Important history:  
Case seen at outreach clinic 01 June 2011  
 
Important clinical findings:  
 
 
Important investigations:  
 
 
Question to consultant:  
Advice?  
 
My name is John Brohan. I am testing this path to get help through photographs. This is a real case, seen June 1 2011 near Tabora. I will forward any information or other help to the relevant clinician.