A US soldier who returned from Iraq with nonhealing sores.

(See pages 1065–6 for Answer to Photo Quiz) Figure 1. Indurated lesions with central scale and posterior auricular adenopathy A previously healthy, 23-year-old US soldier was evacuated to the Walter Reed Army Medical Center (WRAMC) in Wash-ington, D.C., for evaluation of nonhealing lesions on his neck (figure 1) and body. The patient had deployed with his unit to Iraq in April 2003 and first noticed the lesions ∼2 months after he arrived, while deployed near the Iraq-Iran border. The le-sions were painless but mildly pruritic. Ten days of treatment with oral amoxicillin–clavulanic acid did not improve the le-sions. After 2–3 months without improvement in his condition, the patient was evacuated to the WRAMC. The patient denied having experienced fever, chills, or any systemic symptoms. A physical examination revealed 5 indurated lesions on his neck