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All rheumatology Cases

Choosing Wisely Canada

Resident Doctors of Canada (RDoC) has joined Choosing Wisely Canada, a national clinician led campaign to reduce unnecessary care. The ...


Rifampin causing orange urine

Want to guess this Patients rare diagnosis and the cause for this orange urine? I'll share the answer this evening!


Right-sided neck mass of Hodgkins Lymphoma

Patient is 4 yo M immigrant from Malaysia (5 months ago) presents with right sided neck mass that has been ...


painful erythema over the neck and face

53 years old male presents with this no painful erythema well-spread over his neck and face.continuous presenting symptoms from about ...



50M came in with what appeared to be times corporis, mildly itchy, non-painful, tried ketoconazole cream, 2 weeks later returned ...


Human papilloma virus warts on the knee

13 yo female with skin lesions for a year, initially treated with 3 sessions of cryotherapy and then a unknown ...


Periungal fibromas in tuberous sclerosis

So, I am in my rural social service right now here in Colombia. In a visit to a really far ...


decreased sensation and coloration of left middle digit

38 year old female. Started noticing her left middle digit would turn white and numb X 1 month intermittently. Color ...


Systemic Lupus Erythematosis

35 year old woman. 3 months of fotosensitivity skin lesions. Also refers arthralgia, raynaud phenomenon and recurrent oral ulcers.


Rheumatoid arthritis on hand x-ray

Elderly woman with hand pain. Diagnosis?


Synovial Hemangioma of the Knee

44 y/o F with intermittent knee pain and swelling for several years. What is your diagnosis?


multi-joint swelling and tenderness

15 year old boy presents with multiple joint swelling and tenderness for 1 week....the patient currently unable to mobilise.. there ...


chronic tophaceous gout

53 years old female known to have B-Thalassemia since childhood with history of recurrent blood transfusion was admitted to the ...


inflammation of left elbow following traumatic incident

Male 59 years old with the treatment of levofloxacin 750mg VO c / 24Hrs, Meloxicam 15mg VO c / 24Hrs ...


intraosseous ganglion cyst of third right toe

59-year-old healthy active male smoker presents stating about five or six years ago he smashed his toe. X-ray ordered not ...


Psoriatic arthritis of the second left metatarsophalangeal joint

sausage finger (second toe of the left foot) and nails pitting.


rheumatoid arthritis right hand deformities

64yow with undocumented history of RA , presented with these abnormalities + acut both knee's artheritis.RF is negative and #Synovial-fluid ...


left knee pain and instability prompting x-ray

55 year old female manual worker with no other comorbidities presented in the OPD with on and off pain and ...


Pyoderma gangrenosum with rheumatoid arthritis

This is leg of patient with rheumatoid arthritis, unknown pericarditis and acinetobacter infection on microbiology. What is cause?


Erythema nodosum and alopecia

mature female with erythema nodosum as a working diagnosis , any thoughts?


CT of acute on chronic subdural hematoma

Vomiting,coma. Anticoagulation with Warfarin. INR 4,0


Discoid lupus erythematosus in discoloration of the ear

28 yr old male with deep bluish discoloration of his hands ..ear and lips of two weeks duration.. he complains ...


spice cocktail

the above "cocktail" has been found in variable proportions in the bloods of several patients during a recent trial regarding ...


Acute exacerbation of gout resulting left thumb inflammation

83 year old female known to have Dm(type 2), atrial fibrillation, CHF, rheumatoid arthritis on methotrexate, bed ridden patient because ...


lymphoepithelioma like thymic carcinoma in histopathology

this is are H&E slides of a cell block from the pleural fluid of a 61/F presenting with masses in ...


Raynauds disease superficial healing ulcer at third phalanx

Acute #Raynauds-disease flare x 3 months to right 5th digit and right great toe. Attempted to improve perfusion with Amlodipine ...


lichenification of skin on dorsal aspect of wrist

15 year old female presents with 2 month history of a 2 cm x 2 cm lesion on dorsal aspect ...


Pyoderma gangrenosum in a patient on methotrexate for rheumatoid arthritis

54yo F w #Rheumatoid-arthritis diagnosed 6 months ago on methotrexate and history of venous insufficiency ulcer L medial ankle presented ...


Abdominal wall hematoma on CT abdomen without any cause except coughing and senility

70 YO female patient. She has abdominal pain which started while she was coughing. She has HT, Diabetes. She doesn't ...


Necrotizing vasculitis

Necrotizing vasculitis

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