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NEJM—Images in Clinical Medicine

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https://www.readbyqxmd.com/read/28423304/candida-esophagitis
#1
Takeshi Kondo, Kazuhiko Terada
A 72-year-old man presented with a 2-week history of odynophagia (pain on swallowing). Sixteen months before the onset of this symptom, the patient had received a diagnosis of diffuse panbronchiolitis, and he had been receiving long-term treatment with macrolide antibiotics since then. He had not..
April 20, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28423297/osteopetrosis
#2
Udayshankar Yaga, Prashanth Panta
A 6-year-old girl was brought to the dentist by her parents, who reported that she had only a single tooth. Her medical history revealed that she was the child of consanguineous parents. She had partially impaired hearing and had lost her vision at 2 years of age. In addition, she had strabismus,..
April 20, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28402768/primary-hyperoxaluria
#3
Dapeng Jiang, Hongquan Geng
A 3-year-old boy presented to the pediatric urology clinic with a 6-month history of gross hematuria and intermittent abdominal pain. Urinalysis revealed red cells, white cells, and 3+ protein. The serum creatinine level was 0.9 mg per deciliter (80 μmol per liter; normal range in 3-year-old..
April 13, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28402761/dyskeratosis-congenita
#4
Daniel A Kelmenson, Michael Hanley
A 52-year-old man presented to the pulmonary clinic with a 2-month history of cough and dyspnea on exertion. He had a history of pancytopenia, although previous evaluation, including bone marrow biopsy, had not resulted in any diagnosis of the cause. His brother had died after undergoing bone..
April 13, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28379799/regression-of-coronary-atherosclerosis-with-medical-therapy
#5
Abhishek Keraliya, Ron Blankstein
A 42-year-old man with hyperlipidemia and a family history of coronary artery disease presented with a 4-month history of intermittent exertional chest pain. Myocardial perfusion imaging performed during exercise showed moderate ischemia in the distribution of the left circumflex coronary artery..
April 6, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28379795/gartner-s-duct-cyst
#6
Jacob P Hoogendam, Marieke Smink
A 29-year-old woman presented to an outpatient gynecology clinic 4 months after an uncomplicated vaginal delivery with a mass protruding from the vaginal canal. She reported no urinary tract symptoms or abnormal vaginal discharge. A physical examination revealed a smooth, nontender mass, 5 cm in..
April 6, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28355516/kaposi-s-sarcoma-of-the-oral-cavity
#7
Elizabeth Kennedy-LeJeune, Vince D Cataldo
A 33-year-old man presented to the emergency department with fatigue and with lesions in the oral cavity and on the skin. Physical examination revealed multiple, firm, nontender, violaceous plaques of the palate and gums. He had similar lesions on his face, chest wall, and legs. Laboratory studies..
March 30, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28355510/tumbu-fly-larvae
#8
John J Park, Jonathan Costello
A 46-year-old woman presented to the emergency department with a 10-day history of pain and swelling in her right arm. She had recently returned to the United Kingdom from the Ivory Coast. Examination revealed distinct areas of ulceration with surrounding erythema distal to her right elbow...
March 30, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28328345/incidental-finding-of-oleothorax
#9
Abhilash Koratala, Vikrampal Bhatti
An 86-year-old woman with hypertension who had been treated for pulmonary tuberculosis in the 1950s presented with burning chest and epigastric pain. She had no respiratory symptoms. After acute coronary syndrome was ruled out, she was treated for gastroesophageal reflux, which relieved her..
March 23, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28328332/fournier-s-gangrene
#10
Chih-Sheng Huang
A 46-year-old man with uncontrolled type 2 diabetes and alcoholic liver disease presented to the emergency department with painful swelling in the scrotum and perianal region. His temperature was 37.7°C, his pulse 130 beats per minute, and his blood pressure 97/61 mm Hg. The physical examination..
March 23, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28296615/protruding-iris-collarette
#11
Saiqun Li, Lingyi Liang
A 37-year-old woman presented to an ophthalmologist with itching and watering of her eyes. Examination revealed conjunctival papillary reaction and mild hyperemia, findings that were consistent with allergic conjunctivitis. Her visual acuity was 20/20 in both eyes. The intraocular pressure was..
March 16, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28296609/plasmacytomas-and-plasma-cell-leukemia
#12
Uqba Khan, Tarik Hadid
A 63-year-old man with IgG lambda multiple myeloma presented with progressive weakness and fatigue. He had received the diagnosis of IgG lambda multiple myeloma 4 years earlier and had been treated with several regimens. Physical examination revealed multiple exophytic subcutaneous lesions..
March 16, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28273025/glucagonoma-associated-rash
#13
Luke Mountjoy, Daniel Kollmorgen
A 65-year-old man with type 2 diabetes and deterioration of glycemic control presented with a 2-to-3-month history of weight loss (7 to 8 kg), early satiety, and mild flank pain. Before the occurrence of these symptoms, a rash had developed over the course of 3 to 4 weeks. The rash involved the..
March 9, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28273013/grouped-pustules-on-an-erythematous-base
#14
Michael A Cardis, Helena B Pasieka
A 27-year-old woman with a history of genital herpes presented to the emergency department with painful, burning lesions on her left arm. On physical examination, grouped, coalescing pustules that had scalloped borders on an erythematous base and that were tender to palpation were seen on the left..
March 9, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28249137/iodide-associated-sialadenitis
#15
Mehdi Afshar, Mosaad Alhussein
A 67-year-old man presented to the emergency department with neck swelling, dysphagia, and hoarseness that had started several hours after coronary angiography was performed. He had previously undergone heart transplantation owing to idiopathic dilated cardiomyopathy complicated by chronic kidney..
March 2, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28249129/cholesteryl-ester-crystals-in-lysosomal-acid-lipase-deficiency
#16
Vladimir Ivashkin, Maria Zharkova
An 18-year-old woman presented with persistently elevated aminotransferase levels after varicella infection. She was taking no medications and did not drink alcohol. Physical examination revealed a low body-mass index (the weight in kilograms divided by the square of the height in meters) of 18, a..
March 2, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28225680/gastric-gyri-pediatric-m%C3%A3-n%C3%A3-trier-s-disease
#17
Chisato Akita, Yutaka Saikawa
A previously healthy 5-year-old boy presented with a 4-day history of nausea, vomiting, and intermittent abdominal pain. Physical findings were unremarkable except for mild periorbital edema. Laboratory studies revealed hypoproteinemia with an albumin level of 2.0 g per deciliter (normal range in..
February 23, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28225672/empyema-necessitatis
#18
Ronaldo A Gismondi, Luiz F F de Souza
A 40-year-old man presented with a 3-month history of fever, weight loss, dyspnea, and cough. Physical examination revealed a tender, bulging anterior thoracic mass and a small ulcerative lesion that was inferomedial to the right nipple (Panel A). Computed tomographic scans showed a pleural..
February 23, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28199806/eosinophilic-otitis-media
#19
Hugo Lara-Sánchez, Luis A Vallejo
A 50-year-old man presented with a 6-month history of pain, intermittent otorrhea, and progressive hearing loss in both ears. He had a history of asthma, recurrent sinus disease with nasal polyps, and aspirin sensitivity. Otoendoscopy revealed polypoid masses in the external canals of both ears...
February 16, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28199804/gas-in-the-left-atrium-and-ventricle
#20
Mary Thomson, Fredy El Sakr
A 60-year-old man with coronary artery disease, ischemic cardiomyopathy with biventricular implantable cardioverter–defibrillator placement, and atrial fibrillation presented with chest pain and numbness in both arms. During his initial presentation, he suddenly collapsed and became unresponsive...
February 16, 2017: New England Journal of Medicine
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