More articles from The Clinical Picture

  • Fungal folliculitis masquerading as acute exanthematous pustulosis
    Timmie Sharma, MD, Alok Vij, MD and Apra Sood, MD
    Cleveland Clinic Journal of Medicine March 2016, 83 (3) 179-180; DOI: https://doi.org/10.3949/ccjm.83a.15028

    Concern was raised for antibiotic-related acute exanthematous pustulosis, but punch biopsy revealed the yeast Malassezia.

  • A 60-year-old man with forehead swelling
    Brandon Miller, MD
    Cleveland Clinic Journal of Medicine February 2016, 83 (2) 95-96; DOI: https://doi.org/10.3949/ccjm.83a.15011

    CT and MRI revealed infection in close proximity to the brain. The patient recovered with antibiotics and surgery.

  • Bulldog scalp
    Chutintorn Sriphrapradang, MD and Chadpraorn Ngarmukos, MD
    Cleveland Clinic Journal of Medicine February 2016, 83 (2) 90-91; DOI: https://doi.org/10.3949/ccjm.83a.15019

    A 54-year-old man presented with a 2-year history of unusual skin folds on the scalp—cutis verticis gyrata.

  • Bony bumps in the mouth
    Soumya Chatterjee, MD, MS, FRCP
    Cleveland Clinic Journal of Medicine January 2016, 83 (1) 17-18; DOI: https://doi.org/10.3949/ccjm.83a.15033

    Torus palatinus and torus mandibularis are benign bony overgrowths arising from cortical bone.

  • Eventration of the diaphragm presenting as spontaneous pneumothorax
    Pauline Go, MD and Zane Hammoud, MD
    Cleveland Clinic Journal of Medicine January 2016, 83 (1) 19-20; DOI: https://doi.org/10.3949/ccjm.83a.14175

    A 25-year-old man presents with sudden onset of right-sided back and chest pain and shortness of breath.

  • Brown tumor of the pelvis
    Tetiana Glushko, MD, Shorooq S. A. Banjar, MD, Ayoub Nahal, MD and Inés Colmegna, MD
    Cleveland Clinic Journal of Medicine December 2015, 82 (12) 799-800; DOI: https://doi.org/10.3949/ccjm.82a.14146

    Hyperparathyroidism increases the number and activity of osteoclasts, causing lytic lesions.

  • An alerting sign: Enlarged cardiac silhouette
    Uri Hamiel, MD, Shay Yeganeh, MD, Shemy Carrasso, MD and Soboh Soboh, MD
    Cleveland Clinic Journal of Medicine December 2015, 82 (12) 801-803; DOI: https://doi.org/10.3949/ccjm.82a.14185

    Suspect pericardial effusion in patients with symptoms of impaired cardiac function and new symmetric cardiomegaly.

  • The color purple
    Abhinav Sood, MBBS, MD, Ashhar Ali, DO and Adarsh Bhimraj, MD
    Cleveland Clinic Journal of Medicine November 2015, 82 (11) 721-722; DOI: https://doi.org/10.3949/ccjm.82a.14119

    Purple urine bag syndrome is a sign of urinary tract infection and should be treated if symptomatic.

  • Stellate ulceration in a nonuremic patient
    Ana Brasileiro, MD, Rita Ribeiro, MD, Pedro Eduardo Silva, MD and Ana Fidalgo, MD
    Cleveland Clinic Journal of Medicine November 2015, 82 (11) 719-720; DOI: https://doi.org/10.3949/ccjm.82a.14176

    Calciphylaxis is a poorly understood small-vessel vasculopathy most often associated with end-stage renal disease.

  • Upper-limb deep vein thrombosis in Paget-Schroetter syndrome
    Nirosshan Thiruchelvam, MD, Farayi Mbuvah, MD, Gaurav Kistangari, MD, MPH and Anil Kumar Reddy Anumandla, MD
    Cleveland Clinic Journal of Medicine October 2015, 82 (10) 658-659; DOI: https://doi.org/10.3949/ccjm.82a.14115

    A weight lifter with no medical history presented with pain and swelling in his left arm.

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