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Question about friends patient encounter

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Pathologist here....So long story short. My friend went to see a derm for what she thought was a pimple near her eye. The derm did what I think was a punch biopsy on it because he thought she had lupus. My friend had no other symptoms, no other skin lesions. No labs were ordered before biopsy. Now she has a small wound from the biopsy. The ANA was ordered after the biopsy which was negative.

when I heard this I was furious.

Was the biopsy clinically indicated? I was thinking several...

Question about friends patient encounter

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