7 results
Brittle nails and hair loss in hypothyroidism- ...Physical examination revealed dry skin, thickened and brittle nails
examination revealed dry skin ... thyroiditis was diagnosed ... the differential diagnosis ... #clinical #photo ... #NEJM #hypothyroidism
Lupus (SLE): Mucocutaneous Manifestations

 • Langerhan cells and keratinocytes release cytokines -> localized inflammatory response ->
response -> Subacute cutaneous ... keratinocytes but abnormal ... inflammation on skin ... endothelium) & Decr blood ... pathophysiology #diagnosis
Disseminated Cutaneous Blastomycosis- A fungal culture of skin tissue was negative; however, a skin biopsy showed
fungal culture of skin ... negative; however, a skin ... staining confirmed a diagnosis ... #clinical #photo ... #derm #NEJM #cutaneous
Amyloidosis - Summary
Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
Clinical suspicion ... Amyloidosis Clinical ... macroglossia Nails ... Severe fatigue • Nail ... Testing Blood
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
recently installed air ... possible Patient's clinical ... the key to the diagnosis ... #dermatology #clinical ... #photo
Cutaneous Mucormycosis Eschar
30 M HIV cd4 10 VL 30k traumatic injury of arm few months ago
Diagnosis? ... steroid use Dx: skin ... hyphae invading blood ... #dermatology #skin ... #clinical #photo
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
• Major blood ... has five major clinical ... fungal stain of clinical ... vagina, fingers, nails ... have positive blood