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Journal Compilation © 2020 Acta Dermato-Venereologica. doi: 10.2340/00015555-3604 A 20-year-old woman presented at the dermatology department with multiple crusted ulcerations of the limbs. The lesions first appeared one month earlier during her stay in an isolated bush village in Guinea. Before her journey, she had all mandatory and recommended vaccines. The condition began a few weeks after her arrival in Guinea, with painful erosions and crusts on the lower limbs, spreading to the upper limbs. She had no fever and she was the only one in her family affected. Most of the lesions remained stable until her return to France, but some had healed without scars; no conventional treatment was administered. At consultation, she presented a dozen ulcerations, crustcovered, with surrounding inflammatory swollen skin (Fig. 1a, b). One pustule was noted on the forearm. The ecthyma had no associated fever or other symptoms. Blood laboratory tests, including complete blood count cell and inflammatory marker testing, were normal. Microscopy examination of skin samples showed a dermal infiltrate with mixed inflammatory cells (Fig. 1c, d). Periodic acidSchiff and Gram staining were negative. With direct bacteriological examination, a non-capsulated Gram-positive pathogen was found. What is your diagnosis? See next page for answer. Multiple Erosions and Crusts on Legs in a Returning Traveller: A Quiz