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It is early evening when a previously healthy 2-year-old Hispanic girl is brought to the hospital by her mother. The girl has a history of fever to 100.2 F axillary, and skin lesions that began four days earlier. The skin lesions are described as following a progressive course. The lesions would begin as non-itchy red patches with a central vesicle that would burst, leaving an ulcer with a black base.

Cayenne pepper boy

You are asked to evaluate a healthy 14-year-old boy who is peppered with asymptomatic golden brown spots. What's the diagnosis and how would you manage him?

Deciding whether to mandate protection of the public involves consideration of evidence, and risk and burden.