Uncategorized - Clinical Advisor

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Ortho Dx: Sudden Onset Knee Pain

SONK often starts with a sudden onset of knee pain that may worsen at night. SONK must be differentiated from secondary osteonecrosis, which most commonly results from corticosteroid use. Other conditions that cause secondary osteonecrosis include alcoholism, smoking, and coagulopathy. SONK is thought to result from an insufficiency fracture of the femoral condyle that fails…

Derm Dx: Flesh-Colored, Polypoid Lesion on the Abdomen

The patient underwent excisional biopsy that revealed adipose tissue entrapped within bundles of collagen, a finding indicative of a pedunculated lipofibroma. The most common type of these soft fibromas are skin tags (acrochordons), which occur in approximately 25% of men and women and are characterized by pedunculated lesions that range in color from flesh-toned to…

Painful, Itchy Facial Rash

Tumid lupus, also known as lupus erythematosus tumidus (LET), is an uncommon autoimmune disorder caused by a multitude of factors such as genetics, the environment, and hormones.1 LET is more commonly seen in men aged 41 to 50 years. Dysregulation of the immune system has been postulated as contributing to the pathophysiology of LET.2 Data…

Inflamed, Hyperpigmented Axillary Plaque

Hailey-Hailey disease (HHD), also known as familial benign chronic pemphigus, is a rare genetic dermatosis that causes keratinocyte acantholysis and disruption of the desmosome-keratin complexes in the suprabasal layers of the epidermis.1 Howard and Hugh Hailey first characterized it in 1939 in their case study of 2 adult brothers with a unique blistering syndrome.2 The…

Ortho Dx: Alcoholism-Induced Avascular Necrosis of the Hip

Nontraumatic avascular necrosis of the hip is a result of the disruption of the arterial supply to the femoral head. Several conditions have been associated with AVN, including chronic alcohol use, hypercoagulable states, steroid use, sickle cell disease, and trauma. Alcoholism and steroid use contribute to >65% of nontraumatic cases of AVN. The most widely…

Derm Dx: Circular, Ecchymotic Lesions on the Back

Cupping therapy is an ancient modality used to treat various medical conditions.1 Cupping involves creating suction with a ceramic, bamboo, plastic, or glass cup pressed against the skin. The application of a flame to the cup removes oxygen to create negative pressure; this can also be achieved with a suction device.2 The 2 most common…

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