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Lichen planus pemphigoides after pembrolizumab immunotherapy in an older man

A recurring nasal mass

Images in Medicine

A man with bark-like skin

A 65-year-old Chinese man was admitted for evaluation of chronic anaemia. He had a history of hypertension and chronic kidney disease, and his regular...

TB or not TB? The axillary lump question

An 81-year-old woman of healthy weight presented with a 2-week history of a painless right axillary lump. Physical examination revealed a 2cm firm nodule...

Neck pain with prevertebral soft tissue thickening

A 37-year-old man presented with a history of sudden-onset neck pain, which was worse on movement and neck extension. He reported no history of...

White precipitate in a dialysis circuit

An 81-year-old man who had been fully vaccinated against COVID-19 was admitted to the medical intensive care unit on day 5 of his COVID-19-induced...

An unusual case of ear pain in a child

A previously healthy 4-year-old French boy presented to the children’s emergency department complaining of left otalgia for 3 days. He had initially experienced left...

Cause of vaginal spotting in an older woman

A 77-year-old Chinese woman with a past medical history of Sjogren’s syndrome, nodular goitre and right-sided neck lymphadenopathy, presented to the gynaecological service for...

Nitrous oxide and cervical myelopathy

A 25-year-old woman presented with progressive paraesthesia and numbness, both of which started from the left hand. Her symptoms progressed to the fingertips of...

A 52-year-old woman with beading of intracranial arteries

A 52-year-old woman of Indian ethnicity with a history of well-controlled hypertension, hyperlipidaemia and recurrent transient ischaemic attacks presented with altered mentation and slurred...

Unusual biliary gem: Cause of acute obstructive suppurative cholangitis and pancreatitis in a patient...

A 72-year-old man with a 10-year history of subtotal gastrectomy with Billroth II anastomosis and laparoscopic cholecystectomy presented with abdominal pain, high fever and...

Pericardial effusion and tamponade in a young woman

A young woman presented to the Singapore General Hospital with a history of cough in the 2 weeks prior. She had no significant past...
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