- Early treatment with disease-modifying anti-rheumatic drugs (DMARDs)—alone or in combination— can prevent joint damage and minimize disability.
Pruritic Pretibial RashA 69-year-old man seen because of a pruritic pretibial rash of 3 months' duration. The rash started as reddish brown papules that slowly enlarged and changed.
Photo EssayThe incidence of malignant melanoma has been rising at an alarming rate, and there is still no cure.
tips and tricksTie the Knot, Prewritten Postpartum Prescriptions Save Time, Cut Casts—and Costs, Solution for a Sticky Summer Situation
What’s The Take Home?What underlies the tender erythematous lesions on the hand and elbow of a patient with no history of recent trauma?
An Intriguing DiagnosisPhysical examination reveals a palpable mass within the patient’s left lower lid. To what diagnosis do the clinical picture and MRI scan point?
headacheThe patient is a 48-year-old married woman with 2 grown children. She began to have occasional headaches when she was 7 years old.
Pulmonary DiseaseHow can repeated visits to the emergency department (ED) for asthma exacerbations best be avoided?
Photo FinishThese ocular changes occurred in an adolescent girl who had become irritable, anxious, and depressed in recent months. What’s the connection?
PhotoclinicA 62-year-old woman with a 25-year history of dyspnea was hospitalized because of hypoxemia.
PhotoclinicA 68-year-old white man complained of a painful “raw” lip that had gradually developed over several years.
PhotoclinicTwo days after cleaning her attic, a 45-year-old woman presented with several very tender ulcers on her lower mid-abdomen, low-grade fever, and headache.
DermclinicA tender nodule; an itchy truncal rash; multiple pruritic eruptions—can you identify the disorders pictured here?
Consultations & Comments
- In most cases, the only sign of infection is an unexplained elevation in liver enzyme levels. Your challenge: to unmask the disease so that patients can benefit from the latest advances in therapy.