In dermatology, even a highly experienced physician has doubts about his diagnosis in several cases! The course of the disease might be variable and the patient may present less typical symptoms different from textbook cases. In such complicated cases, it is not possible for a physician to make a final diagnostic conclusion immediately but makes a short list of relevant diseases to test and wait for results of laboratory or observe the following development.

Every medical specialty has certain nightmares of neglected cases. The ability to make priorities and critical thinking are tested in such situations.