More articles from The Clinical Picture

  • A facial cutaneous horn
    Sergio Vañó-Galván, MD, Alícía Marqués, MD, Ernesto Muñoz-Zato, MD and Pedro Jaén, MD, PhD
    Cleveland Clinic Journal of Medicine February 2009, 76 (2) 92-95; DOI: https://doi.org/10.3949/ccjm.76a.08010

    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
    Sergio Vañó-Galván, MD, Paula Moreno-Martin, MD, José-María Arrazola, MD and Pedro Jaén, PhD
    Cleveland Clinic Journal of Medicine January 2009, 76 (1) 12-15; DOI: https://doi.org/10.3949/ccjm.76a.08030

    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
    Sergio Vañó-Galván, MD and Pedro Jaén, PhD
    Cleveland Clinic Journal of Medicine December 2008, 75 (12) 847-848; DOI: https://doi.org/10.3949/ccjm.75a.08023

    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
    Matthew F. Helm and Lin Lin, MD, PhD
    Cleveland Clinic Journal of Medicine November 2008, 75 (11) 768;

    The lesion is asymmetrical and irregularly pigmented with variegated colors and ill-defined borders. What is the diagnosis?

  • A judgment call
    Deepak Asudani, MD, Sharon Wretzel, MD, Ruchita Patel, MD and Aaron Stayman, MD
    Cleveland Clinic Journal of Medicine October 2008, 75 (10) 690-695;

    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
    Soumya Chatterjee, MD, MS, FRCP
    Cleveland Clinic Journal of Medicine September 2008, 75 (9) 638-640;

    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
    Sergio Vañó-Galván, MD, Sonsoles Aboín, MD, Sonio Beà-Ardebol, MD and Juan Luis Santiago Sánchez-Mateos, MD
    Cleveland Clinic Journal of Medicine August 2008, 75 (8) 567-568;

    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
    Rachel M. Taliercio, DO and Jeffrey Chapman, MD
    Cleveland Clinic Journal of Medicine July 2008, 75 (7) 540-542;

    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
    Sergio Vañó-Galván, MD and Paula Moreno-Martin, MD
    Cleveland Clinic Journal of Medicine July 2008, 75 (7) 474-478;

    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
    Melissa P. Piliang, MD and James K. Stoller, MD, MS
    Cleveland Clinic Journal of Medicine June 2008, 75 (6) 414-422;

    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?

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