More articles from The Clinical Picture
- Slow-growing angiomatous lesions on the limbs
Erythematous plaques after age 70 should raise the suspicion of classic Kaposi sarcoma.
- Deep T waves and chest pain
After 3 hours of chest pain, a 67-year-old man presented with deep symmetric T-wave inversions in the precordial leads, a prognostically significant finding.
- Dyspnea after treatment of recurrent urinary tract infection
Glucose-6 phosphate dehydrogenase deficiency is an X-linked disorder that can present as hemolytic anemia after infection or exposure to certain medications.
- A 66-year-old woman with an enlarged tongue
Eventually, she was diagnosed with multiple myeloma and cardiac amyloidosis.
- More than skin-deep
The patient had oral ulcers, a truncal rash, and blistering lesions on his hands, all of which had been getting worse for 9 months.
- Peripheral opacity on plain chest radiography
Sometimes, careful observation can detect unusual signs of a common and serious condition.
- Chronic itch on the upper back, with pain
An otherwise healthy man has had itchy, grayish-brown patches on his back for 2 years, characteristic of notalgia paresthetica.
- Fever, dyspnea, and a new heart murmur
In cases of recurrent persistent fever and a new heart murmur, infective endocarditis must always be considered.
- Lung air-fluid level in a smoker
A 49-year-old man with a 25-pack-year history had a striking finding on radiography.
- Multiple intracardiac thrombi
A 60-year-old woman presents with massive venous thrombosis. What is the cause?