This 44-year-old man presented to a clinic with multiple dark lesions on his lower extremities. When the lesions first appeared eight months ago, they were slightly raised, pink in color, and intensely itchy, but after repeated excoriation, they have become increasingly dark. The patient reports that a biopsy was inconclusive and creams and an oral medication have not helped his condition. In addition to his leg lesions, there is some involvement of the thigh, buttocks, and penis. He denies any past medical history or other medications. What condition does this man have?
A systematic review of 14 randomized controlled trials found a probiotic Lactobacillus strain taken daily lowers the risk of acute upper respiratory tract infection (URTI) without increasing the risk of adverse events.
Though the Association of American Medical College (AAMC) has projected that the US will face a shortage of 65,800 primary care providers (PCPs) and family practitioners by 2025, the anticipated growth in the implementation of health information technology (HIT) over the next 18 years may offset the demand for those physicians.