Male 76 years old with Ulcerative Colitis. Tx adalimumab for | Figure 1

Male 76 years old with Ulcerative Colitis. Tx adalimumab for their condition. He develops this lesion.

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Not involving the face, mother sought an appointment on Friday, was prescribed cephalexin with improvement of the lesions, today without the appearance in the photo, denies fever, vomiting or other symptoms, What do you think, I thought about pyoderma or eosinophilic pustulosis.. how to manage it? I also requested laboratory tests.

50 yom, 1 week hx bilateral leg swelling + erythema + pain. Also having flare of chronic bloody diarrhoea, previously investigated for IBD/colitis but histo equivocal. Refractory hypertension on multiple agents needing further work-up, and complex surgical history including nec fasc 10 years ago. No new drugs. On exam is well with scaly papulopustulat rash on anterior shins, well dermacated, tender, slightly violaceous edge, grey centre, calves very tense, not pruritic. Bloods essentially normal - CRP 5.6, platelets 371, elevated d-dimer but DVT scan normal. Awaiting venous duplex. Is this pyoderma gangernosum / venous insufficiency/ atypical psoriasis or something else? Plan currently is to biopsy.

What could this be? There are several of these erythematous lesions on the patient's body. It has reoccured 3 times in last 3 months nd one lesion that's been present for 6 months. No discharge or bleeding. No pain or itchiness. No family hx of skin cancer.

#Pyoderma-gangrenosum

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?