I AM A LOOKING TO GO

What’s causing this cancer patient’s painful rash?

Figure 1 Quiz of the Week A 44-year-old female recently diagnosed with acute myeloid leukemia presents with a five-day history of a ​fever, malaise, and a painful rash ​approximately three weeks after chemotherapy​. Examination reveals erythematous papules on her back, arms, and the ​dorsum of both hands. A blood test shows an elevated white cell…

Do you recognize these ring-shaped lesions?

Do you recognize these ring-shaped lesions?

Figure 1 Quiz of the Week A 69-year-old woman with a history of hypertension and irritable bowel syndrome presents with multiple ring-shaped lesions on both hands. The lesions are non-pruritic and developed over the past four days. When she visits for follow-up two weeks later, the lesions remain present.    Original image posted by @osler1982….

When to initiate treatment in patients with HIV

Figure 1 Quiz of the Week A 60-year-old man who is HIV positive presents with fever, dyspnea, and inflammatory lesions on the skin. A biopsy reveals a diagnosis of histoplasmosis.  Image credit: @BiBiRamos. #AIDS15.   Answer: Any CD4 count The WHO now recommends ART should be started at any CD4 count. Early initiation of ART can…

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…