Image Challenge — April 23, 2026 @NEJMgroup
Image Challenge — April 23, 2026  @NEJMgroup
Uploaded April 2026 | Updated September 2026, 2 weeks ago
An otherwise healthy 30-year-old man presented to clinic for a 2-year history of skin lesions on his right foot. He worked as an agricultural laborer and had sustained injuries to his feet over the years, including a puncture lesion in between the fourth and fifth toes of his right foot. What is the most likely diagnosis? Submit your answer at NEJM.org.

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Image Challenge — April 23, 2026

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