More articles from The Clinical Picture

  • Miliary tuberculosis in a patient with end-stage liver disease
    Victoria Poplin, MD, Brent Harbaugh, DO, MA, Matthias Salathe, MD and Nathan C. Bahr, MD, MA
    Cleveland Clinic Journal of Medicine October 2020, 87 (10) 590-593; DOI: https://doi.org/10.3949/ccjm.87a.19143

    Chest radiography showed patchy left basilar consolidation with subtle, diffuse interstitial opacities.

  • Verrucous plaques on the face, dysphagia, and limb weakness
    Kerry Hennessy, MD and Mahmoud Shorman, MD, MHA
    Cleveland Clinic Journal of Medicine October 2020, 87 (10) 587-589; DOI: https://doi.org/10.3949/ccjm.87a.19151

    An itchy bump on the upper lip rapidly grew and spread.

  • 5-Fluorouracil–induced encephalopathy
    Yudai Yano, MD and Akira Kuriyama, MD, MPH
    Cleveland Clinic Journal of Medicine September 2020, 87 (9) 532-533; DOI: https://doi.org/10.3949/ccjm.87a.19126

    A woman on chemotherapy for rectal cancer presents with mental status changes.

  • Polypoid melanoma mistaken for verruca vulgaris
    Andrea Tan, MD, Daniel Gutierrez, MD, Nooshin K. Brinster, MD and Jennifer A. Stein, MD, PhD
    Cleveland Clinic Journal of Medicine September 2020, 87 (9) 534-536; DOI: https://doi.org/10.3949/ccjm.87a.19079

    Polypoid melanoma is highly aggressive and often misdiagnosed.

  • Acute dacryocystitis
    Satvinder Singh Bakshi, MS, DNB
    Cleveland Clinic Journal of Medicine August 2020, 87 (8) 477; DOI: https://doi.org/10.3949/ccjm.87a.19121

    Inflammation of the lacrimal sac is related to obstruction, which can be primary or secondary.

  • Scurvy: Old, but still relevant
    Mohamed A. Elfeki, MD, MSc, Tyler Schwiesow, MD, FACP and Zeeshan Jawa, MD, FACP
    Cleveland Clinic Journal of Medicine August 2020, 87 (8) 478-479; DOI: https://doi.org/10.3949/ccjm.87a.19123

    A patient with alcohol use disorder presented with progressively worsening fatigue, dyspnea on exertion, and easy bruising.

  • Mönckeberg medial sclerosis
    Anthony Stack, DO, Sandra Sheffield, DO, Karan Seegobin, MBBS and Satish Maharaj, MBBS
    Cleveland Clinic Journal of Medicine July 2020, 87 (7) 396-397; DOI: https://doi.org/10.3949/ccjm.87a.19085

    A man with chronic kidney disease presents with pain and ulceration of the fingers.

  • Firm lesion on the lateral thigh
    Morteza Khodaee, MD, MPH and Eric Kim, MD, PhD
    Cleveland Clinic Journal of Medicine July 2020, 87 (7) 394-395; DOI: https://doi.org/10.3949/ccjm.87a.19107

    A 41-year-old man presented with concern about a lesion he had first noticed 6 years earlier.

  • Rigid airway
    Masaki Itagane, MD, Hiroyuki Yano, MD, Tomoo Kishaba, MD and Mitsuyo Kinjo, MD,MPH
    Cleveland Clinic Journal of Medicine June 2020, 87 (6) 334-336; DOI: https://doi.org/10.3949/ccjm.87a.19129

    A 23-year-old woman presents with nonproductive cough and shortness of breath.

  • Vertebral fractures after denosumab cessation
    Jolan Dupont, MD, Michaël R. Laurent, MD,PhD, Lenore Dedeyne, MSc, Frank P. Luyten, MD,PhD, Evelien Gielen, MD,PhD and Marian Dejaeger, MD,PhD
    Cleveland Clinic Journal of Medicine June 2020, 87 (6) 337-338; DOI: https://doi.org/10.3949/ccjm.87a.19152

    The patient had a 6-month history of lumbar and dorsal back pain, initially suspected to be facet arthrosis.

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