13 results
Crusted Scabies - Physical examination now revealed a generalized erythematous and scaly rash with intense hyperkeratotic
, interdigital areas ... , and genital areas ... Microscopic examination ... mites (Panel C) #Clinical ... #NEJM
Radiation-Induced Angiosarcoma after Breast-Cancer Treatment - Physical examination revealed an area of skin 10 cm in
Angiosarcoma after Breast-Cancer ... Treatment - Physical ... the dermis and breast ... #Angiosarcoma #Breast ... #NEJM
Macroglossia in Light-Chain Amyloidosis- Physical examination revealed macroglossia, with indentations from the teeth (Panel A)...A biopsy
under polarized microscopy ... diagnosis and treatment ... #amyloidosis #clinical ... #photo #AL #lightchain ... #NEJM
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Overcrowded urban areas ... Epidemiologic exposure + clinical ... manifestations • MAT microscopic ... microbiology #diagnosis #treatment
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
, but without treatment ... cavity and genital areas ... , anal or oral areas ... Rash #Diagnosis #Clinical ... #Photo #Dermatology
Tinea Capitis in a Newborn- A 3-week-old male newborn was brought to the pediatrician with three
hyperkeratotic central areas ... after 1 week of treatment ... #clinical #photo ... #NEJM #tinea #capitis
Cyclosporiasis - Diagnosis and Management Summary
Pathogen: 
 • Cyclospora cayetanensis
 • Foodborne, waterbone, and soil-transmitted.
 •
travel to endemic areas ... Established via stool microscopy ... routine O&P • Clinical ... Treatment: • TMP-SMX-DS ... diagnosis #management #treatment
Amiodarone induced thyroid changes

Histopath: Remarkably enlarged follicles, distended with colloid, without 
scalloping, and lined by flattened
iodine-depleted areas ... respond to initial treatment ... AIT #Pathology #Clinical ... #Microscopy
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... in literature (NEJM ... cases (Cornelia NEJM ... Treatment of GCA ... required +/- prompt ophthalmology
Pigmented Macule - A Skin Manifestation of Invasive Breast Cancer - However, a pigmented macule that
Manifestation of Invasive Breast ... #Clinical #Derm ... PigmentedMacule #Microscopy ... #NEJM