More articles from The Clinical Picture

  • Hampton hump in acute pulmonary embolism
    Sovik De Sirkar, MD, Joshua Newman, MD, Sorcha Allen, MB, BCh, BAO, Ahmed Elkaryoni, MD, Alexandru Marginean, MD and Amir Darki, MD, MSc
    Cleveland Clinic Journal of Medicine May 2022, 89 (5) 236-238; DOI: https://doi.org/10.3949/ccjm.89a.21058

    A 50-year-old patient presented with worsening dyspnea and cough with bilateral swelling of the lower extremities, with left-side swelling greater than right-side swelling.

  • Lacrimal gland involvement in a patient with sarcoidosis
    Tanmayi Pai, MD, Mohamed S. Muneer, MD, Kafayat Oyemade,, Diva R. Salomao, MD, Vivek Gupta, MD and Dana Harris, MD
    Cleveland Clinic Journal of Medicine May 2022, 89 (5) 239-240; DOI: https://doi.org/10.3949/ccjm.89a.21037

    The differential diagnosis included infection, malignancy, and inflammatory disorders such as immunoglobulin G4-related disease and sarcoidosis.

  • A brownish erythematous patch in the nipple-areola complex
    Irene López Riquelme, MD, Elisabeth Gómez Moyano, MD, PhD, María Ayala Blanca, PhD and Leandro Martínez Pilar, MD, PhD
    Cleveland Clinic Journal of Medicine May 2022, 89 (5) 241-242; DOI: https://doi.org/10.3949/ccjm.89a.21059

    Biopsy revealed neoplastic cells throughout the epidermis and granular layer, with abundant pale cytoplasm, intraglandular extension, and chronic inflammation in the papillary dermis.

  • Oral hyperpigmentation with weakness and salt-craving
    Joseph Zhou, MD and S. Sethu K. Reddy, MD, MBA, FRCPC, FACP, MACE
    Cleveland Clinic Journal of Medicine April 2022, 89 (4) 180-181; DOI: https://doi.org/10.3949/ccjm.89a.21036

    The patient’s primary care physician had attributed the hyperpigmentation on the lower lip and inner cheek to pen ink.

  • Unilateral pulmonary edema
    Yoshihiro Harano, MD and Mikio Nakajima, MD, MPH, PhD
    Cleveland Clinic Journal of Medicine March 2022, 89 (3) 124-125; DOI: https://doi.org/10.3949/ccjm.89a.21046

    Three weeks after discharge from hospitalization for COVID-19, the patient noted progressively worsening exertional dyspnea and fatigue.

  • Hypertrichosis and topical corticosteroid use
    Yuya Ando, MD, Sachiko Ono, MPH, PhD, Yosuke Ono, MD, PhD and Yoshinori Miura, MD, PhD
    Cleveland Clinic Journal of Medicine February 2022, 89 (2) 71-72; DOI: https://doi.org/10.3949/ccjm.89a.21048

    The xerotic dermatitis had resolved 2 years earlier, but the patient had continued to apply the medication.

  • Megaloblastic anemia due to severe vitamin B12 deficiency
    Nellowe Candelario, MD and Catherine Klein, MD
    Cleveland Clinic Journal of Medicine January 2022, 89 (1) 8-9; DOI: https://doi.org/10.3949/ccjm.89a.21041

    The 75-year-old patient presenting with altered mental status and pancytopenia had a history of peptic ulcer disease and subtotal gastrectomy.

  • A large, painless bulla on the right foot
    Jorge Camilo Mora, MD, MPH and Amalia Galindez, MD, FACP
    Cleveland Clinic Journal of Medicine January 2022, 89 (1) 10-12; DOI: https://doi.org/10.3949/ccjm.89a.21051

    A patient with a history of type 2 diabetes and diabetic neuropathy had a hemoglobin A1c of 10.3% at presentation.

  • COVID-19 vaccine-induced cellulitis and myositis
    Sathishkumar Ramalingam, MD, Harkesh Arora, MD, Susan Lewis, MD, Kulothungan Gunasekaran, MD, Maheswari Muruganandam, MD, Sivakumar Nagaraju, MD and Priyesh Padmanabhan, MD
    Cleveland Clinic Journal of Medicine December 2021, 88 (12) 648-650; DOI: https://doi.org/10.3949/ccjm.88a.21038

    The day after receiving the second dose of the mRNA vaccine, redness and pain developed at the injection site, eventually involving the whole left arm and shoulder.

  • Metronidazole-induced encephalopathy: Symmetrical hyperintensity on imaging
    Hiroki Matsuura, MD, Takashi Katayama, MD and Kentaro Deguchi, MD, PhD
    Cleveland Clinic Journal of Medicine December 2021, 88 (12) 651-652; DOI: https://doi.org/10.3949/ccjm.88a.21007

    The diagnosis should be based on a combination of the patient’s clinical history, laboratory findings, and imaging results.

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