Alabama. Getting past the dermatologist to see infectious disease specialist has been awful. With no luck. They never take an actual patient history, and they are firmly set that some of the possible parasitic infections that could cause this is not native to Alabama. The failure of connecting the dots has led me to trace my history of possible travel (England and Mexico international to visit Washington state and al over the southeast with long periods of residents in MO, TX, FL, only to return to AL)