The Clinical Picture

Thinker’s sign

In a patient with orthopnea, pressure of the elbows on the thighs can cause hyperpigmentation and skin thickening.

Letters To The Editor

In reply: Aleukemic leukemia cutis

The findings were consistent with leukemic cells with monocytic differentiation.

The Clinical Picture

Norwegian scabies

Norwegian scabies is extremely contagious, and outbreaks can spread in institutions.

The Clinical Picture

Aleukemic leukemia cutis

An 85-year-old man presented with rapidly progressive nodules on the scalp, neck, trunk, and extremities.

From the Editor

Small fibers, large impact

The wide interest in small fiber neuropathy may reflect our current apparent epidemic of chronic pain.