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Cleveland Clinic Journal of Medicine
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Cleveland Clinic Journal of Medicine

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Physical Exam

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    Chondrodermatitis nodularis helicis
    Maggie So, MD, FACP and Randall S. Edson, MD, MACP, FIDSA
    Cleveland Clinic Journal of Medicine May 2023, 90 (5) 277-278; DOI: https://doi.org/10.3949/ccjm.90a.22078

    The patient first noted the mildly tender, nonpruritic lesion on his left ear after he began sleeping on a firmer pillow.

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    Cholesteatoma
    Malek H. Bouzaher, MD, Suat Kilic, MD and Samantha Anne, MD
    Cleveland Clinic Journal of Medicine May 2023, 90 (5) 279-281; DOI: https://doi.org/10.3949/ccjm.90a.22064

    The patient’s audiogram showed left-sided conductive hearing loss, and examination revealed an atelectatic tympanic membrane on the left with a retraction pocket and keratin debris.

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    Oral leukoplakia and oral cancer
    Takeshi Onda, DDS, PhD, Kamichika Hayashi, DDS, PhD, Akira Katakura, DDS, PhD and Masayuki Takano, DDS, PhD
    Cleveland Clinic Journal of Medicine February 2023, 90 (2) 79-80; DOI: https://doi.org/10.3949/ccjm.90a.22044

    A 53-year-old male who had smoked for 36 years was referred by his dentist for worsening vitiligo diagnosed as leukoplakia 3 years earlier.

  • You have access
    Median rhomboid glossitis caused by tongue-brushing
    Tatsuya Shindo, MD
    Cleveland Clinic Journal of Medicine January 2023, 90 (1) 15-16; DOI: https://doi.org/10.3949/ccjm.90a.21111

    The patient had started vigorous brushing 1 month earlier after being told that she had bad breath.

  • Update in cutaneous manifestations of COVID-19: Special populations
    You have access
    Update in cutaneous manifestations of COVID-19: Special populations
    Samantha Polly, MD, Inga M. Muser, MD and Anthony P. Fernandez, MD, PhD
    Cleveland Clinic Journal of Medicine January 2023, 90 (1) 43-52; DOI: https://doi.org/10.3949/ccjm.90a.22013

    Recognition of skin reactions and their implications is beneficial to clinicians in shaping patient counseling and anticipatory guidance. An illustrated guide.

  • You have access
    Asymptomatic granules on the buccal mucosa
    Keiichi Ohta, DDS and Hitoshi Yoshimura, DDS, PhD
    Cleveland Clinic Journal of Medicine December 2022, 89 (12) 676-677; DOI: https://doi.org/10.3949/ccjm.89a.22025

    A healthy 35-year-old man presented with multiple small, white-yellow papules.

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    Spontaneous oral hematoma diagnosed as angina bullosa hemorrhagica
    Takeshi Onda, DDS, PhD, Kamichika Hayashi, DDS, PhD, Akira Katakura, DDS, PhD and Masayuki Takano, DDS, PhD
    Cleveland Clinic Journal of Medicine November 2022, 89 (11) 615-616; DOI: https://doi.org/10.3949/ccjm.89a.22040

    The lesions occur on the soft palate, buccal mucosa, and tongue, and only rarely on the masticatory mucosa such as the gingiva and hard palate.

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    Blue sclera: An overlooked finding of iron deficiency
    Yasuhiro Kano, MD
    Cleveland Clinic Journal of Medicine October 2022, 89 (10) 549-550; DOI: https://doi.org/10.3949/ccjm.89a.22045

    The pathogenesis is thought to involve thinning of collagen fibers of the sclera due to iron deficiency, allowing the bluish color of the underlying uvea to become visible.

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    Scaly plaques in a malnourished patient
    Sandra Oska, MD, Harleen Arora, MD and Allison Zarbo, MD
    Cleveland Clinic Journal of Medicine October 2022, 89 (10) 551-552; DOI: https://doi.org/10.3949/ccjm.89a.21112

    A markedly low serum zinc level and the characteristic location of the rash in a patient with long-standing alcohol use disorder and cirrhosis led to the correct diagnosis.

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    Mucormycosis presenting as dental pain
    Pankaj Garg, MS, MBBS, Aalam Sohal, MD and Sankalp Mittal, MDS
    Cleveland Clinic Journal of Medicine October 2022, 89 (10) 553-555; DOI: https://doi.org/10.3949/ccjm.89a.22001

    A root canal procedure failed to relieve the pain, and 1 week later the patient developed mobility of the left upper teeth.

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