23yo female with hx migraines and eczema started developing | Figure 1
23yo female with hx migraines and eczema started developing these lesions a year ago. Positive pruritus only. Treated with triamcinolone which made it worse. She has about 7 lesions total mostly on legs & 1 on her wrist. Any ideas what this is?
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A 39-year-old female.
History of hypertension and diabetes mellitus, active smoker and alcohol use disorder, on anxiolytics and antidepressants.
Presented with a linear ulcerated lesion on the volar aspect of the wrist.
The lesion shows a necrotic crust with surrounding erythema and delayed healing.
No signs of acute infection at presentation.
The lesion developed in the context of significant psychosocial stress.
When managing skin lesions associated with psychosocial distress, how should dermatology and psychiatry collaborate to optimize patient outcomes?
29 yo male with 1 month worsening lesion/rash on the wrist. Does not wear a watch or jewelry. Began as a scaly patch and now "puffy" like this and very itchy. Ddx?
two day history of lesion formed on wrist. Patient pmh systemic mastocytosis, takes prednisone regularly. Patient states the lesion itches occasionally. The central portion of the lesion has been there >6 months. Patient also takes reglan, Zantac, domperodone, singular and fexofenadine
25yo male with three month history of multiple lesions (including impetigo on arm, contact dermatitis of wrist, and bilateral eczema on arms). These chest lesions (nummular dermatitis?) appeared two weeks ago. Thoughts on why so many lesions within past few months on otherwise healthy patient?
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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.
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?