Clinical ImageCLINICAL IMAGE Nailing the diagnosis Milie M. Fang, DO; Lyudmyla Susla, BS; and Phoebe Rich, MD Notes and Affiliations Notes and Affiliations Received: April 24, 2025 Accepted: July 2, 2025 Published: July 9, 2025 Milie M. Fang, DO, Department of Dermatology, 548372 Oregon Health & Science University , Portland, OR, USA Lyudmyla Susla, BS, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, USA Phoebe Rich, MD, Department of Dermatology, 548372 Oregon Health & Science University , Portland, OR, USA https://doi.org/10.1515/jom-2025-0077