Classic bulls eye rash/ Lyme. Second pic is after four days | Figure 1

Classic bulls eye rash/ Lyme. Second pic is after four days of doxycycline.

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No symptoms. Patient on oral anticoagulants. Debut time unknown](https://app.figure1.com/case-detail/3653f962-e706-4473-bb31-c32c7125f3fc)



Female Pt presents with itchy, red, raised rash present for 2 weeks. Rash initially started on inside of elbow and is now present on pts chest, neck, bilateral lower legs, and thighs. Pt was given steroid cream with no improvement. Pt denies new medication, travel, or exposure to new lotions or soaps. Sent to dermatology today. Any guesses on what this may be?](https://app.figure1.com/case-detail/4a71efb1-f3e7-4bab-81ed-95ac712085af)



Image is most recent photo submitted by patient. Haven't dealt with patient in person until today but have seen updated photos of their case as they've been sent in but could see the despair in this patient when they came in today.
30y/o female with PASH syndrome. Currently on Humira which seems to keep most of the HS under control but has the shown PG flare on left shin. It has been somewhat controlled through prednisone, Humira and/or cyclosporine.
However, patient had been suffering from diverticulitis, sometimes smoldering diverticulitis, and was in ER monthly as of last year and ended up with a micro perforation. It was decided that surgery should be done to remove the section of intestines that is repeatedly infected. Infectious disease Dr put patient on Cipro/flagyl to keep symptoms at bay while they wean off prednisone in preparation for surgery as general surgeon wants them off prednisone for full month before attempting surgery.
Patient also began trial of low dose naltrexone in attempt to help with PG. But as shown in image, it currently isn't helping. Currently a coordinated effort to determine how to help treat PG while not disrupting surgery date but we seem to be at a loss for best course of action.
Patient had another case of PG on right calf that healed approx 8 months before this new lesion through a course of half the Humira dose she is on now and prednisone and was nearly off the prednisone when this 2nd lesion began.
Patient also reported that pain level of PG is extremely high and is on Tylenol and naproxen for pain management at the moment.
Can post earlier images of PG to show progression if required.



35-year-old female w/o pmhx generally well with flat, nonpruritic rash, central clearing. No new meds, insect bites. No systemic symptoms. Does not have the appearance of urticaria. No target lesions to suggest erythema multiforme. What is it?](https://app.figure1.com/case-detail/627d078b-1182-4c5c-967f-925118358e63)



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)