In the October 1993 entries the Shelleys highlighted their travels to Florida, Michigan, and Chicago. They shared their thoughts on diagnosing pyoderma gangrenosum: "Moral: good diagnosticians get biopsies, fungal cultures, and lupus anticoagulant levels on 'pyoderma gangrenosum' cases." The Shelleys passed along some instructive library thoughts such as contact urticaria and pruritus may be due to small amounts of milk casein on rubber household gloves and Lyme disease is transmitted by immature nymphal ticks (not larval or adult forms).
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