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nejm management rheumatology striae symptoms syndrome arteritis behcet blastomycosis buffalohump chronic cll colitis cushings cutaneous dermatology differential disease fingernails gangrenosum
Lymphocutaneous Sporotrichiosis Infection Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis? Lymphocutaneous
wax and wane; diagnosis ... trauma leads to skin ... painless, no systemic signs ... #clinical #photo ... #hand
Tinea Capitis in a Newborn- A 3-week-old male newborn was brought to the pediatrician with three
Somalia, had similar skin ... fungal infection ... ringworm, was diagnosed ... #clinical #photo ... #ringworm #derm
Cushing's Syndrome - Moon Facies, Buffalo Hump, Abdominal Striae, Thin Skin A young man presents with rapid
Abdominal Striae, Thin Skin ... the patient's hand ... Cushings #Syndrome #Signs ... BuffaloHump #Striae #Clinical ... #Photo
Secondary Syphilis Rash Secondary syphilis is the most contagious of all the stages of this disease, and
Skin rash and malaise ... The signs and symptoms ... treatment, the infection ... the palms of the hands ... #Clinical #Photo
Disseminated Cutaneous Blastomycosis- A fungal culture of skin tissue was negative; however, a skin biopsy showed
fungal culture of skin ... staining confirmed a diagnosis ... pyogranulomatous fungal infection ... #clinical #photo ... #derm #NEJM #cutaneous
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
association • M > F Clinical ... +/- myocardial infarction ... Behcet syndrome (Clinical ... disease, ulcerative colitis ... #management #signs
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
- Differential Diagnosis ... to exclude are infections ... purpura: Strong sign ... occasional oligoclonal bands ... pulmonary infiltrates/cavities
Chronic Lymphocytic Leukemia - Summary Cancer affecting lymphocytes/Mature B cell neoplasm • Lymphocytes accumulate in large numbers
Orange or Hep C Clinical ... weeks without infection ... Physical Exam/Signs ... Hepatomegaly • Skin ... phenomenon CLL Diagnosis
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... systemic sx + signs ... vasculitis vs infection ... variably: On one hand ... required due to skip
Pyoderma Gangrenosum in Ulcerative Colitis- ...left chest (Panel A) and leg (Panel B). The physical examination
examination revealed skin ... A diagnosis of pyoderma ... , inflammatory skin ... #clinical #photo ... #derm
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