Journal Scan: A review of images in clinical medicine of immediate clinical significance, harvested from major international journals

From the desk of the Editor-in-chief

Images in clinical medicine

(1). Prurigo Pigmentosa

Chin-Yu Lee, Published January 21, 2026, N Engl J Med 2026;394: e7, DOI: 10.1056/NEJMicm2514242,VOL. 394 NO. 4

Abstract

A 20-year-old man presented with an itchy rash 2 months after starting a ketogenic diet. Examination showed symmetric, erythematous papules and underlying reticulated hyperpigmentation on the chest, neck, and shoulders.

(2). Toxic Erythema of Chemotherapy

Shihua Ling. Published January 24, 2026,DOI: 10.1056/NEJMicm2513411

Abstract

A 55-year-old woman with invasive ductal carcinoma presented with a rash that had developed after a round of chemotherapy and had worsened and spread to her axillae, groin, and popliteal fossae after several additional rounds.

(3). Baker’s Cyst

Burak Karakaya,, Published January 28, 2026,N Engl J Med 2026;394:497,DOI: 10.1056/NEJMicm2513847,VOL. 394 NO. 5

Abstract

A 63-year-old woman with psoriatic arthritis presented with a 9-month history of pain in the left knee. A nontender, palpable mass was present in the left popliteal fossa, which had a “speech bubble” shape on ultrasonography.

(4). Aortitis Due to Large-Vessel Vasculitis

Hsien-Tzung Liao, Published January 31, 2026, N Engl J Med 2026;394:588, DOI: 10.1056/NEJMicm2513456, VOL 394 NO. 6

Abstract

A 63-year-old man presented with a 3-month history of chest tightness, palpitations, and abdominal pain. Laboratory studies showed an elevated erythrocyte sedimentation rate and an elevated C-reactive protein level.

(5). JFloppy Eyelid Syndrome

Kara E. Shinder et al, Published February 4, 2026, N Engl J Med 2026;394: e10, DOI: 10.1056/NEJMicm2512228, VOL. 394 NO. 6

Abstract

A 39-year-old woman with obesity presented with a 6-week history of foreign-body sensation and tearing in both eyes. She reported daytime fatigue and snoring. Examination showed marked laxity of the upper eyelids.

(6). Pulmonary Mucormycosis

Jonas Lötscher, Published February 11, 2026, N Engl J Med 2026;394:699,DOI: 10.1056/NEJMicm2511883,VOL. 394 NO. 7

Abstract

A 49-year-old man with acute myeloid leukemia was evaluated for prolonged neutropenic fever. On examination, there were crackles at the lung bases. CT of the chest revealed a reversed halo sign.

(7). Majocchi’s Granuloma

Ciara A. Maguire, Published February 14, 2026, DOI: 10.1056/NEJMicm2509457

Abstract

A high-school wrestler presented with an itchy rash that had worsened despite topical antifungal and glucocorticoid treatment. A circular, scaly plaque with papules, nodules, and pustules was seen on his calf.

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