Thursday, November 8, 2012

Picture This


This patient has seen doctors for years without a diagnosis. She has crampy abdominal pain, fatigue, nonbloody diarrhea, weight loss, and fever. She attributes her weight loss to mouth pain and pain with swallowing. A colonoscopic image is shown below as are two interesting skin rashes.



Challenge: What's the diagnosis?

First two images shown under GNU Free Documentation License. Last image is in the public domain.
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3 comments:

  1. Reflex HammerNovember 8, 2012 at 9:34 AM

    IBD, causing erythema nodosum and pyoderma gangrenosum?

    ReplyDelete
  2. AnonymousNovember 15, 2012 at 5:06 AM

    IBD with extraintestinal manifestions, ie pyoderma gangrunosum, mouth ulcers, dd behcet.

    ReplyDelete
  3. CraigNovember 25, 2012 at 8:06 PM

    yes, nicely done, classic internal medicine boards questions
    -
    Picture This

    The first image shows a serpiginous ulcer; the second image shows erythema nodosum; the third image shows pyoderma gangrenosum. This is consistent with Crohn's disease.

    Sources: UpToDate; Wikipedia.

    ReplyDelete

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