More articles from The Clinical Picture

  • Angular cheilitis induced by iron deficiency anemia
    Mahmoud Husni Ayesh, MD
    Cleveland Clinic Journal of Medicine August 2018, 85 (8) 581-582; DOI: https://doi.org/10.3949/ccjm.85a.17109

    Causes include nutritional deficiencies, local and systemic factors, and drug treatment.

  • Osmotic demyelination syndrome due to hyperosmolar hyperglycemia
    Takanobu Hirosawa, MD and Taro Shimizu, MD, MPH, MBA
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 511-513; DOI: https://doi.org/10.3949/ccjm.85a.17020

    Rapid correction of chronic hyponatremia can trigger this rare but life-threatening disorder.

  • Wolff-Parkinson-White pattern unmasked by severe musculoskeletal pain
    Rishi Raj, MD, Leon O’Neill, MD and Nasreen Shaikh, MD
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 507-509; DOI: https://doi.org/10.3949/ccjm.85a.17131

    WPW pattern can be asymptomatic, whereas the syndrome is characterized by symptomatic arrhythmias.

  • Aortic dissection presenting as ischemic limb
    Faiza Khalid, MD and Shikha Gupta, MD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 438-440; DOI: https://doi.org/10.3949/ccjm.85a.17122

    With surgical repair and blood pressure control, the patient recovered and left the hospital 1 week later.

  • Central nervous system lymphoma mimicking Bell palsy
    Kiyoshi Shikino, MD, PhD, Shingo Suzuki, MD, PhD, Takanori Uehara, MD, PhD and Masatomi Ikusaka, MD, PhD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 442-443; DOI: https://doi.org/10.3949/ccjm.85a.17061

    Failure of presumed Bell palsy to improve should prompt an evaluation for an underlying condition.

  • Necrotizing fasciitis after a watercraft accident
    Natsu Fukui, MD, Mark Delman, MD, Tuyethoa N. Vinh, MD and Svetolik Djurkovic, MD, FACCP
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 448-449; DOI: https://doi.org/10.3949/ccjm.85a.17096

    Despite intravenous antibiotics and surgical debridement, the patient’s right leg had to be amputated.

  • An unusual complication of peritoneal dialysis
    Mohamad Hanouneh, MD, Pranav Damera, Mehrdad Fetrat, MBBS, MD and Duvuru Geetha, MD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 352-354; DOI: https://doi.org/10.3949/ccjm.85a.17090

    A 45-year-old man, on peritoneal dialysis for 15 years, presented with abdominal pain, nausea, vomiting, and fever.

  • Eyes of the mimicker
    Tamara A. Sussman, MD, Nabin K. Shrestha, MD and Maria Miklowski, MD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 356-357; DOI: https://doi.org/10.3949/ccjm.85a.17074

    A 42-year-old man presented with intermittent fevers, rigors, headache, and myalgia, and now, one-sided vision loss.

  • Hyperkeratotic fissured plaques on both hands: Mechanic’s hands
    Anuradha Bishnoi, MD and Davinder Parsad, MD
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 268-269; DOI: https://doi.org/10.3949/ccjm.85a.17045

    This sign is seen in about 30% of patients with antisynthetase syndrome.

  • Hidden lesion easily missed on chest radiography
    Kamolyut Lapumnuaypol, MD and Jessica M. Stempel, MD
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 270-273; DOI: https://doi.org/10.3949/ccjm.85a.17067

    Chest radiography showed an opacity behind the heart, and CT angiography revealed it to be an aortic aneurysm.

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