From the Journal

A topical antifungal failed to alleviate her symptoms—what next?

A 43-year-old man presented with intermittent upper abdominal pain, which had begun the previous day after eating toast.

An otherwise healthy 40-year-old woman presented with a rash on her forehead and nose and erythema of her right eye.

Osteochondromas most commonly affect the femur. They vary in size (from 1 to 15 cm) and may be pedunculated or sessile.

Acanthosis nigricans indicates insulin resistance and is commonly associated with obesity; diabetes mellitus; other endocrinopathies.

Developmentally healthy 9-month-old boy brought for evaluation of congenital pale pink 2-cm plaque on left parietal scalp.

Is the swelling related to a head injury he sustained 4 weeks earlier—or is something else going on here?

Lichen sclerosus et atrophicus can develop at any age and may affect either sex and persons of all ethnicities.