Challenge amenorrhea clinical dermatology diagnosis photo differential nejm syndrome brittle

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Brittle nails and hair loss in hypothyroidism- ...Physical examination revealed dry skin, thickened and brittle nails

thyroiditis was diagnosed ... considered in the differential ... diagnosis of thickened ... #clinical #photo ... #NEJM #hypothyroidism

Vancomycin induced Leukocytoclastic Vasculitis (LCV) of the Hand
70 M vertebral osteomyelitis on vancomycin and cefepime for

Diagnosis? ... Differential for ... Churg-Strauss syndrome ... Hand #skinrash #dermatology ... #clinical #photo

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