Question: paraphrase, do not use subtitlies and avoid AI patterns: A 14-year-old male presents with a 10-day history of a progressively enlarging lesion on his left
paraphrase, do not use subtitlies and avoid AI patterns: A 14-year-old male presents with a 10-day history of a progressively enlarging lesion on his left forearm. Onset: Began approximately 10 days ago as a small red spot. Location: Left dorsal forearm. Duration: Present continuously since onset. Characteristics: Circular, red lesion with a raised, scaly border and central clearing. Pruritic but non-painful. Aggravating Factors: Sweating during sports seems to increase itching. Relieving Factors: No relief with over-the-counter moisturizing lotion. Related Symptoms: Denies fever, drainage, malaise, or other skin lesions. Timing: Worsens during physical activity (e.g., wrestling practice). No nighttime itching. Severity: Mild-moderate itchiness; no impact on sleep or daily function. Has not had this condition before. No recent illness, but reports contact with shared mats, towels, and gear during school wrestling practice. No known sick contacts. Denies contact with household pets or animals with hair loss
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