PhotoclinicA 50-year-old woman presented to a dermatology clinic with new-onset swelling, pruritus, and discomfort in the areas of red ink within the tattoo on her right lower abdomen, which she had obtained 18 years prior to presentation.
Case In PointApproximately 2.5% of adrenal masses represent metastatic disease, and 5% are adrenocortical carcinoma (ACC). Given the poor prognosis associated with ACC, early diagnosis and curative resection are critical.
Consultations & CommentsIn August 2020, the American Gastroenterological Association published clinical practice guidelines for the role of probiotics in the management of gastrointestinal disorders. The document is not specific to pediatric practice per se, but recommendations are included for specific populations that include children and neonates.
PhotoclinicA 21-month-old boy was brought to the clinic by his mother for a hospital discharge follow-up visit. The patient had a history of gastroesophageal reflux disease, asthma attack, bronchiolitis, and recurrent wheezing.
Photo EssayThis article is part of a series describing and differentiating dermatologic lumps and bumps. In part 8, prurigo nodularis and nodular scabies are described.
Pulmonary PitfallsAnaphylaxis is a clinical syndrome, not a single disorder. With the frequent introduction of new therapeutics such as monoclonal antibodies, vaccines such as COVID-19 vaccines, and chemotherapies, it is important to understand the underlying causes of anaphylaxis.
PhotoclinicA boy with a prenatally diagnosed large neck mass was born early via cesarean delivery at 36 weeks and 5 days of gestation. The pregnancy had been otherwise uncomplicated.
PhotoclinicA 62-year-old woman presented to the hospital with lower extremity pain. The pain had initially begun in her left leg distal to her knee. She had thought the pain was secondary to osteoarthritis.
What's the Take Home?A 69-year-old previously healthy man had experienced the acute onset of weakness in his right hand and arm after driving home from playing a round of golf. The weakness progressed quickly from paresis and poor control to essentially flaccid paralysis within a few minutes.
Case In PointA 16-year-old fully vaccinated boy with a history of asthma presented to the emergency department with persistent jaundice and increasing bilirubin levels.
What's Your Diagnosis?A 72-year-old man presented to our clinic with a rash on his chest. The rash had been present for 1 month and was pruritic and red.
PhotoclinicA 4-month-old girl was transferred to our hospital from her primary care physician’s office with concern for worsening feeding intolerance and poor weight gain. The girl had been born preterm at 26 weeks of gestation, with a history of bronchopulmonary dysplasia and gastroesophageal reflux disease.
Photo QuizAn 81-year-old man was referred to a dermatology clinic with discoloration of the right thumbnail. The nail discoloration had been present for a month and a half and was not associated with pain.