More articles from The Clinical Picture
- Ulcerative leg nodules in a transplant recipient
Three weeks after undergoing bilateral lung transplantation, the patient has developed new nodules on his leg. What is the cause?
- Recurrent pyelonephritis as a sign of ‘sponge kidney’
Intravenous urography is the gold standard for the diagnosis of medullary sponge kidney. Computed tomography and ultrasonography have limited ability to clearly show tubular ectasia.
- Black esophagus
A 60-year-old man with gastrointestinal bleeding due to alcoholic cirrhosis has necrosis of the distal esophagus.
- Painful eye with a facial rash
Six days ago, the patient had an intense headache; 4 days ago, painful herpetiform lesions appeared on his face. What is the diagnosis?
- Soft tissue atrophy after corticosteroid injection
Although it is rare, patients still need to be told about this potential adverse effect.
- Multiple huge bullae after renal transplant
The patient received a kidney transplant 3 months ago and is taking immunosuppressant drugs. What is the most likely diagnosis?
- Unilateral cotton wool spots: An important clue
The patient has sudden loss of vision in one eye and unilateral cotton wool spots on funduscopy. What is the cause?
- A facial cutaneous horn
A healthy 84-year-old woman has an asymptomatic lesion on her cheek that has grown progressively over the past 10 months. What is it?