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Rare Presentation (rare + presentation)
Selected AbstractsGiant Bilateral Becker Nevus: A Rare PresentationPEDIATRIC DERMATOLOGY, Issue 1 2008Alireza Khatami M.D. A clinical diagnosis of Becker nevus was made and confirmed histopathologically. We report this patient for the rarity of presentation. Different clinical features of Becker nevi, associated findings, differential diagnoses, and treatment options are discussed. [source] Cervical surgical emphysema: Rare presentation of a sigmoid colon retroperitoneal perforation with abscess rupture through the lumbar triangle of PetitJOURNAL OF MEDICAL IMAGING AND RADIATION ONCOLOGY, Issue 2007L Zentner SUMMARY A retroperitoneal sigmoid colon perforation presenting with cervical surgical emphysema secondary to abscess rupture through the lumbar triangle of Petit into the posterior paraspinal muscle compartment has not been previously described. We report a case where previously ingested barium clearly demonstrates this unusual pathway. [source] Angiokeratoma circumscriptum naeviforme: Rare presentation on the neckAUSTRALASIAN JOURNAL OF DERMATOLOGY, Issue 4 2001Article first published online: 13 JAN 200 No abstract is available for this article. [source] Axillary Basal Cell Carcinoma: Literature Survey and Case ReportDERMATOLOGIC SURGERY, Issue 11 2001Erin S. Gardner MD Background. Primary basal cell carcinoma (BCC) in the axilla has rarely been reported in the literature. No systematic review has yet been conducted. Objective. To present a case of basal cell carcinoma of the axilla. This is a rare presentation of a common disease in a non-sun-exposed part of the body. Methods. An extensive literature search for axillary BCCs was performed. An additional case is reported. Results. Only 14 cases of primary axillary BCC have been reported in the literature. Metastatic axillary BCC is also rarely reported. Conclusion. BCC in the axilla is extremely uncommon. Factors other than sun exposure are likely involved in tumorigenesis. [source] Hydrophobia as a rare presentation of Cotard's syndrome: a case reportACTA PSYCHIATRICA SCANDINAVICA, Issue 2 2002A. G. Nejad Objective:,To discuss a case of Cotard's syndrome in a 65-year-old male patient who refused to eat and drink. Method:,A single case is presented. Results:,The patient was especially sensitive to water and showed panic reactions when he was offered a glass of water. These symptoms began when he deluded himself to believe that his stomach shrunk. Diagnosis was major depressive disorder with psychotic feature based on DSM-IV. Conclusion:,Hydrophobia as a symptom of Cotard's syndrome was not reported before. This symptom is often known as evidence of rabies but may be seen in Cotard's syndrome. [source] Mechanical Prosthetic Valve Dysfunction Causing Pulsus Alternans Leading to Intermittent Electromechanical Dissociation: A Case Report and Literature ReviewJOURNAL OF CARDIAC SURGERY, Issue 6 2007Vasha Kaur M.B.Ch.B. (Hons) She initially developed pulsus alternans which led, over a few hours, to intermittent electromechanical dissociation. Clinical and echocardiographic findings are described. Emergency surgical intervention revealed a piece of chorda wedged between the disc occluder and the valve ring. This case illustrates clinical and Doppler echocardiographic features associated with a rare presentation of an unusual perioperative complication of prosthetic mitral valve dysfunction. We have also included a brief review of related literature. [source] Ross Procedure for Aortic Insufficiency Due to Doubly Committed Subarterial Ventricular Septal Defect in AdultsJOURNAL OF CARDIAC SURGERY, Issue 5 2005Ph.D., Shoh Tatebe M.D. Preoperatively, she developed congestive heart failure because of less compliance to oral medication, raising concerns regarding life-threatening thromboembolism if she undergoes mechanical valve replacement. Despite the pulmonary autograft being defective, there were no difficulties in completing the surgery. The defect of pulmonary autograft and the VSD was closed by an expanded polytetrafluoroethylene patch. She tolerated the procedure well and now enjoys improved quality of life. We present a discussion of the indication of Ross procedure in the rare presentation of congenital heart disease, as well as several issues raised in this case. [source] Paraplegia as the presenting manifestation of extramedullary megakaryoblastic transformation of previously undiagnosed chronic myelogenous leukemiaAMERICAN JOURNAL OF HEMATOLOGY, Issue 2 2007Barbara J. Bryant Abstract Extramedullary tumors, also known as granulocytic sarcomas (GS), occur most frequently in acute myelogenous leukemia (AML). They may signal the onset of the accelerated phase of chronic myelogenous leukemia (CML) or the blastic transformation of a myeloproliferative disorder. Occasionally, a GS may be the presenting sign of undiagnosed AML, and rarely the presenting sign of undiagnosed CML or aleukemic leukemia. Paraplegia due to a spinal cord GS is an extremely rare presentation of undiagnosed leukemia. This is the first case report of paraplegia as the presenting manifestation of extramedullary megakaryoblastic transformation of previously undiagnosed CML. A 53-year-old woman reported back pain for 6 days, rapidly progressing to paraplegia. Physical examination noted a large abdominal mass and flaccid paralysis in both lower extremities. Spinal MRI revealed a T4,T6 vertebral mass causing spinal stenosis and cord compression. Tumor debulking and laminectomy were performed emergently. The tumor consisted of noncohesive blast cells. The CBC revealed a leukocyte count of 238,300/,l and a differential consistent with CML. Reexamination of the patient found that the abdominal mass was a giant spleen. Further immunohistochemical studies of the tumor were consistent with extramedullary acute megakaryoblastic blast transformation of CML. Although extramedullary blast crises herald the accelerated phases in ,10% of CML cases, megakaryoblastic blast transformation of CML accounts for less than 3% of these cases. The combination of acute paraplegia and megakaryoblastic transformation in a previously undiagnosed patient with CML is extremely rare and may pose a diagnostic dilemma. Am. J. Hematol. 2006. © Wiley-Liss, Inc. [source] Bilateral Orbital Metastases as the Presenting Finding in a Male Patient with Breast Cancer: A Case Report and Review of the LiteratureTHE BREAST JOURNAL, Issue 3 2000Michael Stuntz MD Abstract: Breast cancer in men has traditionally been thought to be substantially different from that in women. As more becomes known about this relatively rare entity, the similarities between genders become more striking than the differences. Carcinoma of the male breast is an uncommon disease occurring in less than 1% of all breast cancers. Male breast carcinoma is staged similarly to female breast cancer using the American Joint Committee Clinical Staging System. As in women, axillary nodal status is the strongest predictor of outcome. Distant metastasis to bones, soft tissue, lungs, and liver have been widely reported in men with breast cancer. This case report provides a rather rare presentation of a man with breast carcinoma with bilateral orbital metastasis as an initial clinical presentation. [source] Simultaneous scrofuloderma and intracranial tuberculomas: A rare presentation of systemic tuberculosisAUSTRALASIAN JOURNAL OF DERMATOLOGY, Issue 1 2010Kenneth Kien Siang Wong ABSTRACT Tuberculosis can involve multiple organ systems concurrently. We report a case of simultaneous brain tuberculomas and scrofuloderma occurring in the same patient. Skin biopsies confirmed scrofuloderma and the patient was successfully treated for tuberculosis with resolution of the brain masses. This case illustrates the importance of dermatological manifestations of systemic disease as an accessible source for diagnosis and guidance in appropriate therapy. [source] Subungual and periungual congenital blue naevusAUSTRALASIAN JOURNAL OF DERMATOLOGY, Issue 2 2009Platina Coy Gershtenson ABSTRACT Subungual pigmented lesions should raise concern about malignant melanoma. Blue naevus of the nail apparatus is a rare entity, with only ten cases described in the literature. We report a 21-year-old Hispanic woman with a slowly enlarging 1.7 × 2.3-cm subungual and periungual pigmented plaque present since birth on her right second toe. Initial biopsy was consistent with a blue naevus of the cellular type and, given the recent clinical change and periungual extension, complete excision was recommended. The entire nail unit was resected down to periosteum with prior avulsion of the nail plate. Reconstruction was performed with a full-thickness skin graft. Follow up at 1 year revealed well-healed graft and donor sites with complete return of function. We present a case of a congenital subungual and periungual blue naevus of the cellular type and review the literature on this rare presentation of a congenital blue naevus. [source] Deep haemangioma of the scrotum as a rare presentation of scrotal mass in childrenBJU INTERNATIONAL, Issue 2003P.J. STAHL No abstract is available for this article. [source] Cyclophosphamide-induced nail discoloration and skin hyperpigmentation: a rare presentationCLINICAL & EXPERIMENTAL DERMATOLOGY, Issue 3 2009K. Chittari No abstract is available for this article. [source] Eyelid metastasis from lung carcinomaCLINICAL & EXPERIMENTAL OPHTHALMOLOGY, Issue 6 2006Riaz Ahamed MRCOphth Abstract A 74-year-old man presented with a 4-month history of swelling in the right upper lid. Biopsy of the lesion showed moderate to poorly differentiated invasive squamous cell carcinoma. He was recently diagnosed with squamous carcinoma of the lung with similar histology to the eyelid lesion. Eyelid metastases are a rare presentation of lung tumours. [source] | ||||||||||