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.

IM Board Review

Fever after recent travel

The patient had been taking a TNF-alpha inhibitor and had recently returned from Mexico.