More articles from The Clinical Picture

  • Koebner phenomenon from insulin injection
    Parvathy Madhavan, MBBS, Lauren Hamann, RN, BSN, CDE, Kamal Shoukri, MD and Latha Dulipsingh, MD, FACP, FACE
    Cleveland Clinic Journal of Medicine May 2021, 88 (5) 264; DOI: https://doi.org/10.3949/ccjm.88a.20076

    Repeated insulin injections in the abdomen led to large red scaly plaques.

  • Tumoral calcinosis
    Hiroyuki Yano, MD and Mitsuyo Kinjo, MD, MPH
    Cleveland Clinic Journal of Medicine April 2021, 88 (4) 208-209; DOI: https://doi.org/10.3949/ccjm.88a.20084

    A 47-year-old woman on peritoneal dialysis presented with dyspnea and hip pain.

  • Crowned dens syndrome: Caution about asymptomatic calcification
    Junki Mizumoto, MD
    Cleveland Clinic Journal of Medicine April 2021, 88 (4) 204-205; DOI: https://doi.org/10.3949/ccjm.88a.20184

    An 88-year-old man developed fever, headache, and posterior neck pain resistant to initial therapy.

  • Puffy hand syndrome
    Soumya Chatterjee, MD, MS, FRCP
    Cleveland Clinic Journal of Medicine April 2021, 88 (4) 210-212; DOI: https://doi.org/10.3949/ccjm.88a.20131

    A 37-year-old man visited the rheumatology clinic for evaluation of swelling of his fingers and hands.

  • Median arcuate ligament syndrome: Incidental finding or real problem?
    Bayarmaa Mandzhieva, MD, Hammad Zafar, MD, Akriti Jain, MD and Manoucher Manoucheri, MD, FACP
    Cleveland Clinic Journal of Medicine March 2021, 88 (3) 140-142; DOI: https://doi.org/10.3949/ccjm.88a.20052

    A woman was admitted with pain in the epigastrium and right upper quadrant that radiated to the back, as well as nausea and dry heaves.

  • A cutaneous clue to HIV infection
    Stephen Chan, MD and Paul Aronowitz, MD
    Cleveland Clinic Journal of Medicine March 2021, 88 (3) 145-146; DOI: https://doi.org/10.3949/ccjm.88a.20042

    A retired trucker presented with fever, cough, dyspnea, and a rash on his forehead.

  • Anterior interosseous nerve palsy caused by Parsonage-Turner syndrome
    Kosuke Ishizuka, MD, Kiyoshi Shikino, MD, PhD and Masatomi Ikusaka, MD, PhD
    Cleveland Clinic Journal of Medicine March 2021, 88 (3) 155-156; DOI: https://doi.org/10.3949/ccjm.88a.20019

    A 58-year-old man presented with difficulty moving his left hand.

  • Not all wheezing is COPD
    Vipul Patel, MD and Nikhil Madan, MD, FCCP
    Cleveland Clinic Journal of Medicine March 2021, 88 (3) 147-149; DOI: https://doi.org/10.3949/ccjm.88a.20101

    A missed diagnosis led to inappropriate referral for lung transplant.

  • Pacemaker lead-induced venous thoracic outlet syndrome
    Abhinav Sood, MBBS, MD, Daniel Benhuri, MD, Ujjwal Rastogi, MD and Ramesh M. Gowda, MD
    Cleveland Clinic Journal of Medicine February 2021, 88 (2) 75-76; DOI: https://doi.org/10.3949/ccjm.88a.20023

    Acute arm swelling and pain after an airline flight and a missed anticoagulant dose.

  • Cutaneous digital papules
    Hiroyuki Yano, MD and Mitsuyo Kinjo, MD, MPH
    Cleveland Clinic Journal of Medicine February 2021, 88 (2) 73-74; DOI: https://doi.org/10.3949/ccjm.88a.20063

    Tophi in the finger pads call for aggressive urate-lowering therapy.

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