You can view up to 4 cases without signing up.  
3yrs old female with chronic eczema. Currently on trianex 0.005% steroid cream, Wet wrap treatment of wet pajama over a dry layer and moisturizing cream (xeraCalm by avene). Parent reported that wet wrapping is not working because child can't stand anything on skin and will undress self. In addition, On “wetting” skin during showers/bath or upon any treatment application, the child becomes very itchy and scratches skin to a point of breaking the skin. Other symptoms noted include goosebumps all over the body that won't go away and Alopecia areata on the back of the head, and lack of sleep due to the extreme itchiness. How else can this child be helped?

### Why you should join Figure 1
- Share your knowledge with our global community of healthcare professionals
- Get help from experts in your field
- Learn from our library of real-world cases and quizzes

##### Similar cases

\
\
child swimmer could mplains of lesion on foot, veruca? What is the best treatment?](https://app.figure1.com/case-detail/1a00494d-4586-4df0-b88c-3e54dc4ddc00)

\
\
M31 presents to the Pharmacy with complaints of mildly-moderately pruritic, dry, hyperkeratinized skin lesions on his legs and ankles. Distribution is non-uniform, non-symmetrical. First lesion appeared over 3 months ago, others followed randomly. No significant past PMX. Pt is otherwise healthy.\
?? Lichen planus\
Started him on Diprosalic ointment BD.\
Any thoughts on diagnosis and treatment??](https://app.figure1.com/case-detail/317f9320-8156-48ac-b1d3-d7fb5e5d63ba)

\
\
#Psoriasis\
Two weeks after initiating treatment with Diprosalic ointment. Patient feels better with reduced itching.](https://app.figure1.com/case-detail/44679e63-a19d-496b-a267-d4ed43165d37)

\
\
A 30yrs old female patient presented to the Pharmacy with complaints of Non-itchy Hyperpigmented lesions on her buttocks lasting over a year. She has no significant past medical hx. She mentioned "it started after using a public toilet". She was prescribed Daktarcort (Miconazole + hydrocortisone) With some anti-fungal medicines, (Griseofulvin and Itraconazole) in the past, with no significant changes.\
She is currently using Diprosalic ointment\
\
Diagnosis?? Recommendation??](https://app.figure1.com/case-detail/931b1c20-9268-4c2d-83c4-814204242370)

##### Trending now

\
\
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)
