13 results
Vibrio vulnificus Infection- At the time of presentation, hemorrhagic bullae measuring 3.5 by 4.5 cm had
palm of his left hand ... confluent tense bullae ... dorsum of the hand ... #clinical #photo ... #NEJM #vibrio #
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
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
cellulitis w/ black spots ... to hemorrhagic bullae ... legs #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
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
respiratory and bulbar ... • Weakness: Starts ... Paresthesias: Hands
Milk of Urate Bulla - A new blister overlying the radial aspect of the second interphalangeal
Milk of Urate Bulla ... tophus on his right hand ... #Gout #Urate #Bulla ... Birefringent #Microscopy #NEJM
Pyoderma Gangrenosum in Ulcerative Colitis- ...left chest (Panel A) and leg (Panel B). The physical examination
Pyoderma Gangrenosum ... Pyoderma gangrenosum ... #clinical #photo ... #NEJM #pyoderma ... #gangrenosum #ulcerative
Gold Thread Acupuncture for Rheumatoid Arthritis - Plain radiographs of both hands that were obtained at
radiographs of both hands ... with numerous short ... RheumatoidArthritis #Gold #NEJM
Koilonychia in Iron-Deficiency Anemia- A 54-year-old woman presented to the primary care clinic with fatigue and
Panel B) of both hands ... #NEJM #clinical ... #photo #koilonychia
Bitot's Spots- A 4-year-old boy was brought by his father to the ophthalmology clinic with a
Bitot's Spots- A ... consistent with Bitot’s spots ... #NEJM #clinical ... #photo #ophth #bitot ... #spots #Corynebacterium