- <p>A 36-year-old homosexual man presented with a 2-week history of odynophagia to liquids and solids; he had no dysphagia or heartburn.</p>
- Woman with a history of smoking underwent a chest film and CT scan and was diagnosed with cavitary lung cancer with metastases.
- <p>A 70-year-old man was concerned about these dark lesions that covered his back and legs.</p>
- <p>A 3-mm long, double-tipped, polypoid lesion appeared just anterior to the anus on an 8-month-old girl 2 days earlier.</p>
- <p>A 35-year-old man was hospitalized with severe dehydration secondary to necrosis of the throat.</p>
- A woman with a rash was diagnosed with tinea faciei.
- Tinea manuum typically arises as a flat, scaly lesion that eventually manifests a raised, rounded border that enlarges and may develop red papules or vesicles.
- A 56-year-old man had an asymmetric, maculopapular, sharply demarcated, pruritic, excoriated dermatitis on his upper thighs.
- The differential diagnosis for moccasin-variety tinea pedis includes contact dermatitis; eczema; chronic irritation, as from ill-fitting shoes; and psoriasis.
DermatologyA 24-year-old man presented for evaluation of pruritic vesicles on both feet.
Pain, fibromyalgia syndromeFibromyalgia syndrome (FMS) is a chronic, painful, and sometimes disabling condition commonly encountered by primary care physicians. Recent research has provided information about the pathophysiology of FMS that has implications for treatment. For example, it now seems most likely that the major pathophysiologic mechanisms of FMS involve central sensitization in the CNS, although a peripheral source of nociception may initiate and/or perpetuate this sensitization.