Correction: Retatrutide-Induced Intractable Diarrhea | Annals of Internal Medicine: Clinical Cases

Favre–Racouchot Disease: Extensive Comedonal Lesions on Severely Photodamaged Facial Skin | Annals of Internal Medicine: Clinical Cases

Favre–Racouchot disease is a manifestation of chronic actinic damage characterized by multiple open and closed comedones on severely photodamaged skin. The accompanying images illustrate classic malar and periorbital involvement with prominent solar elastosis and absence of inflammatory acneiform lesions in an older adult Latino man (Fitzpatrick skin type IV), underscoring that this condition can occur in darker-skinned phototypes with sufficient cumulative ultraviolet exposure.

Sigmoid Volvulus | Annals of Internal Medicine: Clinical Cases

An 83-year-old woman who resided in a nursing home presented to the emergency department with abdominal pain and vomiting resulting in the diagnosis of sigmoid volvulus. She needed intermittent catheter reduction of the colonic air but no surgical intervention has been performed so far.

Recognition and Treatment of a Right Ventricular Air Embolism | Annals of Internal Medicine: Clinical Cases

Right ventricular air embolism is a rare and dangerous condition that frequently presents with nonspecific symptoms, making diagnosis difficult. We present a case involving a young woman with concerning symptoms following routine injection of contrast. Computed tomography scan visualizing the heart confirmed the finding of a large air embolism. We describe the immediate actions taken and the subsequent treatment provided.

Facial Synkinesis After Bell Palsy | Annals of Internal Medicine: Clinical Cases

This is a clinical image with an accompanying video demonstrating facial synkinesis after the development of idiopathic cranial nerve VII palsy (Bell palsy). Facial synkinesis is a complication in up to 20% of children and 30% of adults after cranial nerve VII palsy. Therefore, it is very important for health care providers to know about and recognize this.

Hyperlipasemia Due to Duodenal Obstruction Secondary to Gastrostomy Tube Migration | Annals of Internal Medicine: Clinical Cases

A nonverbal woman with cerebral palsy and a chronic gastrostomy tube presented with nonbilious vomiting of tube feeds and abdominal pain. Initial work-up showed elevated lipase; however, computed tomography imaging revealed duodenal obstruction from gastrostomy tube migration as the cause of her symptoms. This case represents alternative causes to hyperlipasemia, such as bowel obstruction.

A Case of “Crack” Lung | Annals of Internal Medicine: Clinical Cases

A 22-year-old man with a history of childhood asthma and polysubstance misuse presented with respiratory distress, altered mental status, and severe bronchospasm after cocaine insufflation. Imaging of the chest revealed diffuse alveolar infiltrates likely secondary to acute cocaine-induced lung injury, commonly called “crack lung.”

Correction: An Atypical Presentation of Progressive Multifocal Leukoencephalopathy With Newly Diagnosed HIV Infection | Annals of Internal Medicine: Clinical Cases

Opsoclonus Associated With Cat Scratch Disease | Annals of Internal Medicine: Clinical Cases

A 49-year-old woman presented with fever, malaise, and enlarged left axillary lymph nodes after a cat bit her left hand, leading to the diagnosis of cat scratch disease. On the fifth day of admission, she had rapid, chaotic, and impulsive eye movements that appeared to be opsoclonus. Opsoclonus is a characteristic and rare ocular manifestation that occurs in association with infections and other diseases, and which will be shown in the accompanying video.

Correction: Chronic Lymphocytic Leukemia Involving the Liver Without High-Grade Transformation | Annals of Internal Medicine: Clinical Cases