More articles from The Clinical Picture
- Phlegmasia cerulea dolens from radiation-induced venous stenosis
The patient had received pelvic radiation 10 years earlier for prostate cancer.
- Plexiform neurofibroma
A 19-year-old woman presented with diffuse swelling on her neck and face that had been growing gradually for 12 years.
- Bilateral earlobe creases and coronary artery disease
Bilateral earlobe creases may be useful to look for in cases of suspected coronary artery disease.
- Air leakage in multiple compartments after endoscopy
An attempt to cannulate the common bile duct led to abdominal pain and distention and crepitus of the right chest wall.
- Concurrent uvulitis and epiglottitis
A 66-year-old woman presented with fever, cough, odynophagia, and anterior neck pain.
- Eruptive xanthoma: Warning sign of systemic disease
Initial laboratory testing showed a triglyceride level of 5,742 mg/dL.
- An abnormal peripheral blood smear and altered mental status
Therapeutic plasma exchange has greatly increased the survival rate in thrombotic thrombocytopenic purpura.
- ‘Air-raising’: An air-fluid level in the right subphrenic region
Plain chest radiography showed dramatic elevation of the right hemidiaphragm with a large subphrenic air-fl uid level.
- A man with HIV and papules and nodules on the knees
Erythema elevatum diutinum may be confused with Sweet syndrome, Kaposi sarcoma, or bacillary angiomatosis.
- Advanced-stage calciphylaxis: Think before you punch
Biopsy can cause or worsen ulceration at the incision site, increasing the risk of infection and sepsis.