The Clinical Picture

Evolving distal signs

Zackary D. Goff, MD, Sandra E. Zaeh, MD, MS, Michael K. Poku, MD, John N. Aucott, MD and Allan C. Gelber, MD
Cleveland Clinic Journal of Medicine June 2021, 88 (6) 310-312; DOI: https://doi.org/10.3949/ccjm.88a.20126

Article Figures & Data

Figures

  • Figure 1
    Figure 1

    Findings before presentation: (A) painful periungual petechial rash on the left index finger; (B) pulsatile palmar mass; (C) intraoperative image of the aneurysm arising from the superficial palmar arch; and (D) abdominal computed tomography showing a wedge-shaped splenic infarct (arrow).

  • Figure 2
    Figure 2

    Painful petechial rash affecting the left great toe, compatible with Osler nodes, and splinter hemorrhage of the toenail.

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