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.


The Clinical Picture

Pancreatitis: The great masquerader?

Pancreatitis, panniculitis, and polyarthritis syndrome mimics rheumatologic disease, often presenting without abdominal pain.

The Clinical Picture

Calcific uremic arteriolopathy

A 51-year-old man with end-stage renal disease presented with extensive necrotic ulcers and eschar on both legs.

The Clinical Picture

Methemoglobinemia in an HIV patient

He had restarted his home dapsone prophylaxis, but his dyspnea worsened and his urine became dark.

The Clinical Picture

Paraneoplastic acral vascular syndrome

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