More articles from The Clinical Picture
- Cornflake-like scales on the ankles and feet
An 81-year-old woman presents with slowly growing, asymptomatic lesions on both feet and ankles. Which test should be ordered to establish the diagnosis?
- Palmoplantar eruption
A 38-year-old woman with a history of episodes of arthritis presents with pustules on the palms and on the soles of her feet. What is the most likely diagnosis?
- An ulcerated plaque on the hand
A 73-year-old farmer has a lesion on the dorsum of his hand that bleeds intermittently. What is it?
- The shrinking woman
A 45-year-old woman on dialysis has lost 20 cm in height over the past 8 years, despite two parathyroidectomy procedures. Would a third one help?
- Painful red nodule on the right hand
A healthy man presents with a tender subcutaneous nodule on his hand that appeared after cleaning his aquarium. What is the most likely diagnosis?
- Pyogenic liver abscess
Klebsiella pneumoniae has emerged as the most common organism seen in pyogenic liver abscess.
- The eyes: A window into the past
The patient, 33 years old and living in Southern California, has “spots” on the retina. What is the most likely diagnosis?
- Recurrent spontaneous pneumothorax
The patient, a 26-year-old woman, also has many nodular lesions on her face, a hypopigmented lesion on her thigh, and a fleshy plaque on her back. What is the diagnosis?
- An erythematous plaque on the arm
A 68-year-old farmer presents with an asymptomatic lesion that appeared spontaneously 5 months ago and has grown progressively. What is the diagnosis?
- A rare complication of infective endocarditis
An 85-year-old woman presents with a 2-hour history of dyspnea, dizziness, generalized weakness, nausea, and diaphoresis. What is the cause?