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A brief description of the clinical highlights and a single image: your best diagnostic guess? 

Image IQ

Here: a gallery of 5 unusual clinical cases and images from our partner Figure 1.

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

This radiograph from a 53-year-old woman revealed esophageal stricture with proximal dilatation in addition to pneumoperitoneum. Pneumatosis cystoides intestinalis (PCI) was diagnosed.

Reactions range from mild and localized to life-threatening and even fatal. All bites must be treated as true emergencies.

A 60-year-old homosexual man presented to the outpatient clinic with a 3-day history of facial rash associated with pain. The rash did not affect any other part of the body. He was not currently taking any immunosuppressive medication. What’s your diagnosis?

A 58-year-old man asks about this painless lesion on his left third digit. It does not itch, burn, or sting and there are no other similar lesions. He had a history of basal cell carcinoma on the arm and several more recent actinic keratoses on his scalp. What’s your diagnosis?

This annular violaceous plaque, which had been present for a few months, was unresponsive to treatment for tinea corporis with topical antifungals. Which of the following statements is true?

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