Bite mark | Figure 1

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patient started horseback riding full-time some months ago. Around the same time these lesions/rash appeared on both outer thighs. They come and go a little bit and only symptom is #Pruritus . Pt is otherwise in good health, no prior diseases and uses no medication. She came back a week after picture 1 was taken as the rash/lesions had gotten worse with a more intense itch ( see next pic). Any thoughts on what this might represent? Suggested treatment?



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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.



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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?