shawl sign in dermatomyositis | Figure 1
shawl sign in dermatomyositis
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A middle aged male patient, working as a truck driver, presented with a one month history of pruritic skin lesions associated with a burning sensation The symptoms are worse during the daytime and improve at night The lesions are distributed over the chin, back, abdomen, and hands
Young woman in her thirties presents with a case of body aches (primarily in her legs, knees, and back),headache, cough, fatigue, and this rash which presented on bilateral knees, bilateral elbows, bilateral tops of feet and is itchy. She had a low grade temp of 99.9 but says she had the flu. She did vomit once earlier in the day but wasn’t sure if it was related to this or her vitamin that she takes. Vitals stable at office but she does appear to be fatigued and pale. Recommendations on any labs I should run? I was thinking maybe Ana due to the placement of the rash along with joint pain complaint. She has no medical hx and no hx of allergies or asthma.
guttate psoriasis
71yo F with IBS and prior shingles, otherwise healthy presenting with these almost vasculitic rashes going on for 3 months. Symmetric distribution involving mid umbilical region, as well as upper/lower extremities. Highly pruritulic, did not respond to high potency topical steroid or PO Prednisone, a punch biopsy was done which revealed "sparse perivascular lymphocytic infiltrate" and negative for fungal staining. Given a somewhat suspicious distribution we also empirically treated for scabies but with no response
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.
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.
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.
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?