Rheumatology
- Primary livedo reticularis of the abdomen
Livedo reticularis can be the manifestation of a wide range of conditions—or not.
- Abdominal pain and bloody diarrhea in a 32-year-old woman
The patient also has numerous painful ulcerations on her skin and in her mouth.
- When cold-induced vasospasm is the tip of the iceberg
For a minority of patients, Raynaud phenomenon may be the presenting sign of a systemic disorder.
- Sarcoidosis mimicking lytic osseous metastases
Sarcoidosis involves the lung in more than 90% of cases; skeletal involvement has been reported in 1% to 14%.
- A rose by any other name is still a rose—but why a rose?
Christopher Columbus returned from the New World with a chronic illness, now believed to have been reactive arthritis.
- Erythematous patches with keratotic annular borders on the glans penis
Reactive arthritis was diagnosed on the basis of urethritis, ocular symptoms, circinate balanitis, and sacroiliitis.
- An unexpected cause of shoulder pain
The patient’s scapula protruded abnormally during forward flexion and abduction of the arm.
- Appropriate diagnosis of tickborne infections
Fear of undertreatment of early infection can morph into unwarranted treatment of nonexistent chronic infection.
- Swelling of both arms and chest after push-ups
Symptoms of rhabdomyolysis: myalgia, muscle weakness, dark urine, and, in some, muscle swelling.