Photoclinic

The HIV epidemic caused a considerable rise in the incidence of oral candidiasis. The infection may spread down into the esophagus when the CD4⁺ cell count falls below 100/μL. This patient’s advanced disease made him vulnerable to the dramatic spread. Topical treatment for oral candidiasis is not as effective when there is esophageal involvement.

Patients who present with congenital hand deformities in association with cardiac disorders require a detailed evaluation.

This teen sought care because of extremely pruritic nodules on the penis and scrotum. He also had mild itching on the wrists and between several finger webs. This distribution of a pruritic dermatosis is classic for scabies.

This is a case in which we believe vancomycin/Zosyn caused DIHS with lung involvement in form of bilateral pleural effusions, a very rare presentation.

These changes on the leg of a 68-year-old white man began after an episode decades earlier of thrombophlebitis associated with fracture of the lower leg. There is occasional ulceration. What's your diagnosis?