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Photoclinic

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?

Photoclinic

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.

Tinea versicolor

Allergic contact dermatitis, drug-induced hypersensitivity syndrome, Stevens-Johnson syndrome, metastases to the skin, tinea versicolor, lichen spinulosus—a look at cutaneous conditions and their underlying causes.

Optic nerve dysfunction and neurosarcoidosis, orbital inflammatory syndrome, herpes simplex conjunctivitis, iritis caused by neurosyphilis, proptosis—a close look at ocular conditions and underlying causes.

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