The Clinical Picture

The Clinical Picture

Paraneoplastic acral vascular syndrome

The patient presented with a painful blue great toe, abdominal pain, and unintentional weight loss.

The Clinical Picture

Erythema ab igne

The patient had been using a heating pad daily, often for several hours at a time, to relieve his back pain.

The Clinical Picture

Dysmorphic red blood cell formation

A 23-year-old woman presented with hematuria and dysmorphic red blood cells in the urinary sediment.

The Clinical Picture

Drug reaction or metastatic lung cancer?

Imaging shows nodules randomly distributed throughout both lungs, a paradoxical reaction to drug therapy.

The Clinical Picture

The Leser-Trélat sign

The patient presented with night sweats, dry cough, weight loss, and sudden onset of “itchy moles” on her back.

The Clinical Picture

Scapular rash and endocrine neoplasia

A woman in her 30s presents with an itchy skin-colored rash over her scapula of 8 years’ duration.

The Clinical Picture

Iliopsoas abscess

A 52-year-old woman with diabetes presents with pain in her lower abdomen and back.

The Clinical Picture

Osborn waves of hypothermia

The differential diagnosis includes Brugada syndrome, hypercalcemia, and early repolarization syndrome.

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