13 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
Disseminated Cutaneous Blastomycosis- A fungal culture of skin tissue was negative; however, a skin biopsy showed
Disseminated Cutaneous ... fungal culture of skin ... negative; however, a skin ... #clinical #photo ... #derm #NEJM #cutaneous
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Strong sign of cutaneous ... pulses, bruits, or blood ... fluid (CSF) is abnormal ... (lower legs), cutaneous ... aphthous ulcers, cutaneous
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
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
) Suspect: Clinical ... 3rd Decade Skin ... scarring • Subacute cutaneous ... lymphoproliferative syndrome Clinical ... Seizures • Strokes Skin
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
DERMATOMYOSITIS Cutaneous ... ulcerations • Skin ... auricular papules Clinical ... onset [33-74%] • Blood ... • Arthralgia/arthritis
Cryofibrinogenemia Summary

Cryofibrinogenemia Epidemiology:
 • 40-70 years with a modest female predominance

Cryofibrinogenemia:
 • The precipitation of a
cooled from the normal ... which can plug blood ... Cryofibrinogenemia Clinical ... Diagnosis: • + Clinical ... to medium-sized arteries
Gout of the Knee: Image on right demonstrates redness and swelling caused by acute gouty arthritis.
left demonstrates normal ... for comparison. skin ... Images #Clinical ... #Photo #Gouty # ... Arthritis #Knees
Cutaneous Mucormycosis Eschar
30 M HIV cd4 10 VL 30k traumatic injury of arm few months ago
Cutaneous Mucormycosis ... steroid use Dx: skin ... hyphae invading blood ... #dermatology #skin ... #clinical #photo