An 8 year old patient with 20 hours evolution consisting of | Figure 1

An 8 year old patient with 20 hours evolution consisting of non-painful pruritus eruptions that began first on the neck and then on other parts of the body such as abdomen, back and arms. She refers to having consumed raisin ice cream 1 hour before the eruptions. With administration of intravenous hydrocortisone, she reported no more itching and rashes on her neck and back, but new ones appeared on her legs, elbows, and abdomen without pruritus 6 hours later. Does not report fever, nausea or vomiting, headache, dyspnea, or diarrhea or other symptoms. What would be the possible diagnosis or suggestions? Thanks

52 M presenting with PMH of atopic and seborrheic dermatitis presenting with highly pruritic papular rash localized in his upper and lower extremities, abdomen and his lower back since 4 days ago. The patient pointed out that he has had similar events in the past; the last one 2-3 years ago. He reported using coconut oil in his face, upper thorax, and inguinal region to avoid common flares in those areas. He changed to a new shampoo 2 weeks ago, with no skin lesions on his head, neck or thorax. He had little (10-15 min) exposure to rain while working on a rain leak in his house ceiling 5-6 days ago. Pruritus disturbs his sleep. A dermatologist indicated a short course of deflazacort, ivermectin and desloratadine with little-moderate improvement for pruritus. Lesions are erythematous, papular and distributed as described, not affecting the head, neck, chest, and upper back.

Sudden onset of a hyperpigmented initially papular to dry scaly rash in a 7-year-old male, present on face with localized spread to the neck/upper back. No constitutional signs/pruritus/discomfort. Dx?

23-year-old male presented to the emergency department with rash, mouth sores, and subjective fevers that began after eating fish five days prior. Symptoms started with sores in his mouth and on his lips with penile and anal pruritus. A pruritic rash developed over his upper extremities, neck, upper back, and palms after 24 hours. Physical examination revealed numerous erythematous, urticarial, targetoid papules and plaques.

A man has been admitted to the medical ward for a chest infection. He had light brown macules and patches involving mainly the trunk (neck, chest, abdomen, back) and upper arm areas. The rash has been present since childhood and is otherwise asymptomatic.

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 and long-term smoking. Physical examination noted crackles on lung auscultation.

A 28-year-old woman presented with a 3-day history of intense pruritus over her lower back, caring for dogs rescued from the streets. Physical examination revealed multiple small vesicles involving the lumbar region and left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin and some scattered papules on the chest.

Patient in late teens presenting after a collapse, with no previous cardiac history. Are there any features in this EKG that would warrant further work-up?