14 results
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Skin rash and malaise ... the palms of the hands ... resembling rashes caused ... #Diagnosis #Clinical ... #Photo #Dermatology
Plain radiography of the abdomen revealed calcification of both adrenal glands. A homozygous mutation in LIPA
confirmed the diagnosis ... acid lipase is critical ... gut, which causes ... #clincial #peds ... calcifications #infant #NEJM
Macroglossia in Light-Chain Amyloidosis- Physical examination revealed macroglossia, with indentations from the teeth (Panel A)...A biopsy
well-recognized cause ... Early diagnosis ... #amyloidosis #clinical ... #photo #AL #lightchain ... #NEJM
Moccasin-variety Tinea Pedis 
70 M chronic scaly feet. Over the years: rash has itched only occasionally;
Over the years: rash ... Diagnosis? ... dermatophytes cause ... Variety #type #clinical ... #photo #foot #dermatology
Tinea Capitis in a Newborn- A 3-week-old male newborn was brought to the pediatrician with three
lesions, which had ... ringworm, was diagnosed ... #clinical #photo ... #NEJM #tinea #capitis ... #ringworm #derm
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
dogs & latter can cause ... gram-negative bacillus cause ... the key to the diagnosis ... #dermatology #clinical ... #photo
Acute Dacryocystitis- A 4-week-old boy was brought to the emergency department after having drainage from both
eyes for 2 days and ... from both eyes, and ... He received a diagnosis ... #NEJM #clinical ... #photo #peds #acute
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... intrinsic factor, IF) Clinical ... derm findings, ... , can consider IM ... consider other diagnosis
Disseminated Cutaneous Blastomycosis- A fungal culture of skin tissue was negative; however, a skin biopsy showed
neutrophilic abscesses, and ... methenamine–silver staining and ... staining confirmed a diagnosis ... #clinical #photo ... #derm #NEJM #cutaneous
Lichen Planus- ...On examination, numerous purple papules were noted on the anterior surface of the forearms
sawtooth rete pegs ... confirming the diagnosis ... #NEJM #clinical ... #photo #lichen # ... planus #derm #wickhams