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In my limited experience working in community hospitals, I have seen numerous primary dermatologic conditions mis-diagnosed (mostly as cellulitis). There is a reluctance to consult dermatology, even though consultation services exist, and patients are always seen in a timely and thoughtful manner by a dermatologist upon request. I am curious if this reluctance to consult dermatology is an isolated or perceived phenomenon and if there are any ideas on what we can do either individually or as a field to overcome this?