Keloid update 3/3 keloid fell off today

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35 year old male patient, as per him, he was treated for keloids 3 times but no effect. he has extensive keloids on bilateral shoulders, anterior chest, abdomen, lower back and anterior shoulders. He has multiple nevus which according to him has been present since birth. i think they are cafe au lait spots and keloids could be due to correction of neurofibromatosis lesions in past. what would be your differential and how would you approach this case?](https://app.figure1.com/case-detail/11e34322-797f-4a90-910c-524437d8bbfa)

#Cryotherapy treatment of multiple #Keloid](https://app.figure1.com/case-detail/31187d32-0cae-41bf-b083-591699ecc3ca)

male patient 3 years old with post burn keloid near his nipple treatment options](https://app.figure1.com/case-detail/8ab8fc95-0384-4c27-9ee1-57a1157f407a)

44yom apparently prone to keloid formation about 3 weeks ago started noticing these "white spots" on both arms. Can Vitilligo develop so quickly? No sensory symptoms.](https://app.figure1.com/case-detail/95d13f43-c9e9-4280-85b7-529229426ed8)

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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)