More articles from The Clinical Picture

  • Black hairy tongue cured concurrently with respiratory infection
    Fátima Tous-Romero, MD, Sara Burillo-Martínez, MD, Marta Prieto-Barrios, MD and Lidia Maroñas-Jiménez, MD
    Cleveland Clinic Journal of Medicine June 2017, 84 (6) 434-435; DOI: https://doi.org/10.3949/ccjm.84a.16044

    Proposed causes include medications, hyposalivation, poor oral hygiene, smoking, and infection.

  • Ring-enhancing cerebral lesions
    Aram Barbaryan, MD, Jignesh Modi, MD, Wajih Raqeem, MD, Michael I. Choi, MD, Alan Frigy, MD and Aibek E. Mirrakhimov, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 104-110; DOI: https://doi.org/10.3949/ccjm.84a.16037

    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
    Kiyoshi Shikino, MD, PhD, Takahiro Ota, MD, Takanori Uehara, MD, PhD and Masatomi Ikusaka, MD, PhD
    Cleveland Clinic Journal of Medicine June 2017, 84 (6) 436-437; DOI: https://doi.org/10.3949/ccjm.84a.16059

    The patient had undergone coronary artery bypass grafting, which caused cholesterol crystal embolism.

  • Disseminated molluscum contagiosum lesions in an HIV patient
    Telma Azevedo, MD, Alexandre Catarino, MD, Lurdes Ferreira, MD, Fernando Borges, MD and Kamal Mansinho, MD
    Cleveland Clinic Journal of Medicine March 2017, 84 (3) 186-187; DOI: https://doi.org/10.3949/ccjm.84a.16070

    The patient was diagnosed with HIV-related encephalopathy and disseminated Mycobacterium tuberculosis infection.

  • A large mass in the right ventricle: Tumor or thrombus?
    Soumya Patnaik, MD, Mahek Shah, MD, Saurabh Sharma, MD, Pradhum Ram, MD, Harish Seetha Rammohan, MD and Alexander Rubin, MD
    Cleveland Clinic Journal of Medicine July 2017, 84 (7) 517-519; DOI: https://doi.org/10.3949/ccjm.84a.16115

    A 69-year-old woman with ovarian cancer presents with worsening dyspnea, lower-extremity edema, and dizziness.

  • Porcelain heart in a uremic patient
    Hsiu-Chien Yang, MD, Chang-Han Lo, MD, Chun-Chi Chen, MD and Chia-Chao Wu, MD, PhD
    Cleveland Clinic Journal of Medicine March 2017, 84 (3) 184-185; DOI: https://doi.org/10.3949/ccjm.84a.15177

    Constrictive pericarditis due to secondary hyperparathyroidism occurs in up to 4% of patients with end-stage renal disease.

  • Secondary syphilis
    Emma Coleman, DO, Andre Fiahlo, MD and Andrei Brateanu, MD, FACP
    Cleveland Clinic Journal of Medicine July 2017, 84 (7) 510-511; DOI: https://doi.org/10.3949/ccjm.84a.16089

    A 39-year-old man presents with generalized weakness, headache, nausea, and migratory arthralgia.

  • Worsening migraine due to neurocysticercosis
    Emily J. Elliott, DO, LT MC USN and Edwin J. Landaker, MD, CDR MC USN
    Cleveland Clinic Journal of Medicine March 2017, 84 (3) 196-198; DOI: https://doi.org/10.3949/ccjm.84a.16003

    When a woman with a history of migraine had new symptoms, MRI revealed a tapeworm scolex in her brain.

  • Abdominal pain under immunosuppressive conditions
    Takayo Ota, MD, PhD, Masanobu Nakano, MSc, Noriko Tanaka, MD, Tomohiro Suzumura, MD, PhD, Nozomi Miyatake, BPharm, Yoshikazu Hasegawa, MD, PhD, Tomohiro Ozaki, MD, Hiroshi Tsukuda, MD and Masahiro Fukuoka, MD, PhD
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 874-875; DOI: https://doi.org/10.3949/ccjm.83a.15143

    A cancer patient receiving corticosteroids for a brain metastasis developed emphysematous cystitis and psoas muscle abscess.

  • Minocycline-induced hyperpigmentation
    Mahmoud Abdelghany, MD and Alan J. Kivitz, MD
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 876-877; DOI: https://doi.org/10.3949/ccjm.83a.16058

    The patient presented with extensive bluish skin discoloration that had started 1 year earlier as a small area and then spread.

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