X-Ray Quiz: A Middle-Aged Man with Low Back Pain

Middle aged man with groin pain.

Quiz : A middle aged lady with annular athrophic papules and plaques on her back: What is your diagnosis?

A 51 year old woman was referred to dermatology clinic with multiple asymptomatic erythematus papules and plaques on her back, which she had developed over the previous 2 months ago. In the dermatological examination, there were multiple atrophic papules with hypopigmented centers and sharp borders on her back, some of which were annular with elevated violaceous borders (Figures 1, 2). Fu...

A middle-aged man with scrotal and perineal pain.

A 53-year-old man, with a history of metastatic lung cancer treated with chemotherapy, presented with a high fever and in poor general condition in September 2008. He was found after slipping and falling in a toilet and was therefore admitted to hospital. He appeared to be suffering acute sepsis and a physical examination revealed tenderness over his scrotum and perianal region. An X-ray of his...

A 50-year-old man with chronic low back pain.

Mr S, a 50-year-old man, has long-standing low back pain. His pain began more than 20 years earlier with a lumbar disk herniation and has persisted despite diskectomy. He has undergone numerous treatments, but he remains disabled with ongoing pain. His treatment course is used to frame the epidemiology and pathophysiology underlying acute and chronic lumbosacral and radicular pain. The roles of...

A 46-year-old man with acute low-back pain.