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Skin with vitaligo (Micheal Jackson pigmentation disorder)

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a patient of mine is complaining about this pigmentation which he noticed more than a year ago, it was always the same size as he says, it's not painful nor itchy, therefore the main concern is cosmetic.\He's 25 years old and has a free medical and surgical history.\I think that it's Dermatosis Neglecta, but I'd like to know your opinion about it.](https://app.figure1.com/case-detail/958581f5-c390-4aae-832a-e5df22ebb3bb)

25 year old female presents with changing spot on back. Should we refer to dermatologist?](https://app.figure1.com/case-detail/a7e07031-cff6-4e07-9fff-9849753d412e)

5 month old baby. Born with light brown macule on inner thigh. Mom noticed it getting suddenly darker as of 2 weeks ago. Took another photo this week and it does look darker though lighting is different. Measures approximately 4mm. Light brown with dark speckles. Borders have not been clear since birth. What are your thoughts?](https://app.figure1.com/case-detail/b14757f4-d7ee-4081-9048-81ef3d61c600)

Confluent and reticulated papilloma tosis](https://app.figure1.com/case-detail/d64271b0-7611-4c53-86f6-46ba82efd5e0)

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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)