More articles from The Clinical Picture
- 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.
- COVID-19 vaccine-induced cellulitis and myositis
The day after receiving the second dose of the mRNA vaccine, redness and pain developed at the injection site, eventually involving the whole left arm and shoulder.
- Metronidazole-induced encephalopathy: Symmetrical hyperintensity on imaging
The diagnosis should be based on a combination of the patient’s clinical history, laboratory findings, and imaging results.
- 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.
- Gastrointestinal varicella-zoster virus infection
Esophagogastroduodenoscopy showed small, shallow ulcers and erosions surrounded by red haloes, spread diffusely throughout the stomach and duodenum.
- Generalized acute cutaneous lupus erythematosus in a young female
A history of systemic lupus and discontinuation of medications for 3 months led to increased disease activity.
- Revisiting the ‘great masquerader’
An HIV patient presents with scaly brown lesions on the palms and soles, mildly painful oral erosions, and a buzzing sound in the right ear for the past 20 days.
- Chest pain: The importance of serial ECGs
Repeat electrocardiograms in a 44-year-old man who presented with severe hypertension revealed de Winter and Wellens patterns.
- Dermatomyositis-related interstitial lung disease mimicking COVID-19 pneumonia
A subtype of myositis with characteristic skin rashes and ulcers, amyopathic or hypomyopathic symptoms, and rapidly progressive ILD.