53 results
Retinal Vasculitis in Takayasu’s Arteritis- ...Ophthalmologic examination revealed severe impairment, with perception of only light in
in Takayasu’s Arteritis ... examination showed normal ... segmented retinal blood ... that the retinal blood ... #NEJM #clinical
A necrotic ulceration was observed on the right side of the tongue. Cervicofacial computed tomography, performed
of giant-cell arteritis ... #clinical #photo ... GCA #GiantCell #Arteritis ... #tongue #NEJM
Ecchymosis: Bluish discoloration of skin caused by bruising with resultant subcutaneous collection
of blood.

Charlie Goldberg, M.D. -
discoloration of skin ... collection of blood ... UCSD Catalog of Clinical ... Images #Clinical ... Ecchymosis #Arm #Photo
Sclerodactyly: Diffuse thickening of the skin on the hands, in this case due to Scleroderma. 
Note
thickening of the skin ... Note loss of normal ... Images #Clinical ... #Photo #Dermatology ... #Skin #Sclerodactyly
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
Blood cultures growing ... sister shared these photos ... #PhysicalExam #clinical ... #photo #dermatology ... #soles #skin
Sickle cells
These photos show sickle cells on peripheral blood smears. In the left photo target cells
on peripheral blood ... trait do very well clinically ... months of life, the abnormal ... #Clinical #Path ... #BloodSmear #Blood
VEXAS (Vacuoles, E1 enzyme, X-linked, Autoinflammatory, Somatic) Syndrome
Clinical Syndrome:
 • Common Clinical Features: alveolitis, ear and
Somatic) Syndrome Clinical ... nose chondritis, skin ... • giant cell arteritis ... including peripheral blood ... myeloid cells NEJM
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... 50 in GCA, but normal ... in literature (NEJM ... required due to skip ... cases (Cornelia NEJM
Polychromatophilia - Note 2 large blue-gray erythrocytes as seen on H&E stain. On a stain for
The left photo also ... and the right photo ... reticulocyte is a normal ... #Clinical #Path ... #BloodSmear #Blood
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Purpura, ischemic skin ... pulses, bruits, or blood ... GCA (Giant Cell Arteritis ... strength & enzymes normal ... fluid (CSF) is abnormal