PhotoclinicA 63-year-old African American woman presented to a dermatology clinic for evaluation of a 2-month history of asymptomatic progressive hypopigmentation of her right hand and forearm. She had a family history of unspecified hypopigmentation in her father, and she wanted to be evaluated for possible vitiligo.
What's Your Diagnosis?A 51-year-old woman was hospitalized with sepsis secondary to tubo-ovarian abscess. She received intravenous ampicillin-sulbactam and underwent percutaneous drainage. Intravenous ciprofloxacin was added to broaden antibiotic coverage. Three days later, she developed a purpuric, nonblanching, mildly pruritic rash affecting her extremities and trunk.
Case In PointA 34-year-old man with a history of new-onset insulin-dependent type 2 diabetes mellitus (T2DM) presented to a tertiary care center for evaluation of 1 month of generalized fatigue, anorexia, and weakness.
What's the Take Home?A 71-year-old man presents with a subacute history of pain and stiffness in his dominant left hand. The symptoms had begun 6 months prior with significant pain in the middle of his palm and down through his middle finger, affecting his metacarpophalangeal and proximal interphalangeal joints.
PhotoclinicA 35-year-old woman with no pertinent past medical history presented to the emergency department with a 1-month history of nonbilious, nonbloody emesis and a 1-week history of intractable lower left-sided abdominal pain, bloating, and an inability to tolerate oral intake.
PhotoclinicA woman in her late 50s was seen at a dermatology practice for consultation and patch testing. She reported that a rash had been present for more than 2 years. It had initially started on her face and then had spread to involve her neck and sometimes her arms.
Photo EssayThis article is part 6 of a 15-part series of Photo Essays describing and differentiating conditions affecting the nails. Parts 7 through 15 will be published in upcoming issues of Consultant.
PhotoclinicA 41-year-old man with a history of treated hepatitis C virus infection, methadone dependence, and intravenous drug use presented with a 1-day history of left suprascapular pain. He reported intravenous heroin injection 2 weeks prior to presentation.