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NEJM—Images in Clinical Medicine

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https://read.qxmd.com/read/30855746/-doughnut-lesions
#1
Akira Kobayashi, Hiromichi Iwasaki
An otherwise healthy 9-year-old girl presented to the primary care clinic with a sore throat and fever. Her temperature was 38.5°C. Physical examination revealed swollen and tender cervical lymph nodes, an inflamed uvula, enlarged tonsils, and "doughnut" lesions on both the hard and soft palates..
March 7, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30855745/african-tick-bite-fever
#2
Ines Mack, Nicole Ritz
Two brothers 10 and 12 years of age presented together to the emergency department with a 2-day history of fever and headache the day after returning from a trip to South Africa, Mozambique, and Zambia. They did not recall having any tick bites. On examination, the older brother had an eschar on..
March 7, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30811913/spindle-cell-sarcoma-of-the-tongue
#3
Matteo Brucoli, Arnaldo Benech
A 54-year-old man presented to the oral and maxillofacial clinic with a 2-month history of difficulty chewing his food. He reported that during the preceding 2 months, a painless brown lesion had grown on his tongue in the center of a white patch that had been present for years. He had no history..
February 28, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30811912/cardiac-metastases-in-melanoma
#4
Houssein Safa, Isabella C Glitza Oliva
A 61-year-old woman was seen in the oncology clinic for evaluation of two cardiac masses found on annual surveillance with 18F-fluorodeoxyglucose–positron-emission tomography (FDG-PET) (Panel A). She was asymptomatic. Ten years earlier, biopsy of the nail bed of her left great toe revealed..
February 28, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30786191/pituitary-hyperplasia-from-primary-hypothyroidism
#5
K S Shivaprasad, Kollareddy Siddardha
A 10-year-old girl presented to the pediatric clinic with headache and poor growth. On examination, her height was below the third percentile and her weight was at the tenth percentile. She had dry skin; testing showed no visual-field deficits. Laboratory studies showed a thyrotropin level of more..
February 21, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30786190/sporotrichosis
#6
Jinglin Qin, Junmin Zhang
New England Journal of Medicine, Volume 380, Issue 8, Page 771-771, February 2019.
February 21, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30763189/heart-of-gold
#7
Shelby Leuin, Jason Handwerker
A 3-year-old girl presented to the emergency department after she had ingested a metal pendant. She had not vomited and had no pain in her chest. A physical examination was unremarkable. A radiograph of the chest confirmed a heart-shaped foreign body in the proximal thoracic esophagus. Ingestions..
February 14, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30763187/thrombus-in-transit
#8
Julie Ng, Marc P Pelletier
New England Journal of Medicine, Volume 380, Issue 7, February 2019.
February 14, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30726691/oral-and-genital-ulcers-in-beh%C3%A3-et-s-disease
#9
Luiz S Guedes-Barbosa
A 31-year-old man presented to an outpatient clinic with a 5-day history of oral and genital ulcers. He had a 2-year history of recurrent oral and genital lesions, and 6 months before presentation, erythema nodosum had developed on his legs. Tests for herpes simplex virus and syphilis were..
February 7, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30726684/cutaneous-malakoplakia
#10
Thomas Gliddon, Kate Proudmore
A 53-year-old man who had undergone both liver and kidney transplantation within the previous 2 years presented to the infectious diseases clinic with a 4-month history of progressively enlarging, painless nodules on his scalp (Panel A) and perianal region. He otherwise felt well. The..
February 7, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30699323/bobblehead-doll-syndrome
#11
Nitish Agarwal, Amol Raheja
A 5-year-old girl presented to the pediatric neurosurgery clinic with a 2-year history of excessive head nodding. On examination, she was alert, with normal cognitive function. She displayed continuous, rhythmic, anteroposterior head-bobbing movements at a frequency of 2 to 3 Hz. The movements..
January 31, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30699321/peutz-jeghers-syndrome
#12
Shreya Sengupta, Sayantan Bose
New England Journal of Medicine, Volume 380, Issue 5, Page 472-472, January 2019.
January 31, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30673546/visceral-leishmaniasis
#13
Giuseppe G Loscocco, Matteo Piccini
New England Journal of Medicine, Volume 380, Issue 4, Page 379-379, January 2019.
January 24, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30673540/radial-keratotomy
#14
Sahib Y Tuteja, Muralidhar Ramappa
New England Journal of Medicine, Volume 380, Issue 4, January 2019.
January 24, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30650329/vasa-previa
#15
Shinya Matsuzaki, Tadashi Kimura
New England Journal of Medicine, Volume 380, Issue 3, Page 274-274, January 2019.
January 17, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30650327/erythema-gyratum-repens-associated-with-anal-cancer
#16
Megan Prouty, Deede Liu
A 73-year-old woman presented to the dermatology clinic with an 11-month history of an evolving pruritic, erythematous rash on her thighs, buttocks, trunk, and axillae (Panel A). The rash initially consisted of pruritic annular lesions with central duskiness and was treated with prednisone and..
January 17, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30625059/ophthalmia-neonatorum
#17
Aik-Kah Tan
A 2-week-old baby girl with a 3-day history of purulent discharge from both eyes was brought by her parents to the ophthalmology clinic. The baby had been born at full term by means of spontaneous vaginal delivery. She had not received ocular prophylaxis after delivery, and the mother had not..
January 10, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30625054/-trachealization-of-the-esophagus
#18
Nina Nandy, Tarun Rustagi
A 32-year-old man presented to the emergency department with difficulty swallowing oral secretions and the feeling that food was stuck in his throat after he ate a pizza roll. The patient reported that similar episodes had occurred previously, but in each instance the feeling resolved..
January 10, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30601749/candida-endocarditis-after-tavr
#19
Thierry Carrel, Balthasar Eberle
A 76-year-old man with a history of congestive heart failure and an ejection fraction of 45% presented to the emergency department with worsening shortness of breath. He had undergone transcatheter aortic-valve replacement (TAVR) 9 months earlier. His temperature was 39.0°C, and a grade 5 systolic..
January 3, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30601728/erythrodermic-psoriasis-and-hiv-infection
#20
Alexandra A Bowles, Brittany Smirnov
A 29-year-old man presented to the dermatology clinic with a pruritic, erythematous, and scaly rash that had first appeared 2 years earlier. He had sought no medical treatment until this presentation. His medical history included eczema during childhood and seasonal allergies. He was taking no..
January 3, 2019: New England Journal of Medicine
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