Controversies in Clinical CareWhile its pharmacokinetics suggest that apixaban is adequate for use in patients on hemodialysis, is there clear evidence showing that the agent is both safe and effective in this role?
Photo EssayHere is a collection of 3 case reports describing conditions relating to gastroenterological disorders.
DermclinicSummertime pityriasis is a well-described entity that has alternatively been referred to as frictional lichenoid eruption in children and summer lichenoid dermatitis of the elbows of children.
PhotoclinicPyogenic granuloma is a completely benign lesion that usually arises from repeated trauma but can be seen in conjunction with ingrown toenails or with the use of certain medications such as isotretinoin or indinavir.
PhotoclinicBlue toe syndrome is characterized by the development of blue or purple discolored toes, usually occurring without any report of trauma, cyanosis, or severe hypothermia.
PhotoclinicAn 83-year-old woman presented with pustular lesions that had developed over her right knee and had progressively worsened over the past week.
PhotoclinicFissured tongue is a benign condition characterized by a fissure/groove oriented anteroposteriorly, often with multiple branch fissures/grooves extending laterally on the dorsum of the tongue.
PhotoclinicThis patient’s case emphasizes the importance of a quality medical history and physical examination, especially if considering specialty or surgical consultation.
Photo QuizAn 82-year-old man presented with a 6-year history of scalp lesions, which consisted of recurrent pustules, thick yellow-brown crusts, and inflamed eroded plaques overlying a healed graft site.
What's the Take Home?The case of asymptomatic hyperuricemia presented in this clinical vignette represents a very common situation. The major importance of such hyperuricemia is that it is the primary risk factor for gout.
What's Your Diagnosis?A 40-year-old white man presented with multiple flesh-colored lesions on the forehead that he had first noticed a year or so ago. The lesions were asymptomatic.
DermclinicGuttate psoriasis is characterized by the acute onset of small, droplike, erythematous to salmon-pink papules, usually with a fine scale.
DermclinicLymphangioma circumscriptum is a benign lymphatic ectasia with 2 components: a clinically apparent dermal vascular component, and a not-so-apparent deep subcutaneous cisternal structure.
Case In PointSkin metastases rarely present as the initial clinical manifestation of an underlying small cell carcinoma of the lung.
Consultations & CommentsAlthough the separable fastener, marketed as the zipper, has become a necessary component of modern life, its convenience comes at a price: its attack upon the penis.