6 results
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 ... chronic liver disease ... #clinical #photo ... #NEJM #vibrio #
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
spider angiomas and ... such as nephrotic syndrome ... Fingernails #Hands ... #PhysicalExam # ... 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 ... depressions of the nail plates ... seen in Reiter's syndrome ... #Signs #PhysicalExam
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
association • M > F Clinical ... (Clinical Dx). ... oral ulcers in 12 ... months plus at ... Giant retinal tears
Lichen Planus- ...On examination, numerous purple papules were noted on the anterior surface of the forearms
surface of the hands ... sawtooth rete pegs ... an autoimmune disease ... #NEJM #clinical ... #photo #lichen #
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
Sjogren's Syndrome ... lacrimal glands ... salivary ducts Clinical ... Cryoglobulinemia (4%-12% ... Symptomatic: artificial tears