Print Issue: April 25, 2008

Two reticulated eruptions

CASE #1 The patient was a 25-year-old woman who presented for treatment of a wart. During the examination, she was found to have vascular mottling, i.e., red macules surrounding areas of pallor, on her thighs and upper shins. The eruption was not painful and did not itch or burn. The patient thought the mottling had…

Bilateral blistering and scaling on the palms and soles

A 34-year-old black woman reported an intermittent history of blistering and scaling bilaterally on her palms and soles. The eruptions have been occurring since late adolescence. The patient complained of periodic itching and burning; rarely, she experienced pain. OTC topical antibiotic ointment and antifungal creams had brought no relief; she had not tried any prescription…

Why I still believe in calcium supplements

When BMJ published a study online that found increased cardiovascular risk among healthy postmenopausal women taking calcium supplementation, I took note as a cardiologist, a women’s health specialist, and a woman with osteoporosis (BMJ. 2008;336:262-266; also available online free of charge at: www.bmj.com/cgi/content/full/336/7638/262, accessed March 10, 2008). I probably care more about bone health than…

An elderly woman with GI bleeding, ataxia, and an unexpected twist

Symptoms of fatigue and history of breast cancer raise clinicians’ concerns over development of a new primary cancer. Ms. Q, a 70-year-old retired clinician, presented with a six-month history of weight loss (30 lb), falling down, fatigue, anorexia, low-grade fevers, and bloody stools. Her medical history was significant for mitral valve prolapse; infective endocarditis (IE)…

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