More articles from The Clinical Picture

  • Thick skin on the back
    Guha Ashrith, MD, MPH and Rajpreet Arora, MD
    Cleveland Clinic Journal of Medicine February 2010, 77 (2) 90-91; DOI: https://doi.org/10.3949/ccjm.77a.09004

    An obese woman with long-standing uncontrolled type 2 diabetes mellitus presents with indurated thickening of the skin on her back. What is the diagnosis?

  • Lesions on the hands, high aminotransferase levels
    Manuel Gil-Mosquera, MD, Sergio Vañó-Galván, MD, Ruth Gomez-Guerra, MD, Pedro Jaén, MD and Marina Gil-Mosquera, MD
    Cleveland Clinic Journal of Medicine January 2010, 77 (1) 34-36; DOI: https://doi.org/10.3949/ccjm.77a.08104

    A 64-year-old man presents with a 10-day history of painful vesicles and erosions on the dorsa of the hands that appeared after sun exposure. What is the diagnosis?

  • Pleural effusion from a candy wrapper
    Smyrna Abou Antoun, MD and Edgard Wehbe, MD
    Cleveland Clinic Journal of Medicine November 2009, 76 (11) 639-640; DOI: https://doi.org/10.3949/ccjm.76a.09007

    A 60-year-old man presents with worsening shortness of breath and productive cough. Flexible bronchoscopy reveals the surprising cause.

  • A 19-year-old man with progressive lung infiltrates
    Adriano R. Tonelli, MD and Eric L. Olson, MD
    Cleveland Clinic Journal of Medicine November 2009, 76 (11) 635-638; DOI: https://doi.org/10.3949/ccjm.76a.08111

    After undergoing induction chemotherapy for acute myeloid leukemia, he developed fever, lung infiltrates, and severe neutropenia. What is the most likely cause?

  • Ulcerative leg nodules in a transplant recipient
    Ai-Ping Chua, MB, BS, Steven D. Billings, MD, Marie M. Budev, DO, MPH and Atul C. Mehta, MB, BS
    Cleveland Clinic Journal of Medicine October 2009, 76 (10) 575-576; DOI: https://doi.org/10.3949/ccjm.76a.09006

    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’
    Hung-Yi Chu, MD, Ming-Tso Yan, MD and Shih-Hua Lin, MD
    Cleveland Clinic Journal of Medicine August 2009, 76 (8) 479-480; DOI: https://doi.org/10.3949/ccjm.76a.08110

    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
    Sudha Akkinepally, MD, Vijayarama Poreddy, MD and Alejandro Moreno, MD, MPH
    Cleveland Clinic Journal of Medicine July 2009, 76 (7) 400; DOI: https://doi.org/10.3949/ccjm.76a.08102

    A 60-year-old man with gastrointestinal bleeding due to alcoholic cirrhosis has necrosis of the distal esophagus.

  • Painful eye with a facial rash
    José Luis Vallejo-García, MD, Sergio Vañó-Galván, MD, Omar Rayward, MD and Paula Moreno-Martin, MD
    Cleveland Clinic Journal of Medicine July 2009, 76 (7) 410-412; DOI: https://doi.org/10.3949/ccjm.76a.08083

    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
    Patricia J. Papadopoulos, MD and Jess D. Edison, MD
    Cleveland Clinic Journal of Medicine June 2009, 76 (6) 373-374; DOI: https://doi.org/10.3949/ccjm.76a.08096

    Although it is rare, patients still need to be told about this potential adverse effect.

  • Yellow nails, ankle edema, and pleural effusion
    Federico Biscetti, MD, Giuseppe Straface, MD, Giulia De Angelis, MD and Andrea Flex, MD
    Cleveland Clinic Journal of Medicine May 2009, 76 (5) 317-318; DOI: https://doi.org/10.3949/ccjm.76a.08050

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