17 results
Dacrocytes (tear drop cells) 
Other poikilocytes resemble a pear or teardrop. The narrow, tapered end
may be
may be long or short ... each of the above photos ... metaplasia, pernicious anemia ... some hemolytic anemias
Vibrio vulnificus Infection- At the time of presentation, hemorrhagic bullae measuring 3.5 by 4.5 cm had
palm of his left hand ... dorsum of the hand ... #clinical #photo ... #NEJM #vibrio #
Sickle cells
These photos show sickle cells on peripheral blood smears. In the left photo target cells
Sickle cells These photos ... In the left photo ... , in the right photo ... no significant anemia ... e.g. there were reports
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
reddish brown spots ... the palms of the hands ... occur on other parts ... Diagnosis #Clinical #Photo
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
infection of the hand ... manicuring, or frequent hand ... include diabetes, anemia ... nonuniform white spots ... Spots in the pattern
Auricular and Palmar Pallor in Anemia
Anemia Hb 4.1 g/dL.
Pallor best seen on the auricle and hand
Palmar Pallor in Anemia ... Anemia Hb 4.1 g ... the auricle and hand ... Palmar #Pallor #Anemia ... #clinical #photo
Pustular Skin Lesions - Differential Diagnosis Framework

What are pustules?
• Pustules < 5-10 mm + pus
• Material
Irregular pustules on hands ... Mpox • Starts ... Pyoderma gangrenosum
Koilonychia in Iron-Deficiency Anemia- A 54-year-old woman presented to the primary care clinic with fatigue and
Iron-Deficiency Anemia ... Panel B) of both hands ... iron-deficiency anemia ... #NEJM #clinical ... #photo #koilonychia
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
cellulitis w/ black spots ... hemochromatosis, hemolytic anemia ... legs #clinical #photo
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
variably: On one hand ... systemic complaints- anemia ... in literature (NEJM ... cases (Cornelia NEJM