More articles from The Clinical Picture
- Osborn waves of hypothermia
The differential diagnosis includes Brugada syndrome, hypercalcemia, and early repolarization syndrome.
- Sarcoidosis mimicking lytic osseous metastases
Sarcoidosis involves the lung in more than 90% of cases; skeletal involvement has been reported in 1% to 14%.
- Black hairy tongue cured concurrently with respiratory infection
Proposed causes include medications, hyposalivation, poor oral hygiene, smoking, and infection.
- Ring-enhancing cerebral lesions
The patient has poorly controlled HIV, seizures, and brain lesions. Is Histoplasma or Toxoplasma the cause of the lesions?
- A 68-year-old man with a blue toe
The patient had undergone coronary artery bypass grafting, which caused cholesterol crystal embolism.
- Disseminated molluscum contagiosum lesions in an HIV patient
The patient was diagnosed with HIV-related encephalopathy and disseminated Mycobacterium tuberculosis infection.
- A large mass in the right ventricle: Tumor or thrombus?
A 69-year-old woman with ovarian cancer presents with worsening dyspnea, lower-extremity edema, and dizziness.
- Porcelain heart in a uremic patient
Constrictive pericarditis due to secondary hyperparathyroidism occurs in up to 4% of patients with end-stage renal disease.
- Secondary syphilis
A 39-year-old man presents with generalized weakness, headache, nausea, and migratory arthralgia.
- Worsening migraine due to neurocysticercosis
When a woman with a history of migraine had new symptoms, MRI revealed a tapeworm scolex in her brain.

