A Case of Raccoon Eyes & Weight Loss

Vascular fragility owing to infiltration of vessel walls
A 58-year-old man presents with a 2-year history of eyelid lesions, fatigue, and 'raccoon eyes'. Explore the diagnosis behind these classic signs.
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A Surprising Cause of Chest Pain

Intrathoracic migration of a breast implant
A 73-year-old woman with a history of thoracotomy presents with sudden chest pain. Explore a rare complication found on her chest CT scan.
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A Misdiagnosed Facial Rash

Discoid lupus erythematosus
A 42-year-old woman presents with a two-year facial rash, initially treated as acne. Discover the key findings that led to the correct diagnosis.
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Painless Red Growth on the Eye

Conjunctival papilloma
A 26-year-old man presents with a 2-month history of a painless, reddish growth on his left eye. Explore the diagnosis and management of this common ocular lesion.
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A Child’s Mysterious Cheek Lesion

Primary cutaneous HSV-1 infection
A 9-year-old girl presents with a crusted plaque on her cheek, fever, and swollen lymph nodes. Explore the differential diagnosis and key diagnostic clues.
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A Curious Rash in a Lupus Patient

Cold avoidance
A 29-year-old woman with lupus presents with an itchy, painful rash on her nose and hands after the weather turned cold. What is the diagnosis?
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Forehead Lesion: More Than a Wrinkle

En Coup de Sabre
A 70-year-old woman presents with a progressive linear depression on her forehead. Learn about this rare form of localized scleroderma and its diagnosis.
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Pain, Skin, and Kidney Clues

Fabry's disease
A 44-year-old man has heat intolerance, burning pain, skin lesions, and proteinuria. Explore the diagnostic journey of this rare multi-system disorder.
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The Hidden Bump in Diabetes Management

Rotating insulin injection sites
A 65-year-old man with type 2 diabetes develops skin masses and poor glycemic control. Discover a common but preventable complication of insulin therapy.
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Rectal Bleeding After River Baths

Praziquantel
A 29-year-old man presents with rectal bleeding. His history of bathing in rivers in Brazil and lab findings of eosinophilia point to a surprising diagnosis.
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