Asthma or Something Else? That Is the Question
Worsening respiratory symptoms and fatigue of 6 months’ duration brought a 44-year-old woman in for evaluation. Diagnosed with asthma 2 years earlier, she was compliant with, but unresponsive to treatment. Your impressions?
Pulmonary Sarcoidosis in a 44-Year-Old Woman
Polyglandular Autoimmune Syndrome Type 2
There are 4 manifestations of this syndrome; each is characterized by involvement of at least 2 glandular organs in autoimmune mediated diseases that lead to organ hypofunction.
Erythroderma in a 60-Year-Old Man: What Cause?
The patient's medical history was notable for hypertension, diabetes mellitus, and seizure disorder. Here, find images and lab results; then select a diagnosis.
Mycosis Fungoides as Cause of Erythroderma
The patient was treated with a combination of topical corticosteroids, oral retinoids, and psoralen with ultraviolet A (PUVA) therapy, with significant improvement in his symptoms over time.
Reversible Coma in a Young Postpartum Woman
A young woman was admitted at 36 weeks' gestation with severe preeclampsia. During delivery, she experienced generalized seizures. She remained postictal throughout the normal vaginal birth.
Osteomyelitis in a 75-Year-Old Heroin User
Presenting complaints were fever, nausea, and lower abdominal pain that worsened with walking. Osteomyelitis is not commonly included in a differential for abdominal pain. This case is different.
Re-Expansion Pulmonary Edema in an Older Woman
Re-expansion pulmonary edema is noncardiogenic and follows re-expansion of the lung after thoracentesis is performed for large amounts of pleural effusion or for pneumothorax.
Trachealization of the Esophagus
Eosinophilic esophagitis is often misdiagnosed as gastroesophageal reflux disease but does not respond to acid suppression therapy. Here, a close-to-textbook case.
Gastric Phytobezoar: A Case Report
Scrotal Calcinosis in Normocalcemic Primary Hyperparathyroidism
A 32-year-old man with no significant medical history presents with multiple scrotal lesions that he claims have been present for 2 years. They are non-tender and he reports no overt symptoms. The full case, here.
Bilateral Corpus Callosum Stroke
Bilateral strokes of the corpus callosum are uncommon because of the rich blood supply of this structure from three main arterial systems.
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