Clinical

Do you recognize this blistering pruritic rash?

Figure 1 Quiz of the Week A 4-year-old boy with known G6PD deficiency is brought to the pediatrician by his mother with a blistering pruritic rash. On examination, numerous tense vesicles and bullae are seen on his neck, lower abdomen, and extremities. Ulcerative lesions on his buccal mucosa are also noted. Direct immunofluorescence of a...

A case of “broken-heart” syndrome

Figure 1 Quiz of the Week A 67-year-old woman presents to the emergency room with acute chest pain and dyspnea after the death of her husband. She is hypotensive, tachycardic, and diaphoretic. A diagnosis of takotsubo cardiomyopathy is suspected.   Image credit: @bioplasmik.   Answer: Normal coronary arteries The diagnosis of takotsubo, or stress-induced cardiomyopathy,...

Which infection preceded this cutaneous eruption?

Figure 1 Quiz of the Week An 8-year-old boy is brought to the pediatrician by his mother over concerns of a new-onset rash. He is otherwise healthy, though his mother mentions that he was unwell two weeks prior to the rash appearing. On examination, numerous small salmon-pink scaly papules are seen on his trunk and...

What’s causing this patient’s diminished femoral pulses?

Figure 1 Quiz of the Week A 56-year-old man presents with a three-month history of erectile dysfunction and bilateral buttock pain on exertion, but not at rest. His past medical history is significant for type 2 diabetes, dyslipidemia, and hypertension. Examination reveals bilaterally diminished femoral pulses.   Image credit: @surgeon2015.   Answer: Leriche syndrome (aortoiliac occlusive...