7th August 2020

A 54-year-old intravenous drug user presents to secondary care with a number of well-demarcated, deeply ulcerated lesions

A 54-year-old intravenous drug user presents to secondary care with a number of well-demarcated, deeply ulcerated lesions on both forearms weeping visible exudate. On questioning, the patient confirms that the skin changes have been present for months but he has been too embarrassed to seek help.

For the patient above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.