46 year old gentleman with no underlying chronic illness pre | Figure 1

46 year old gentleman with no underlying chronic illness presented with skin lesion developed over 4 days course. He repeatedly and insisting of no history of sexual promiscuity and other high risk behavior. Lesion affecting his right and left leg, bilateral inner thigh and penile shaft. He also complaining of fever prior to lesion eruption and every evening. Was currently treated as impetigo with oral erythromycin 400mg qid to which of poor improvement. STI, HIV and other routine blood investigation scheduled early next week. What could this be?

Case Discussions

Case Summary: a 60 year old man presented with this non itchy pustular skin rash over the last week...he gives a hx of recurrent oral ulcers treated by topical agents but he has no lesions at this time...DDx

Case Summary: update on my previous pic of the ulcus eci. Turns out to be #Syphilis stage 1! Looks more like a ulcus durum now than the last time. Though, the lesion is painful. He who knows syphilis, knows medicine!

Case Summary: painless #Maculopapular-rash to soles of bilateral feet. No oral lesions. No hand lesions or rash noted to other areas. No pruritus. DDX?

Case Summary: 63 yo M 1 year hx of lesions in eyelids and mucosae of lips. Last derm he visited took bx and told him he had amyloidosis. No tx apparently. He says has no other relevant condition or desease. No medication. 2 months ago he noticed perianal lesions and a palpable slightly painful mass in left testicle. Ddx?

Case Summary: A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.
He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

Case Summary: A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

Case Summary: A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

Case Summary: patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?