More articles from The Clinical Picture

  • Painless sternoclavicular osteitis in fever of unknown origin: A clue to probable SAPHO syndrome

    Taisuke Kamiyoshikawa, MD, Kensaku Shojima, MD, PhD, Yoshihiro Wada, MD, PhD, Hiromitsu Yamazaki, MD, PhD, Yasuyuki Nagasawa, MD, PhD and Ken Shinmura, MD, PhD
    • Cleveland Clinic Journal of Medicine October 2026, 93 (10) 578-580;
    • DOI: https://doi.org/10.3949/ccjm.93a.25110

    • After more than 1 month of acetaminophen, the patient continued to have fever and elevated inflammatory markers.

  • A painful ulcerative lesion on the lip

    Reuben J. Arasaratnam, MD, MPH, Lenka Stankova, MD, Joseph L. Milburn, MD, Bradford T. Barker, MD, Megan B. Wachsmann, MD and Donald F. Storey, MD
    • Cleveland Clinic Journal of Medicine September 2026, 93 (9) 512-514;
    • DOI: https://doi.org/10.3949/ccjm.93a.26033

    • In addition to progressive ulceration of the right lower lip, the patient had a 1-year history of reduced appetite and a 20-pound weight loss.

  • Lemierre syndrome (septic thrombophlebitis of the internal jugular vein)

    Daichi Yomogida, MD, Shinjiro Horikawa, MD, PhD and Yoshinao Koshida, MD, PhD
    • Cleveland Clinic Journal of Medicine September 2026, 93 (9) 510-511;
    • DOI: https://doi.org/10.3949/ccjm.93a.26012

    • The patient presented with fever and left chest pain more than 2 weeks after experiencing common cold symptoms.

  • Iatrogenic calcinosis cutis from calcium gluconate extravasation

    Fotios Vlahos, MS and Iosifina Giannakikou, MD
    • Cleveland Clinic Journal of Medicine August 2026, 93 (8) 454-456;
    • DOI: https://doi.org/10.3949/ccjm.93a.25112

    • While receiving an infusion of 10% calcium gluconate, the patient developed pain, swelling, and erythema at the catheter site.

  • Mucocutaneous rash after respiratory infection

    Mandlin Abdulaziz Almousa, DMD, Narath Carlile, MD, MPH and Nathaniel Treister, DMD, DMSc
    • Cleveland Clinic Journal of Medicine August 2026, 93 (8) 457-458;
    • DOI: https://doi.org/10.3949/ccjm.93a.26001

    • The patient presented with conjunctivitis, skin rash, and oral and genital mucosal lesions 2 weeks after being ill with a fever, productive cough, and myalgia.

  • Sclerotic lesions in the metadiaphysis regions of the knee

    Alyssa Hill, MD and Morteza Khodaee, MD, MPH
    • Cleveland Clinic Journal of Medicine July 2026, 93 (7) 383-385;
    • DOI: https://doi.org/10.3949/ccjm.93a.25071

    • The patient presented with left knee pain located over her patella that had progressively worsened over 4 months.

  • An uncommon skin manifestation after radial artery catheterization

    Zachary Meili, DO, Christopher Wilson, Mustafa Almosawi, Fares Kasem, DO and Marcus Stoddard, MD
    • Cleveland Clinic Journal of Medicine July 2026, 93 (7) 387-388;
    • DOI: https://doi.org/10.3949/ccjm.93a.25085

    • A rash developed over the dorsum of the patient’s right hand immediately after compression bands were placed over the radial arteriotomy site.

  • Disseminated coccidioidomycosis masquerading as bacterial cellulitis

    Santana Maria Bachaalany, DO, Nelson Nicolasora, MD, Lindsay Ackerman, MD, Ghassan Ibrahim, MD and Trent Smith, MD
    • Cleveland Clinic Journal of Medicine June 2026, 93 (6) 321-323;
    • DOI: https://doi.org/10.3949/ccjm.93a.25096

    • The patient exhibited signs of sepsis along with progressive left breast erythema, induration, and pain.

  • Varicella-zoster virus transmission from herpes zoster exposure

    Ayano Takeiri, MD, Kentaro Ishikura, MD and Yoshitaka Tomoda, MD, PhD
    • Cleveland Clinic Journal of Medicine May 2026, 93 (5) 261-262;
    • DOI: https://doi.org/10.3949/ccjm.93a.25068

    • Two weeks before the patient developed fever and a rash, his mother had developed herpes zoster on her torso.

  • Iris roseola: A diagnostic clue in neurosyphilis

    Victor Alegre-Ituarte, MD, PhD and Elena Franz-Lacomba, MD
    • Cleveland Clinic Journal of Medicine May 2026, 93 (5) 259-260;
    • DOI: https://doi.org/10.3949/ccjm.93a.25047

    • The patient had a 3-week history of decreased vision in the left eye, with a best-corrected visual acuity of 20/100.

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