For 2 months, a pruritic rash had been present on the upper back of a 48-year-old woman with a 1-year history of chronic myelogenous leukemia and a 2-year history of hepatitis C.
ABSTRACT: Depression could affect people at any age; however, it may have a different presentation in the elderly. It can be easily overlooked, misdiagnosed, or considered a natural consequence of aging,...
Gregory F. Hayden, MD; Nathan T. Cohen, MD, BS; Mark J. Romness, MD
<p>A 9-year-old boy presents with a 10-day history of left leg pain and limp. The pain waxes and wanes, and it increases with ambulation. The limp worsens with activity. The boy plays soccer but has...
Patients often attribute an adverse reaction to food contaminants to “food allergy,” but a true food allergy is hypersensitivity triggered by the immune system.
<p>Although estimates of its prevalence vary widely, essential tremor is one of the most common neurologic disorders in adults.<sup>1,2</sup>&nbsp;It may be up to 20 times more...
<p>The combination of acute/subacute renal failure in the setting of cirrhosis can be caused by many factors, but one entity—hepatorenal syndrome (HRS)—is the most serious, with a prohibitive...
Chronic wounds are notorious for copious exudate production. Too much exudate can inhibit wound repair and cause periwound maceration because chronic wound fluid can break down extracellular matrix proteins...
<p>Hepatitis C virus (HCV) infection was recently diagnosed in an asymptomatic 53-year-old African American fireman. He had applied for a new life insurance policy prior to retirement some months...
<p class="p1">During a general skin examination, a lesion is noted on the chest of a 44-year-old man. The patient was completely unaware of this erythematous, scaly patch and is unable to...
Elaine T. Kaye, MD; Alexander K.C. Leung, MD, MBBS, FRCPC, FRCP; Alex H.C. Wong, MD; Carolyn F. Sax, MD; Elisabeth K. DiPietro, MD
<p>A&nbsp;10-year-old boy was brought for evaluation of a spreading, intensely pruritic erythroderma of 6 days’ duration. The mother, a nurse, reported that the child had intermittent low-grade...
There is growing evidence that a significant number of patients with idiopathic pancreatitis, both acute and chronic, have an underlying genetic predisposition.
<p>In this age of “technological gadgetry,” everything and everyone seems a pushbutton away. We are constantly reminded of the ubiquity of “real time,” when mundane occurrences in the work place are...