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Think like a doctor #not lupus

Patient is a 25 y/o male that presents to PCP for redness and pervasive acne. Upon investigation the redness has been happening for 7 years and the acne 4 years. Gets 2 Dx's and a dermatologist referral. What are the Dx's?

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lack of hygiene, shitty diet and too much testosterone. i prescribe showers twice daily, eating some fricking vegetables instead of doritos, and becoming a crossdressing cute twink

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Not too far off on the hygiene. Patient is diagnosed with autism and not capable of showering without prompting but showers twice daily

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Showers twice daily according to parents. Unsure on diet as it is not my patient but report says red meat restriction

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