Image Challenge — March 26, 2026 @NEJMgroup
Image Challenge — March 26, 2026  @NEJMgroup
Uploaded March 2026 | Updated September 2026, 1 week ago
A 68-year-old woman with rosacea presented to clinic with a 6-week history of asymptomatic dark patches on her arms and legs. Two weeks before the onset of the skin changes, she had started treatment for the rosacea. Physical examination is shown. What is the most likely causative agent? Submit your answer at NEJM.org.

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Image Challenge — March 26, 2026

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