31yof history of #Vitiligo for 16 years and recent #Hashimot | Figure 1

31yof history of #Vitiligo for 16 years and recent #Hashimoto's-thyroiditis DX. patient states this mole appeared in the last few months and is painful to the touch. Seems asymmetric. Any thoughts??

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update from 28 yo. Pt now has 5 other inflamed areas on the same leg which are very itchy. Lupus panel is pending. Still have no clue if this allergic or rheum. Referral have been made to both](https://app.figure1.com/case-detail/0f437831-3704-4f28-8304-9c13d3eb5ef2)



Male, 49 years, with this scaly and pruriginous skin lesion since two years ago, antihypertensive medication since one year ago (metoprolol 100mg a day) Treated with local and systemic antifungals with poor improvement. I'm thinking in lichen simplex, what do you think?](https://app.figure1.com/case-detail/1caf5150-b145-4004-92ee-7411d58991b5)



13yom having been prescribed Ciprofloxacin for an URTI then a few days into the course developed these wheals on the lower legs. Nowhere else. No history to suggest contact dermatitis. Second picture is a thermal image which I took when noticing the red spots feeling quite warm.
Ciprofloxacin is NOT an ideal antibiotic in this scenario. His WBC's were elevated (3rd image) but also some liver enzymes were deranged (4th).
Dermal reactions are well known with this drug but I found it quite unusual to be limited to one body area, whilst symmetrical.](https://app.figure1.com/case-detail/2860ff20-da81-4155-8ba2-f58b55d5085a)



76yrs male in good general health. No other clinical symptoms than the rash on the stomach which started ca 3 weeks ago with small dots and gradually spread towards the centre. No itching or pain. Lab tests show slight anemia (new since 5months ago with hb 123), low crp. Varicella zoster? The long duration, anemia and lack of itch/pain doesn't seem right. Any thoughts?](https://app.figure1.com/case-detail/5189d642-df6e-4b0e-b07d-7c02fa9b8a74)



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.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)



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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.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)



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?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)