 similar lesions

11-20 similar lesions

Rash

Hair problem

Nail problem

Oral problem

Duration

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Non-cutaneous symptoms that have accompanied the presenting complaint

Exacerbating factors

Condition characteristics

Distribution

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Effect of attempted blanching

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Surface characteristics

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Notes

Ear skin problems — extra information

Extra information

Ear skin problems

What conditions affect the ear?

Skin lesions

Inflammatory skin conditions

Books about skin diseases

Patient demographic

Personal characteristics

Presenting complaint

Condition characteristics