More articles from The Clinical Picture
- Atypical erythema as a clinical presentation of tinea incognito
The lesions were originally diagnosed as contact allergic dermatitis and treated with topical corticosteroids, but culture revealed Trichophyton rubrum.
- Hampton hump in acute pulmonary embolism
A 50-year-old patient presented with worsening dyspnea and cough with bilateral swelling of the lower extremities, with left-side swelling greater than right-side swelling.
- Lacrimal gland involvement in a patient with sarcoidosis
The differential diagnosis included infection, malignancy, and inflammatory disorders such as immunoglobulin G4-related disease and sarcoidosis.
- A brownish erythematous patch in the nipple-areola complex
Biopsy revealed neoplastic cells throughout the epidermis and granular layer, with abundant pale cytoplasm, intraglandular extension, and chronic inflammation in the papillary dermis.
- Oral hyperpigmentation with weakness and salt-craving
The patient’s primary care physician had attributed the hyperpigmentation on the lower lip and inner cheek to pen ink.
- Unilateral pulmonary edema
Three weeks after discharge from hospitalization for COVID-19, the patient noted progressively worsening exertional dyspnea and fatigue.
- Hypertrichosis and topical corticosteroid use
The xerotic dermatitis had resolved 2 years earlier, but the patient had continued to apply the medication.
- Megaloblastic anemia due to severe vitamin B12 deficiency
The 75-year-old patient presenting with altered mental status and pancytopenia had a history of peptic ulcer disease and subtotal gastrectomy.
- A large, painless bulla on the right foot
A patient with a history of type 2 diabetes and diabetic neuropathy had a hemoglobin A1c of 10.3% at presentation.
- Exanthem and enanthem with fever and dyspnea
The patient presented with high fever, productive cough, dyspnea, generalized myalgias, conjunctivitis, and whitish elevations with an erythematous base on the buccal mucosa.