A patient suffering from gout, chronic depression, high chol | Figure 1

A patient suffering from gout, chronic depression, high cholesterol, and chronic migraine.

I think it's a skin condition.


Chronic lesion not healing x 1 year. Has tried Bethamethasone/Clotrimazole with temporary relief but lesion returns periodically. Pt states he was diagnosed with psoriasis previously. Pt is going to provide more photos…

KEY POINTS: • Understanding of immune pathways involved in the pathogenesis of chronic urticaria, atopic dermatitis, and psoriasis is growing. • Biologic therapies targeting specific immune-related targets are rapidly becoming viable options for patients with severe or refractory dermatologic diseases. • Biologic agents allow a safe and efficacious alternative in some refractory skin diseases. SUMMARY: Several biologic agents currently play an important therapeutic role for management of patients with CU, AD, and psoriasis, particularly omalizumab for antihistamineresistant CU, IL-1 inhibitors for CAPS and Schnitzler syndrome, dupilumab for recalcitrant AD, and IL-17 inhibitors for psoriasis. It is likely that the therapeutic utility of biologic agents for patients with immune-related dermatologic disorders will expand in the future. Article from Immunology and Allergy Clinics of North America (Volume 37, Issue 2, May 2017, Pages 315-327)

67-year-old woman, non DM2, HBP grade 2 controlled with enalapril.

The patient is currently asymptomatic, her reason for consultation is the apparent irritation of a surgical wound complicated with localized infection...

52-year-old man

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....

28-year-old woman

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....

4-month-old male infant

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days....

Patient in late teens

Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history....