More articles from The Clinical Picture

  • Tuberous sclerosis complex
    Jesica Martín Carmona, MD, Elisabeth Gómez Moyano, MD, PhD, Ana Raquel de Castro Almeida, MD and Leandro Martínez Pilar, MD, PhD
    Cleveland Clinic Journal of Medicine July 2021, 88 (7) 367-368; DOI: https://doi.org/10.3949/ccjm.88a.20075

    A rare disorder caused by mutations of tumor-suppressor genes.

  • Evolving distal signs
    Zackary D. Goff, MD, Sandra E. Zaeh, MD, MS, Michael K. Poku, MD, John N. Aucott, MD and Allan C. Gelber, MD
    Cleveland Clinic Journal of Medicine June 2021, 88 (6) 310-312; DOI: https://doi.org/10.3949/ccjm.88a.20126

    The patient’s evolving signs and symptoms prompted a reconsideration of his diagnosis.

  • Fibrous epulis: A tumorlike gingival lesion
    Keiichi Ohta, DDS and Hitoshi Yoshimura, DDS, PhD
    Cleveland Clinic Journal of Medicine May 2021, 88 (5) 265-266; DOI: https://doi.org/10.3949/ccjm.88a.20127

    A 40-year-old woman presented with an enlarging mass measuring 20 mm by 18 mm.

  • 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.

  • 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.

  • 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.

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