A 71-year-old woman presents to the emergency room with fever, malaise and a peeling rash. She has a history notable for poorly controlled diabetes mellitus and had started a course of sulfamethoxazole–trimethoprim and ciprofloxacin for cellulitis of the right foot 8 days ago.
A 75-year-old man with a history of chronic obstructive pulmonary disease (COPD) and colon cancer presents with a 3-day history of an intensely pruritic and painful rash on his left mid-back.
A 58-year-old African American man presents as a referral for the evaluation of a patchy, erythematous, pruritic rash that is primarily on his trunk and legs.
A 64-year-old Caucasian woman with a history of hypertension, rheumatoid arthritis and poorly controlled type II diabetes mellitus presents for evaluation of colour changes on her left foot.
A 3-year-old boy presented to the clinic with a dark spot in his hair that measured 3 cm by 3 cm. The skin in this region was lightly pigmented, with dark hairs; the lesion had been more pigmented at birth.
A 58-year-old healthy man was evaluated for a toothache of 2 days' duration. He was treated with oral penicillin and an opiate analgesic and advised to have the affected teeth pulled.
A 62-year-old man reported acute left retro-orbital pain of one week's duration. Physical examination revealed no abnormalities. Three days later, double vision developed, and the next day a rash appeared on the forehead.
His medications were apixaban, ramipril, bisoprolol, amlodipine, and amiodarone. Physical examination showed discoloration of his nose, cheeks, and forehead.
A 7-year-old girl presented to the emergency department with a 2-week history of fever and with several days of painful blisters on her arms, legs, and face. Two weeks earlier, she had completed a course of penicillin for tonsillitis.
