Sudden onset of a hyperpigmened initially papular to dry sc | Figure 1

dancingbush

Clinical Researcher

Sudden onset of a hyperpigmened initially papular to dry scaly rash in 7yo M- present on face with localised spread to neck / upper back. No constitutional signs/ pruritus/discomfort. Dx?

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30 yr old female. PMH of hypothyroidism and PCOS. She is currently taken Synthroid and Metformin. Rash started approximately three yrs ago. Previous provider told her it is psoriasis. It has not resolved or worse at all in 3 years. It is not painful but does itch. I don't think this is psoriasis but I also don't know what it is. It is not HZ. Any ideas for ddx? Treatment?](https://app.figure1.com/case-detail/0a5396ed-d544-4d76-bb2c-6c510df0bea1)


9YOHM presents with painless, elevated, umbilicated single lesion of the #Adnexa inferior to the lower eyelid for the last several weeks. Can you name the finding and causative agent? Professionals, please allow students to answer first](https://app.figure1.com/case-detail/136b0d3a-91d8-47dc-ab77-6f08045023c1)

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32 years old, female.
No important medical history.
For 3 months she has been showing sweating, tachycardia and nocturnal dyspnea. She says it’s a feeling of death.
5 days ago, pruritus appeared in the frontal region, with local erythema.
What is the probable diagnosis in this case?](https://app.figure1.com/case-detail/3d632669-300e-4aad-8bca-af8a629e75a7)


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)


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.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)


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)