More articles from The Clinical Picture

  • Imaging suggestive, but symptoms atypical
    Mohammad Afzalimoghaddam, MD, Maryam Edalatifard, MD, Shervin Farahmand, MD, Shahram Bagheri-Hariri, MD and Hadi Mirfazaelian, MD
    Cleveland Clinic Journal of Medicine January 2017, 84 (1) 25-26; DOI: https://doi.org/10.3949/ccjm.84a.15144

    Pseudosubarachnoid hemorrhage is an artifact of CT imaging.

  • A dermatosis of pregnancy
    Susana Brás, MD, André Oliveira, MD, Pedro Mendes-Bastos, MD and Cristina Amaro, MD
    Cleveland Clinic Journal of Medicine June 2017, 84 (6) 440-441; DOI: https://doi.org/10.3949/ccjm.84a.16088

    Eight days after giving birth, a 33-year-old woman presented with pruritic erythematous papules and plaques on the abdomen.

  • Palmar erythema as a sign of cancer
    Michitaka Maekawa, MD
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 666-667; DOI: https://doi.org/10.3949/ccjm.84a.16114

    Red palms in an elderly patient can be due to a number of systemic diseases.

  • Lymphoplasmacytic lymphoma presenting as retinal hemorrhage
    José Melendez-Rosado, MD, Steven Sears, DO and Fernando Stancampiano, MD
    Cleveland Clinic Journal of Medicine January 2017, 84 (1) 20-22; DOI: https://doi.org/10.3949/ccjm.84a.15171

    New-onset blurred vision should prompt a comprehensive history and physical examination.

  • Black hairy tongue cured concurrently with respiratory infection
    Fátima Tous-Romero, MD, Sara Burillo-Martínez, MD, Marta Prieto-Barrios, MD and Lidia Maroñas-Jiménez, MD
    Cleveland Clinic Journal of Medicine June 2017, 84 (6) 434-435; DOI: https://doi.org/10.3949/ccjm.84a.16044

    Proposed causes include medications, hyposalivation, poor oral hygiene, smoking, and infection.

  • Ring-enhancing cerebral lesions
    Aram Barbaryan, MD, Jignesh Modi, MD, Wajih Raqeem, MD, Michael I. Choi, MD, Alan Frigy, MD and Aibek E. Mirrakhimov, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 104-110; DOI: https://doi.org/10.3949/ccjm.84a.16037

    The patient has poorly controlled HIV, seizures, and brain lesions. Is Histoplasma or Toxoplasma the cause of the lesions?

  • A 68-year-old man with a blue toe
    Kiyoshi Shikino, MD, PhD, Takahiro Ota, MD, Takanori Uehara, MD, PhD and Masatomi Ikusaka, MD, PhD
    Cleveland Clinic Journal of Medicine June 2017, 84 (6) 436-437; DOI: https://doi.org/10.3949/ccjm.84a.16059

    The patient had undergone coronary artery bypass grafting, which caused cholesterol crystal embolism.

  • Disseminated molluscum contagiosum lesions in an HIV patient
    Telma Azevedo, MD, Alexandre Catarino, MD, Lurdes Ferreira, MD, Fernando Borges, MD and Kamal Mansinho, MD
    Cleveland Clinic Journal of Medicine March 2017, 84 (3) 186-187; DOI: https://doi.org/10.3949/ccjm.84a.16070

    The patient was diagnosed with HIV-related encephalopathy and disseminated Mycobacterium tuberculosis infection.

  • A large mass in the right ventricle: Tumor or thrombus?
    Soumya Patnaik, MD, Mahek Shah, MD, Saurabh Sharma, MD, Pradhum Ram, MD, Harish Seetha Rammohan, MD and Alexander Rubin, MD
    Cleveland Clinic Journal of Medicine July 2017, 84 (7) 517-519; DOI: https://doi.org/10.3949/ccjm.84a.16115

    A 69-year-old woman with ovarian cancer presents with worsening dyspnea, lower-extremity edema, and dizziness.

  • Porcelain heart in a uremic patient
    Hsiu-Chien Yang, MD, Chang-Han Lo, MD, Chun-Chi Chen, MD and Chia-Chao Wu, MD, PhD
    Cleveland Clinic Journal of Medicine March 2017, 84 (3) 184-185; DOI: https://doi.org/10.3949/ccjm.84a.15177

    Constrictive pericarditis due to secondary hyperparathyroidism occurs in up to 4% of patients with end-stage renal disease.

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