More articles from The Clinical Picture
- 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?
- A persistently swollen lip
An otherwise healthy man has had asymptomatic swelling of his lower lip for 10 months. What is the cause? What is the treatment?
- Black hairy tongue
A 71-year-old man presents for evaluation of an asymptomatic black discoloration of the tongue. What is the most likely diagnosis?
- A 90-year-old woman with an asymptomatic spot on her cheek
The lesion is asymmetrical and irregularly pigmented with variegated colors and ill-defined borders. What is the diagnosis?
- A judgment call
A young man hospitalized because of a sickle cell crisis requires a central venous line. However, after the catheter is inserted, an initial chest radiograph reveals that the tip may not be in the right place. What should be done?
- A 51-year-old man with nodular lesions
He presents with a 1-year history of episodic pain, swelling, and stiffness in some of the metacarpophalangeal and proximal interphalangeal joints of his fingers. What is the most likely diagnosis?
- Sudden hair loss associated with trachyonychia
A 30-year-old woman has been having episodes of sudden hair loss in well-demarcated areas of her scalp for the past 6 months. What is the most likely diagnosis?
- Dyspnea, arthralgias, and muscle weakness
A computed tomographic scan shows ground-glass opacities in the lower lobes of both lungs. What is the most likely cause of this patient’s symptoms and radiographic findings?
- Generalized pruritus after a beach vacation
A 25-year-old man presents with a 2-month history of generalized itching that began 5 weeks after a trip to Brazil, during which he had sexual relations without protection. What is the most likely diagnosis?
- A woman with ulcerating, painful skin lesions
She has previously enjoyed good health, has no personal or family history of liver, pancreatic, renal, or lung disease, and is taking no medications. What is the diagnosis?