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Initial differential diagnosis without further history or a detailed physical exam may involve contact dermatitis from jewelry, herpes zoster, trauma, malignancy.

However, the history is most relevant and the examination of the entire skin makes the diagnosis clear.

This lady got burned because her pressure cooker malfunctioned and when she went to open it, the black beans literally expanded and burned her.

This is a primary and secondary burn secondary to hot black beans.

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