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In the United States, the domestic medical examination generally occurs 30\u201390\u2009days after arrival, but the clinical principles are relevant across resettlement systems. We conducted a structured narrative review of peer\u2010reviewed publications and organizational or public\u2010health sources. Evidence varied by migration stage, region, age, and referral pathway; camp and specialty\u2010clinic data should not be treated as post\u2010resettlement prevalence estimates. Physicians should first triage fever with generalized rash, vesicular eruptions, rapidly progressive infection, and suspected crusted scabies. A consent\u2010based examination should then prioritize morphology, distribution, scalp and nails, interdigital spaces, sensation, peripheral nerves, chronic ulcers, and scars across skin tones. Testing and infection\u2010control precautions should be guided by clinical findings and exposure history rather than nationality. We propose the Triage\u2010Diagnose\u2010Close the Loop 90\u2010day framework (TDCL\u201090), which integrates immediate infection\u2010control decisions, morphology\u2010 and exposure\u2010directed diagnosis, contact management, referral, and documented reassessment. TDCL\u201090 is an author\u2010proposed synthesis of published evidence, public\u2010health guidance, and author consensus; it has not been prospectively evaluated.<\/jats:p>\n                  <jats:p>\n                    <jats:boxed-text content-type=\"graphic\" position=\"anchor\">\n                      <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" mimetype=\"image\/png\" position=\"anchor\" specific-use=\"enlarged-web-image\" xlink:href=\"graphic\/ijd70695-gra-0001-m.png\">\n                        <jats:alt-text>image<\/jats:alt-text>\n                      <\/jats:graphic>\n                    <\/jats:boxed-text>\n                  <\/jats:p>","DOI":"10.1111\/ijd.70695","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T05:56:51Z","timestamp":1791439011000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Skin Disease After Refugee Resettlement: A Practical 90\u2010Day Approach for Dermatologists and Primary Care Physicians"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8175-4290","authenticated-orcid":false,"given":"Rahib K.","family":"Islam","sequence":"first","affiliation":[{"name":"Department of Dermatology Louisiana State University Health Sciences Center New Orleans  New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher J.","family":"Haas","sequence":"additional","affiliation":[{"name":"Department of Dermatology Louisiana State University Health Sciences Center New Orleans  New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"e_1_2_15_2_1","volume-title":"Global Trends 2025","author":"United Nations High Commissioner for Refugees","year":"2026"},{"key":"e_1_2_15_3_1","unstructured":"Centers for Disease Control and Prevention \u201cHistory and Physical: Refugee Health Domestic Guidance \u201d(2025) https:\/\/www.cdc.gov\/immigrant\u2010refugee\u2010health\/hcp\/domestic\u2010guidance\/history\u2010and\u2010physical.html."},{"key":"e_1_2_15_4_1","volume-title":"Refugee Admissions Report as of July 31, 2026 [Excel Workbook; 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