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Cold White Fingers

This young woman's fingers become cold and white intermittently during the winter months since she moved to the northeast from the Caribbean. She also describes intermittent shortness of breath. What do you suspect?


Pyoderma gangrenosum

The lesions may mimic infectious, vascular, inflammatory and other ulcers; they do not respond to antibiotics and debridement often exacerbates the ulcer.

Lemierre syndrome

Symptoms closely resemble "strep" throat but suspicion for Lemierre should run high when pharyngitis and fever persist.

Asthma and allergy symptoms, lupus, Lyme disease, Rocky Mountain spotted fever, southern tick–associated rash illness—several seasonal disorders are brought to light in this concise slideshow.

Phototoxicity, venous lakes, polymorphic light eruption, keratoacanthhoma—this photo essay brings common solar scourges into focus.

Patients with dermatitis herpetiformis should be referred for consultation with a gastroenterologist for evaluation and follow-up.

This self-limited albeit recurrent condition is often triggered by antigenic stimuli, including infections, most often HSV, and medications.

The history of T-wave inversions, normal variant (or benign) causes, ST segment elevation myocardial infarction, hyperkalemia, Wellens’ syndrome, proximal left anterior descending artery occlusion—an evaluation of ECGs and what stories they can tell you.


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