man, late 40s, rash has developed and resolved a few times o | Figure 1

man, late 40s, rash has developed and resolved a few times over his life, usually self-limited, lasting a few weeks to months at a time. Hyperpigmented spots with scaly centers, mildly puritic. Thoughts?

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5 year old male child with cleft lip and palate,bilateral.operated for cleft lip.now awaits cleft palate surgery.
Ideal time for surgery in such cases is at 1 year after birth.](https://app.figure1.com/case-detail/25a6e87a-1ed0-4a2c-b593-318269b4866f)

Case of cleft lip,never came for correction till age of around 45.Surgery helped and moustaches did the rest.](https://app.figure1.com/case-detail/2b7ce251-2b55-47ca-b2e1-b8793b14846d)

this nail is on a well 40y/o only affecting this one phalange on the one hand. It commenced with one ridge at the cuticle and more and more grew out with time. This occurred around a year ago. Clinically there are palpable ridges running transverse. There are small pits along the ridges with a white base. Ideas?](https://app.figure1.com/case-detail/45b0db32-cfc6-45dd-a1b2-6aafaa62e849)

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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.
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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)