More articles from The Clinical Picture

  • COVID-19 vaccine-induced cellulitis and myositis
    Sathishkumar Ramalingam, MD, Harkesh Arora, MD, Susan Lewis, MD, Kulothungan Gunasekaran, MD, Maheswari Muruganandam, MD, Sivakumar Nagaraju, MD and Priyesh Padmanabhan, MD
    Cleveland Clinic Journal of Medicine December 2021, 88 (12) 648-650; DOI: https://doi.org/10.3949/ccjm.88a.21038

    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
    Hiroki Matsuura, MD, Takashi Katayama, MD and Kentaro Deguchi, MD, PhD
    Cleveland Clinic Journal of Medicine December 2021, 88 (12) 651-652; DOI: https://doi.org/10.3949/ccjm.88a.21007

    The diagnosis should be based on a combination of the patient’s clinical history, laboratory findings, and imaging results.

  • Gastrointestinal varicella-zoster virus infection
    Nobukazu Agatsuma, MD, Kaoru Tsujioka, MD, Yoshitaka Nishikawa, MD, PhD, Yasuki Nakatani, MD and Yukitaka Yamashita, MD, PhD
    Cleveland Clinic Journal of Medicine November 2021, 88 (11) 592-593; DOI: https://doi.org/10.3949/ccjm.88a.20151

    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
    Omair Ali Khan, MBBS, Mahnoor Sherazi, MBBS, Sheharyar Raashid, MBBS, Attiya Tareen, MBBS, FCPS and Saba Aneeqa, MBBS
    Cleveland Clinic Journal of Medicine November 2021, 88 (11) 598-600; DOI: https://doi.org/10.3949/ccjm.88a.20202

    A history of systemic lupus and discontinuation of medications for 3 months led to increased disease activity.

  • Revisiting the ‘great masquerader’
    Raihan Ashraf, MD, Rahul Mahajan, MD, Debajyoti Chatterjee, DM and Kollabathula Arpitha, MD
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 536-537; DOI: https://doi.org/10.3949/ccjm.88a.20203

    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
    Rene Jansen van Rensburg, MBChB, MD, Jason Schutte, MBChB and Thomas de Beenhouwer, MD
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 538-540; DOI: https://doi.org/10.3949/ccjm.88a.20183

    Repeat electrocardiograms in a 44-year-old man who presented with severe hypertension revealed de Winter and Wellens patterns.

  • An uncommon cause of chest pain
    Salman Salahuddin, MD, DM, MRCP (UK)
    Cleveland Clinic Journal of Medicine September 2021, 88 (9) 487-488; DOI: https://doi.org/10.3949/ccjm.88a.20160

    Re-review of a “normal” chest radiograph provided valuable clues.

  • Leriche syndrome
    Hiroki Matsuura, MD and Hiroyuki Honda, MD, PhD
    Cleveland Clinic Journal of Medicine September 2021, 88 (9) 482-483; DOI: https://doi.org/10.3949/ccjm.88a.20179

    Physical examination revealed pallor of the toes, cold extremities, dry skin, and absence of bilateral femoral pulses. The patient also disclosed erectile dysfunction.

  • Abdominal pseudohernia due to herpes zoster
    Junki Mizumoto, MD
    Cleveland Clinic Journal of Medicine September 2021, 88 (9) 480-481; DOI: https://doi.org/10.3949/ccjm.88a.20178

    A 66-year-old man presents with bulging and persistent burning pain in the right abdominal side for 4 days.

  • Dermatomyositis-related interstitial lung disease mimicking COVID-19 pneumonia
    Satoshi Hayano, MD, Kenichiro Tokunaga, MD, Yusuke Imamura, MD and Hideto Oshikawa, MD
    Cleveland Clinic Journal of Medicine September 2021, 88 (9) 484-486; DOI: https://doi.org/10.3949/ccjm.88a.20204

    A subtype of myositis with characteristic skin rashes and ulcers, amyopathic or hypomyopathic symptoms, and rapidly progressive ILD.

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