Photoclinic

A 65-year-old man was hospitalized with dyspnea and fever of a few days' duration. He complained of excessive malaise, fatigue, and weight loss but denied any hemoptysis. The patient had a history of alcohol abuse.

A 42-year-old man with a 2-year history of AIDS sought medical advice for intractable diarrhea, which he had had for several months. Standard AIDS medications were prescribed, but his compliance with the drug regimen was poor.

A 29-year-old man presented with a complaint of venereal warts and a long history of mild psoriasis, which he had treated with fluocinolone. He returned 3 months later complaining of chest congestion of 10 days' duration; it had been treated with ciprofloxacin at an urgent care facility.

For the past 3 months, a 66-year-old man has suffered fatigue and loss of appetite and weight. He was not coughing, nor had he experienced fever, chest pain, or hemoptysis. He had no history of notable respiratory disease, and he was not aware of having had tuberculosis (TB).

Loss of pigmentation is noted around the left eye of a 49-year-old African-American man—the same eye in which he has a detached retina. In addition, the patient's hearing is impaired on that side.