congenitaA 4-year-old girl noted to have a scalp lesion on the head since birth. The patient had no other symptoms.
nevoidA 22-year-old woman presented to the dermatology clinic with asymptomatic erythematous patches on her right upper extremity (Figure 1) and right chest of 14 years duration.
hematomaA 67-year-old woman presents for routine skin exam. The patient had no personal or family history of melanoma, but had surgeries to remove 2 squamous cell cancers on the cheek and forehead.
acneBlack woman with history of hyperpigmented patches and erythema on her bilateral cheeks as well as cystic papules diagnosed with rosacea.
Drug TestA 24-year-old soldier presented to the emergency department complaining of sharp, suprapubic pain with radiation along the inner thigh for the last 3 weeks.
Erythema Annulare CentrifugumA 54-year-old female presented for evaluation of an asymptomatic rash on her left lower back of 3 months duration.
AsteatosesAn 11-year-old female returned from a family trip to Hawaii with a new itchy rash that started a few days after they were there.
candidiasisA 91-year-old female presented for a perioral rash of 2 years duration; she complained of a burning sensation.
WarfarinUnprovoked DVT is a term used to describe the occurrence of DVT in the absence of currently recognized triggers, such as surgery, long-haul travel, immobilization, or trauma.
sleepThis Top Paper1 is a cautionary tale of a disconcerting primary care complicity, the power of direct-to-consumer marketing, and insomnia, played out in the context of a common practice—that of prescription hypnotic drugs.
allergic reactionThis collection of photo-based cases on allergic reactions includes bahia grass, nickel dermatitis, and allergic angioedema.
DyspneaAn 80-year-old patient was referred to our institution for hypoxemia and a disabling shortness of breath.
Diabetes Q&AThis Q&A explores the relationship between diabetes and stroke, discussing risk of stroke in patients with diabetes, insulin treatment, and hyperglycemia.
Parkinson DiseaseA 70-year-old man presents complaining of “not being able to move.” He cannot precisely remember time of onset, but it is certainly subacute, dating back several months
thymomaA 52-year-old male comes in to your office with a 2-view chest x-ray. There is an abnormal finding—an anterior mediastinal lesion.
PhytophotodermatitisAn 18-year-old female returned from Mexico and was concerned about the hyperpigmentation on her right forearm.
biliary cystA 16-month-old previously healthy girl presented to the emergency department after having had 4 days of constipation and nonbloody, nonbilious emesis after every feeding.
CancerMedicine’s history is of slow, incremental progress with many pauses, reverses, and explosive accelerations.
Editor’s NoteDiabetes affects 25.8 million children and adults in the United States and contributes to over 230,000 American deaths each year.1 If trends continue, 1 in 3 American adults will have diabetes by 2050.