Volume 45 - Issue 5 - May 2005

A 24-year-old woman complained of a rash on both feet and legs. She had also had intermittent pain in both ankles for the past year.

Three days after having eaten fish, a 66-year-old woman was brought to the emergency department because of macroglossia--a presentation of anaphylaxis.

A 3-year-old girl discovered lesions on her instep and great toe, where there was significant pressure from the old rubber sandals that she had been wearing.

Two days after beginning therapy with amlodipine, this 30-year-old woman noticed a pruritic, erythematous, macular dermatitis on her ankles.

A 31-year-old woman is seen by her physician because of mottled skin on the dorsa of the hands, low blood pressure, and a confusing array of abnormal physical findings and laboratory test results.

Lichen sclerosus et atrophicus can develop at any age and may affect either sex and persons of all ethnicities.

What clues on these ECGs point to the cause?

A 3-month-old boy was initially evaluated for a skincolored, 1 x 3-cm, diffuse swelling in the right superior orbit area.

A 65-year-old man had sustained lacerations on the dorsum of his right wrist and his right middle finger from a shattered glass door.

An 8-year-old boy was evaluated because of widespread lesions on his face, arms, and legs.

A 17-year-old girl had a “mole” on the chin since childhood. The ovoid lesion had grown slightly over the previous few years, but it had maintained the same general configuration.

Oral ulcers + progressive weakness + fatigue in a middle-aged woman = ?

What do the clinical history and colonoscopic findings suggest is the cause of this man's diarrhea, nausea, and fever?

The lungs are a common site of metastatic disease (Table). Because the entire cardiac output flows through the lungs, the risk of hematogenous metastases is very high. Excluding...

A slowly progressive rash; pruritic lesions in the antecubital fosse; circular scaling, erythematous plaques—can you identify the disorders pictured here?

Fungus identification 101; How to manage insulin resistance in children: and Exercise: fit for all ages.