What's the Take Home?A 31-year-old woman is seen in the office several weeks after having sustained a Doppler ultrasonography–confirmed deep vein thrombosis of her left popliteal vein with some extension proximally. She had been treated with apixaban and currently is on maintenance anticoagulation with that agent.
PhotoclinicA 29-year-old woman with HLA-B27-positive spondyloarthropathy who had been on adalimumab for the past year presented with rapid development of widespread, tender, erythematous, scaly papules and pustules coalescing into plaques and suppurative bullae.
Pulmonary PitfallsPrednisone is a prodrug. Prednisone is a glucocorticoid. Prednisone is a mineralocorticoid. But is prednisone a poison? What have patients taught us about prednisone?
PhotoclinicA patient in his 30s was referred to a dermatology practice for patch testing due to recalcitrant hand dermatitis. The rash had been present for approximately 5 years. It had begun on his hands and wrists.
Photo EssayThis article is part 11 of a 15-part series of Photo Essays describing and differentiating conditions affecting the nails. Parts 12 through 15 will be published in upcoming issues of Consultant. To access previously published articles in the series, visit the Consultant archive at www.Consultant360.com and click the “Journals” tab.
PhotoclinicA 65-year-old man with no significant medical history presented to the emergency department to which he had been sent from an outside facility to rule out tuberculosis. His primary concern was back pain.
PhotoclinicA 45-year-old man with a history of gastroesophageal reflux disease was admitted to the hospital for elective repair of severe mitral valve regurgitation.
PhotoclinicA 3-year-old boy presented for a well-child visit with a history of thrombocytopenia and absent radii (TAR) syndrome. At the well-child visit, the mother has no health concerns about her son and states that he has been meeting all developmental milestones despite his physical abnormalities.