A striking rash, a cheerleader’s wrinkly palms, and what caused this injury?

He takes multiple medications including allopurinol

A 60-year-old dialysis patient presents with a new onset rash involving the whole body. It is non-blanching, pruritic, and painful. He finished a course of augmentin three days ago. What do you think is the cause?

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Can you identify the mechanism of injury?

A patient presents to the emergency department with this injury. What’s the cause and what are the next best steps in treatment?

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What could cause this?

A 17-year-old female presents with skin changes to both her palms. They appear after immersion in water or following extreme activity. She’s a competitive cheerleader, and states that these changes commonly appear at practice.

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