10 results
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
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Sexual contacts - HIV ... , herpes, hepatitis ... Hypodermic needles - HIV ... Dengue fever, HIV ... trypanosomiasis, plague
Lichen Planus- ...On examination, numerous purple papules were noted on the anterior surface of the forearms
association with HCV ... association between HCV ... #NEJM #clinical ... #photo #lichen # ... planus #derm #wickhams
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
of treatment of HIV ... • 10-20% of HIV-infected ... a decrease in HIV ... pancreatitis • HBV ... , HCV - Hepatic
Cutaneous Mucormycosis Eschar
30 M HIV cd4 10 VL 30k traumatic injury of arm few months ago
Eschar 30 M HIV ... Diagnosis? ... ulcer or indurated plaque ... malnutrition, HIV ... #clinical #photo
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
- Differential Diagnosis ... Leg Pain: • Infection ... Epidural abscess - Herpes ... zoster - HIV ... extremity #msk #physicalexam
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
aphthous ulcers, cutaneous ... to exclude are infections ... strong sign of cutaneous ... Cryoglobulins • HIV ... • HBV HCV
Erythemas Summarized
Erythema ab igne
 • A dermatosis that results from repeated exposure to heat (fires, heating
centrifugum • A chronic skin ... (cutaneous or systemic ... variant of lichen planus ... (HSV + Mycoplasma ... #differential #diagnosis
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
in HIV - Differential ... macrophages in HIV ... low if you have HIV ... nodules possible in HIV ... #HIV #AIDS #pulmonary
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
- Differential Diagnosis ... to exclude are infections ... Strong sign of cutaneous ... muscle weakness • Nerves ... HTN • Check: HBV