More articles from The Clinical Picture
- Petaloid dermatosis affecting the scalp and genitalia
The patient had seen no improvement with a 2-week course of terbinafine cream.
- Persistent rectal pain leading to diffuse pustules
The authors relate the workup of a 34-year-old patient with a history of syphilis and human immunodeficiency virus.
- Cutaneous metastasis from gastric carcinoma
The patient presented with asymptomatic nodules and alopecia of the scalp 3 years after treatment for gastric adenocarcinoma.
- ‘Kissing tonsils’ and splenic infarction from infectious mononucleosis
A 36-year-old male presented with severe pain in the left upper quadrant after 10 days of cough, sore throat, and fever.
- Asymptomatic oral plaques and erosion
A 45-year-old man presented with a 4-week history of plaques and erosion on the left buccal mucosa and lower lip.
- Eruption of erythema after dieting
During the past 4 weeks, the patient had been increasing his exercise and was on a strict diet for bodybuilding
- Finger nodules: Tip of the gouty iceberg
Recurrent, dramatic flares are the cardinal symptom of gouty disease, but some patients exhibit tophi on physical examination or imaging—without flares or pain.
- Cholesteatoma
The patient’s audiogram showed left-sided conductive hearing loss, and examination revealed an atelectatic tympanic membrane on the left with a retraction pocket and keratin debris.
- Chondrodermatitis nodularis helicis
The patient first noted the mildly tender, nonpruritic lesion on his left ear after he began sleeping on a firmer pillow.
- Brodie abscess in an 87-year-old man
Though Brodie abscess is rare in older adults, timely diagnosis and treatment can prevent exacerbation of the abscess and avoid the need for additional surgical treatment, shortening the duration of hospitalization and preventing long-term complications.