More articles from The Clinical Picture
- Mucinous ascites: Pseudomyxoma peritonei
A 59-year-old man presented with progressive abdominal distention that limited daily activities and oral intake. The ascitic fluid was markedly viscous and jelly-like.
- Xanthomas: Differentiating atherogenic from nonatherogenic
The patient had tendinous xanthomas on the dorsal joints of the hand and eruptive xanthomas on the buttock, as well as xanthoma striatum palmare on the volar aspect of the hand.
- The double-tongue sign
Computed tomography showed enlarged mylohyoid and geniohyoid muscles, surrounding inflammatory findings, and small gas retentions.
- Mondor disease of the breast
A 43-year-old woman had 2 weeks of pain and skin tightness over the right breast. Ultrasonography revealed a noncompressible, dilated, subcutaneous vein without flow.
- Dactylitis from Mycobacterium intracellulare infection
A 69-year-old man presents with 6 months of progressive swelling of the right middle finger, with no systemic symptoms.
- Unraveling a challenging diagnosis: Role of a TNF inhibitor
Painful swelling of the dorsum of the right hand had been diagnosed as chronic cutaneous sarcoidosis with tenosynovitis, treated unsuccessfully with prednisone and methotrexate.
- 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.
- Skin-colored papules on the cheeks, acrochordons on the axillae
Biopsy revealed dermal follicular structures surrounded by a perifollicular fibrous sheath and a densely fibrous stroma, consistent with a fibrofolliculoma.
- Pigmented lesion on nail bed: Pseudo-Hutchinson sign
The discoloration had been present since the patient was 14, and it had not changed in appearance.
- Spider nevi secondary to alcoholic chronic liver disease
The lesions blanched when pressure was applied centrally and refilled from the center outward when pressure was released.