4 days later after antibiotics vinegar soaks | Figure 1
4 days later after antibiotics vinegar soaks
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35 yo f pt presenting w/ lesions diffusely across body onset 1.5 weeks pta in ed. Pt states lesions are "burning". Pt denies recent travel or any sick contacts. Pt hx of dm, kidney failure, dislipidemia, htn. Pt receiving dialysis. Does this look familiar? We are unsure!](https://app.figure1.com/case-detail/0889dd7f-02e6-49f5-b65d-69781c539c4c)
3 year old. It's not hand, foot and mouth. Mild URTI. No other spots apart from what you see. ?perioral dermatitis?](https://app.figure1.com/case-detail/0cdf06a0-40ac-430a-8fd3-dccf19dcb444)
61yo M with rash starting on foot in summer. Initially responded to methylprednisone and PO steroid taper starting at 50mg and doxycycline. Rash recurred with diffuse spread and improved some to repeat PO steroid taper and doxy. ANA panel, TSH, CRP, ESR negative/normal after initial flare. KOH prep negative in office in early fall and repeat positive for hyphae started bleach bath, outpatient. Unable to pick up terbinafine. Returns today with worse rash, fissures, pain. T2DM otherwise no history autoimmune disorders. He is adopted. Suspected Steven Johnson syndrome from azithromycin n 4 years ago .](https://app.figure1.com/case-detail/32d0a6c2-5a8a-45a1-b8fb-5cbb3c9e5362)
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)
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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)