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Welcome to Photoclinic
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CancerNetwork | ConsultantLive | Diagnostic Imaging | Psychiatric Times | SearchMedica | Physicians Practice 
© 1996 - 2010 UBM Medica LLC, a
United Business Media company
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CancerNetwork | ConsultantLive | Diagnostic Imaging | Psychiatric Times | SearchMedica | Physicians Practice
© 1996 - 2010 UBM Medica LLC, a
United Business Media company
|
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A 38-year-old woman presented with bruising and pain of the lower extremities and dyspnea on exertion. She had had these symptoms for 3 weeks. She denied hematuria, melena, hematemesis, fever, or abdominal pain. 
This rapidly growing red papule on the left palm of a 32-year-old man appeared a week after he underwent cryotherapy for wart removal. The patient denied any symptoms and had no significant medical history. 
A 45-year-old man presented with pain in his left lower leg. Erythema and induration extended from the medial aspect of the lower extremity to a few centimeters proximal to the patella. 
During a skin cancer screening, a 45-year-old male soldier was noted to have bilateral subcutaneous nodules on the dorsa of his feet. The patient reported that the nodules had remained unchanged since they first appeared in his early 20s and were asymptomatic. He had no other lesions. 
A 38-year-old man found lying on the floor in his home was hospitalized because of alcohol intoxication. A chest radiograph showed a large calcified lesion in the left upper abdomen. 
A 38-year-old man had fever and fatigue for the past 6 days and tenderness in the left
upper abdominal quadrant for the past 3 days. He also had a facial butterfly rash that
had been present for 10 years and a 1-year history of lupus nephritis, treated with prednisone
and mycophenolate. 
This rash on the face and neck of a 27-year-old man appeared periodically over a 2-month period. During this time, the patient’s work involved welding inside a steel oil tank. 
A 26-year-old woman at 30 weeks’ gestation presented to the emergency department with a throbbing frontal headache of 1 month’s duration. She had also had peripheral blurred vision for the past 2 weeks. 
Several days earlier, a 69-year-old man had a mild headache, fatigue, and tingling and prickly facial sensations. Shortly afterward, this painful, “weepy” rash developed on his forehead, upper cheek, and nasolabial folds and vision in the right eye became blurry. The patient’s history included type 2 diabetes mellitus, hypertension, and childhood varicella. 
For 10 days, a 55-year-old man had a productive cough and progressively worsening rightsided chest pain that was sharp, nonexertional, and worse with deep inspiration and movement. He denied hemoptysis, fevers, sick contacts, or recent travel. 
This dark maroon, cystic, dome-shaped, 8-mm lesion on a 75-year-old man’s back had been present for 2 years (A). It would occasionally bleed after minor trauma, such as when the patient dried his back with a bath towel. He had no history of skin cancer. 
The multiple, symmetrically distributed, soft, nontender swellings on the shoulders and torso of a 56-year-old Hispanic man are characteristic of multiple symmetric lipomatosis (MSL), also known as Madelung disease or Launois- Bensaude syndrome. 
For several months, a 43-yearold woman had erythematous plaques on the cheeks that were more prominent on the right side. The patient had no pruritus but reported occasional facial burning. She had tried overthe- counter lotions but no medicated or corticosteroid topical preparations. She was otherwise healthy and was currently taking no medications. 
A 60-year-old woman with a 3-month history of progressively worsening epigastric pain was referred for elective cholecystectomy after ultrasonography showed findings consistent with chronic cholecystitis (A and B). The patient reported having postprandial abdominal discomfort since 4 years of age. She also had occasional nausea and vomiting but denied jaundice, change in bowel habits,... 
A 70-year-old woman with poorly controlled type 2 diabetes mellitus (hemoglobin A1c, 12.5%) and hypertension was brought to the emergency department for evaluation of abdominal pain and loose bowel movements. 
A 24-year-old man was concerned about the small “bumps” on his abdomen that had been increasing in number over the past several years. They were asymptomatic. The patient denied a family history of similar lesions. 
Progressively worsening nasal congestion and headaches with diplopia and left proptosis for 2 months prompted an ophthalmology consultation for a 67-year-old woman. 
For a month, an obese 50-year-old woman with type 2 diabetes mellitus, hypercholesterolemia, and hypertension had blurry vision in both eyes. During this time, she also had ataxia and right-sided numbness. For the past 2 days, she had had horizontal, binocular diplopia with right gaze. 
A 59-year-old man presented with painful paraparesis of acute onset, severe low back pain, and shortness of breath. On initial examination, he had 0/5 strength and numbness in his lower extremities. The skin from below his umbilicus to his lower legs was pale. 
A 61–year–old man presented to the emergency department with diffuse lower abdominal pain, nausea, and severe diarrhea (20 episodes within the past 12 hours). His symptoms began the night before and had gradually worsened. He denied fever. His medical history was significant for hypertension. 
