Painful Hypopigmented Lesion Photo Quiz
This a 23 year old hispanic female who presented to Joe during a medical mission with these gradually worsening painful hypopigmented lesions. Since most of the medical equipment and testing supplies that we consider routine were largely unavailable, this is about all the information we have to go by. Maybe Joe can give some more details in the comments.
Joe and I have both proposed different diagnoses for this lady. Now by taking a shot at her diagnosis, you can swing the vote in my or his favor or even better, give us a new one to consider. So get cracking!