35 results
A necrotic ulceration was observed on the right side of the tongue. Cervicofacial computed tomography, performed
A necrotic ulceration ... giant-cell arteritis #clinical ... #photo #lingual ... thrombosis #necrosis #ulceration ... Arteritis #tongue #NEJM
Ulcerative Blastomycosis Skin Lesion
57 asymptomatic M from Indiana nonpruritic, painless, progressive skin lesion lower back x
Ulcerative Blastomycosis ... Lives in an old ... Diagnosis? ... #dermatology #clinical ... #photo
"Liver palms"
Palmar erythema 

#clinical #diagnosis #PhysicalExam 
#hands #liver #hepatology #cirrosis
#photo
"Liver palms" Palmar ... erythema #clinical ... #diagnosis #PhysicalExam ... #hands #liver ... hepatology #cirrosis #photo
Herpes Zoster Mandibularis - The lesions were scattered along the area that is innervated by the
A presumptive diagnosis ... #Clinical #Photo ... Mandibularis #Rash #NEJM
Vibrio vulnificus Infection- At the time of presentation, hemorrhagic bullae measuring 3.5 by 4.5 cm had
including chronic liver ... #clinical #photo ... #NEJM #vibrio #
Pyoderma Gangrenosum in Ulcerative Colitis- ...left chest (Panel A) and leg (Panel B). The physical examination
Gangrenosum in Ulcerative ... A diagnosis of pyoderma ... #clinical #photo ... #NEJM #pyoderma ... #gangrenosum #ulcerative
Plain radiography of the abdomen revealed calcification of both adrenal glands. A homozygous mutation in LIPA
confirmed the diagnosis ... acid lipase is critical ... accumulation in the liver ... #clincial #peds ... calcifications #infant #NEJM
Macroglossia in Light-Chain Amyloidosis- Physical examination revealed macroglossia, with indentations from the teeth (Panel A)...A biopsy
findings confirmed a diagnosis ... Early diagnosis ... #amyloidosis #clinical ... #photo #AL #lightchain ... #NEJM
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
association • M > F Clinical ... more): Genital ulceration ... Behcet syndrome (Clinical ... Crohn disease, ulcerative ... inhibitors • Uveitis- Ophthalmology
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... w/differential diagnosis ... in literature (NEJM ... cases (Cornelia NEJM ... required +/- prompt ophthalmology