{"id":1753,"date":"2020-05-18T12:10:07","date_gmt":"2020-05-18T19:10:07","guid":{"rendered":"https:\/\/up.physicaldiagnosispdx.com\/up\/?page_id=1753"},"modified":"2020-12-24T22:20:46","modified_gmt":"2020-12-25T06:20:46","slug":"oil-drop-sign","status":"publish","type":"page","link":"https:\/\/up.physicaldiagnosispdx.com\/up\/nail-m\/oil-drop-sign\/","title":{"rendered":"Oil drop sign"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row css=&#8221;.vc_custom_1592011713204{background-color: #fff9f9 !important;}&#8221;][vc_column][vc_column_text]\n<div class=\"textLayer\"><span style=\"font-size: 14pt;\">Areas of discoloration involving the nail bed seen in Psoriasis.<\/span><\/div>\n<figure id=\"attachment_1658\" aria-describedby=\"caption-attachment-1658\" style=\"width: 150px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/up.physicaldiagnosispdx.com\/up\/rheumatology\/rheumatology\/#Oil_drop_sign\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-1658 size-thumbnail\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308-150x150.png\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308-150x150.png 150w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308-300x300.png 300w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308.png 512w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a><figcaption id=\"caption-attachment-1658\" class=\"wp-caption-text\">&nbsp;<\/figcaption><\/figure>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n<h1 id=\"patient1\">Patient 1:<\/h1>\n<p><span style=\"font-size: 14pt;\">This is a previously healthy young woman who\u00a0presented with subacute atraumatic pain and swelling of her right knee and left foot. The right knee was erythematous and warm with an associated joint effusion that contained 15K WBC\/\u03bcL but no organisms or crystals. She was taken for a washout of the knee for presumed septic arthritis. Later, physical examination revealed\u00a0<\/span><span style=\"font-size: 14pt;\">well-demarcated erythematous plaques involving the posterior neck and ear, as well as the oil drop sign on one of her fingernails, consistent with psoriatic arthritis.<\/span><\/p>\n<p><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s11606-019-05159-4\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-size: 14pt;\">Image courtesy of JGIM: &#8220;The Oil Drop Sign&#8221;<\/span><\/a><\/p>\n<p><span style=\"font-size: 14pt;\">This patient also has <a href=\"https:\/\/up.physicaldiagnosispdx.com\/up\/rheumatology\/rheumatology-multimedia\/psoriasis-plaques\/#patient1\">psoriatic plaques.<\/a><\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1592011732944{background-color: #dcd9dd !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][vc_column_text][\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_column_text]<div id='gallery-1' class='gallery galleryid-1753 gallery-columns-3 gallery-size-medium'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/nails_oil-drop-sign_psoriatic_arthritis2-2\/'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"294\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Nails_Oil-Drop-Sign_Psoriatic_Arthritis2-1-300x294.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Nails_Oil-Drop-Sign_Psoriatic_Arthritis2-1-300x294.jpg 300w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Nails_Oil-Drop-Sign_Psoriatic_Arthritis2-1-1024x1002.jpg 1024w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Nails_Oil-Drop-Sign_Psoriatic_Arthritis2-1-768x752.jpg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Nails_Oil-Drop-Sign_Psoriatic_Arthritis2-1-1536x1503.jpg 1536w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/4&#8243;][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row css=&#8221;.vc_custom_1592011713204{background-color: #fff9f9 !important;}&#8221;][vc_column][vc_column_text] Areas of discoloration involving the nail bed seen in Psoriasis. [\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text] Patient 1: This is a previously healthy young woman who\u00a0presented with subacute atraumatic pain and swelling of her right knee and left foot. The right knee was erythematous and warm with an associated joint effusion<\/p>\n","protected":false},"author":9,"featured_media":0,"parent":1763,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"page-templates\/page_PDXPDX-full-width.php","meta":{"nf_dc_page":"","_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"class_list":["post-1753","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/1753","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/comments?post=1753"}],"version-history":[{"count":0,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/1753\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/1763"}],"wp:attachment":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/media?parent=1753"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}