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WASHINGTON -- This special report from Stanton M. Paddock, a MedPageToday contributing photographer, presents Ted Bader, M.D., of University of Oklahoma, discussing infection of Hepatitis C in Vietnam veterans.

DDW: A Multimedia Special Report

A 67-year-old woman noted the appearance of several non-tender, rock-hard, purple-colored nodules on her legs. Her medical history was significant for distant non-Hodgkin lymphoma.

A 67-year-old woman noted the appearance of several non-tender, rock-hard, purple-colored nodules on her legs. Her medical history was significant for distant non-Hodgkin lymphoma. The violaceous color and configuration of the skin lesions suggests which of the following? 

Clinical Topics

Hard Purple Nodules: Your Dx?

A 32-year-old woman presents with recurrent episodes of lip swelling associated with massive, painful blister formation and crusting.

A 32-year-old woman presents with recurrent episodes of lip swelling associated with massive, painful blister formation and crusting. What is this?

Perioral Blistering and Crusting

"These [antiobesity] agents are meant to be used to help patients with a healthy lifestyle. They work best and long-term if patients also receive education on the essentials of a healthy diet and physical activity." 

 obesity and weight management expert Caroline Apovian, MD, emphasized for primary care clinicians that GLP-1 receptor agonists when used for chronic weight management should be paired with patient counseling for an optimal outcome. 

is a professor of medicine a Harvard Medical School and codirector of the Center for Weight Management and Wellness in the division of endocrinology, diabetes, and hypertension at Brigham and Women's Hospital in Boston, MA. Apovian is one of the founding creators of the American Board of Obesity Medicine, the body that provides certification and recognition for physicians who have specialized knowledge and training in the practice of obesity medicine.

Dr Caroline Apovian reminds primary care clinicians who care for patients with obesity that diet and lifestyle counseling are essential for maximum results.  

Medication Can't Do It All, Says Obesity and Weight Management Expert

This relatively small (1 cm), pigmented nodule of uncertain duration was noticed on the left arm of a 57-year-old man with a history of skin cancer.

This relatively small (1 cm), pigmented nodule of uncertain duration was noticed on the left arm of a 57-year-old man with a history of skin cancer. What do you suspect here?

Nodule With Dark Black Pigmentation: Your Dx?


These 2 patients presented with a swollen hand and rapidly proximally progressive edema secondary to a bite.

These 2 patients presented with a swollen hand and rapidly proximally progressive edema secondary to a bite. What creature did the biting?

Swollen Hands-What’s Biting?

These are the hands of a 60-year-old black woman who, besides a chronic palmar discoloration, has a history of joint pain, muscle weakness, and Raynaud phenomenon. Physical examination showed proximal muscle weakness and mild synovitis in her metacarpophalangeal joints. She was mildly anemic, but renal function and urinalysis results were normal. Her creatine phosphokinase level was elevated at 3435 U/L. Her chest x-ray showed mild interstitial changes at the lung bases.

The 60-year-old black woman has a history of joint pain, muscle weakness, and Raynaud phenomenon. Why the “dirty hands”?

Dirty Hands

Stanton M Paddock

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