More articles from The Clinical Picture
- Renal vein thrombosis and pulmonary embolism
A man with membranous nephropathy presents with dyspnea, cough, and epigastric discomfort.
- Back pain as a sign of inferior vena cava filter complications
Complications can include filter movement, fracture, occlusion, and penetration.
- When stroke runs in the family
CADASIL—cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy—is due to a mutation in NOTCH3.
- Pancreatitis: The great masquerader?
Pancreatitis, panniculitis, and polyarthritis syndrome mimics rheumatologic disease, often presenting without abdominal pain.
- Brain abscesses in a 60-year-old man
The lesions were not from compromised immunity, but from septic hematogenous spread of an odontogenic infection.
- Fournier gangrene
The patient died of rapidly progressive necrotizing fasciitis of the perineum 2 hours after hospital admission.
- Calcific uremic arteriolopathy
A 51-year-old man with end-stage renal disease presented with extensive necrotic ulcers and eschar on both legs.
- Palmoplantar exanthema and liver dysfunction
The patient admitted to having had unprotected sex with a female sex worker.
- Angular cheilitis induced by iron deficiency anemia
Causes include nutritional deficiencies, local and systemic factors, and drug treatment.
- Osmotic demyelination syndrome due to hyperosmolar hyperglycemia
Rapid correction of chronic hyponatremia can trigger this rare but life-threatening disorder.