Middle-aged woman with Ehlers Danlos and #Hepatitis-C - awai | Figure 1

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Middle-aged woman with Ehlers Danlos and #Hepatitis-C - awaiting treatment. No history of drug abuse. Has recently used #Acetylsalicylic-acid. Debuted with #Urticaria elements on whole body - worst on lower extremities. Elements confluence in elevated, severely itchy, erythematous plaques, which dissolve after several days. Hydrocortisone was effective. #Loratadine given initially for the urticaria was not. The condition is currently being treated as #Erythema-multiforme. All suggestions are very welcome.

CASE RESOLUTION: The patient was treated with corticosteroids for presumed erythema multiforme, and responded very well. He is discharged from the hospital, but the pathohistologic examination of the skin specimen taken by biopsy was revealed this: "Normal epiderm with moderate perivascular and interstitial lymphohistiocytic and polymorphonuclear (eosinophilic and neutrophilic) infiltrate, dilated blood vessels and marked upper (predominately papillar) derm edema which pushes epiderm up. There is NO elements for erythema multiforme. The changes are consistent with allergic manifestations in derm, urticaria, etc."

5yo male w recurrent burning rash. 5 yo M w/ h/o urticaria presents with 2 months of different rash: Mom states: "..its on the chest, thighs, stomach and arms - Skin is very flaky. Doesn't itch like his urticaria - it burns instead. Lasts for several days improving w topical steroids before returning several weeks later."

30year old female with intermittent urticaria and rash on hands, feet, abdomen and top of thighs (quite symmetrical). Is itchy. No new medications. This is the appearance on the thigh. I know the appearance here is slightly fungal, but the distribution and the urticaria she has been having don't fit well with that.

35-year-old female w/o pmhx generally well with flat, nonpruritic rash, central clearing. No new meds, insect bites. No systemic symptoms. Does not have the appearance of urticaria. No target lesions to suggest erythema multiforme. What is it?

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.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

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.

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?