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Unusual Presentation (unusual + presentation)
Selected AbstractsABDOMINAL AND FLANK PAIN AS AN UNUSUAL PRESENTATION OF PULMONARY EMBOLISM: A CASE REPORTJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 7 2005Benedetta Boari MD No abstract is available for this article. [source] CASE OF HELLP SYNDROME WITH AN UNUSUAL PRESENTATIONJOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, Issue 8 2004Yusuf Yazgan [source] Migraine MLT-Down: An Unusual Presentation of Migraine in Patients With Aspartame-Triggered HeadachesHEADACHE, Issue 9 2001Lawrence C. Newman MD Aspartame, an artificial sweetener added to many foods and beverages, may trigger headaches in susceptible individuals. We report two patients with aspartame-triggered attacks in whom the use of an aspartame-containing acute medication (Maxalt-MLT) worsened an ongoing attack of migraine. [source] An Unusual Presentation of Rheumatoid MeningitisJOURNAL OF NEUROIMAGING, Issue 3 2005Vaidehi Chowdhry MD ABSTRACT Background. Central nervous system involvement in rheumatoid arthritis can rarely occur in the absence of systemic disease. Rheumatoid meningitis has not been reported to present as spells of neurologic dys-function. Patient and Methods. The authors describe a woman with a history of well-controlled rheumatoid arthritis who presented with headaches and spells of focal neurological dysfunction. Brain magnetic resonance imaging, brain biopsy, and temporal artery biopsy were required to make the diagnosis of rheumatoid meningitis with arteritis. Results. Neuroimaging revealed abnormal leptomeningeal enhancement. Necrotizing granulomatous inflammation was seen on meningeal and brain biopsy. A temporal artery biopsy showed evidence of arteritis without giant cells. Conclusions. The possibility of central nervous system involvement by rheumatoid arthritis should be considered in patients with a history of rheumatoid arthritis even in the absence of systemic symptoms. Making the diagnosis may require meningeal and brain biopsy. The condition may be steroid responsive. [source] Sarcoidosis of the Breast: An Unusual Presentation of a Systemic DiseaseTHE BREAST JOURNAL, Issue 1 2007Brandi T. Nicholson MD No abstract is available for this article. [source] Unusual Presentations of Sinonasal Undifferentiated CarcinomaTHE LARYNGOSCOPE, Issue S3 2010Michelle Soltan Ghostine MD No abstract is available for this article. [source] Unusual presentation of myelofibrosisINTERNAL MEDICINE JOURNAL, Issue 1 2008H. V Naina No abstract is available for this article. [source] Unusual presentation of large B cell lymphoma: a case report and review of literatureINTERNATIONAL JOURNAL OF LABORATORY HEMATOLOGY, Issue 5 2006L. AIRAGHI Summary Diffuse large B cell lymphoma (DLBCL) is the largest subtype of non-Hodgkin's lymphomas (NHLs) and is characterized by relatively frequent extranodal presentation. In these cases, the most common extranodal localizations are stomach, CNS, bone, testis and liver. Simultaneous detection of multiple extranodal involvement at presentation is quite uncommon, with the majority of these cases characterized by gastric or intestinal disease localization. Retrospective analysis concerning multifocal extranodal NHLs never pointed out disease features such as those described here. We report a patient with an unusual presentation of DLBCL, characterized by adrenal and renal involvement, associated with symptoms and signs of the cold agglutinin disease and a hypercoagulable state. Subsequently, computed tomography (CT) and fluorodeoxyglucose-positron emission tomography (FDG-PET) scanning disclosed a rapidly extensive spread to nodes and bones. Cytofluorimetric analysis of a renal specimen showed medium-to-large lympho-monocytoid elements positive for CD20 with monoclonal expression of immunoglobulin kappa light chain. Histopathological examination confirmed a renal CD20 positive DLBCL localization. [source] Unusual presentation of necrotizing fasciitis in a patient who had achieved long-term remission after irradiation for testicular cancerINTERNATIONAL JOURNAL OF UROLOGY, Issue 3 2005TOMOAKI MIYAGAWA Abstract, We report a case of a 60-year-old man with necrotizing fasciitis complicated by streptococcal toxic shock syndrome. The patient had received high-dose chemotherapy and radiotherapy to the pelvis for relapsed seminoma 7 years previously. He had been in long-term remission. He was admitted to the Tsukuba University Hospital, Tsukuba-City, Ibaraki, Japan, with complaints of fever and localized erythema over the foreskin. The patient suffered from septic shock and multiple organ failure. Despite intensive care, he died 18 h after admission. Streptococcus pyogenes was isolated from both the wound and blood culture. To our knowledge, this is the first description of necrotizing fasciitis primarily affecting the penile skin. [source] Unusual presentation of perirenal lung metastasesJOURNAL OF MEDICAL IMAGING AND RADIATION ONCOLOGY, Issue 3 2006DL D'Souza Summary Lung cancer is not commonly known to metastasise to the perirenal space, with only five such cases previously published. We present an unusual case of perirenal lung metastases manifesting as diffuse perinephric stranding which to our knowledge has not been described before. [source] Unusual presentation of a hypoglossal nerve neurofibromaORAL SURGERY, Issue 4 2009V. Patel Abstract Neurofibromatosis type 1 genetic disorder is an inherited autosomal dominant trait with variable penetrance and expressivity and occurs in one of every 2000,3300 live births. Neurofibromatosis type 2, on the other hand, afflicts only one in approximately 50 000 people. Within these patients, the frequency of intra-oral involvement of neurofibromas has been reported in a range of 4,7%. Alternatively, neurofibromas in the oral cavity minus the presence of a neurofibromatosis disease has been documented but the prevalence is even less than stated earlier making a solitary neurofibroma of the tongue a rare occurrence. This article reports an unusual presentation of a neurofibroma masquerading as a lipoma with the tumour occurring at the base of the tongue. [source] Unusual presentation of a rare venous tumourANZ JOURNAL OF SURGERY, Issue 9 2004David R. Lewis No abstract is available for this article. [source] Unusual presentation of GLUT-1 positive infantile haemangiomaAUSTRALASIAN JOURNAL OF DERMATOLOGY, Issue 2 2009Clare Koh ABSTRACT Infantile haemangiomas are usually not present at birth. This is a case of a female infant with an atypical congenital vascular tumour present at birth which ulcerated in the first few days of life, involuted over several months and showed histopathological features in keeping with either an involuting GLUT-1 positive infantile haemangioma or a reticular haemangioma of infancy. The initial clinical presentation was atypical for an infantile haemangiomas and for a congenital haemangioma, however the histopathology and immunohistochemistry assisted with confirmation of the diagnosis. Vacuum-assisted closure (VAC) therapy aided in the complete healing of the ulcerated infantile haemangioma which was not achievable with conventional dressings. [source] Unusual presentation of cutaneous metastases in renal cell carcinomaCLINICAL & EXPERIMENTAL DERMATOLOGY, Issue 4 2008N. Sheth No abstract is available for this article. [source] Unusual presentations of giant cell arteritis (temporal arteritis)INTERNAL MEDICINE JOURNAL, Issue 11 2004N. A. G. Fa'amatuainu No abstract is available for this article. [source] O-12 BLAND DYSKARYOSIS: A NEW PITFALL IN THINPREP® LIQUID BASED CYTOLOGYCYTOPATHOLOGY, Issue 2006M. A. Lynch Liquid based cytology (LBC) has improved cell visualization and preservation in cervical cytology. There has been a reduction in inadequate rate and some data to suggest an increase in sensitivity for dyskaryosis. Training for LBC has focused on differences in distribution of abnormal cells, but in most cases the morphological appearance of the dyskaryotic cells themselves is similar to that seen in conventional cytology. We are describing a new presentation of dyskaryosis which may be a cause of false negative cytology. We have referred to this as ,Bland dyskaryosis' because cells appear deceptively bland on low power examination, and can be misinterpreted as metaplastic or endocervical cells. Bland dyskaryosis cells are seen in groups. The architecture of the group is very disorganized, and adjacent cells show variation in size. Cells have a high nuclear/cytoplasmic ratio and smooth nuclear membranes. Chromatin is finely granular and evenly distributed. This is an unusual presentation of high-grade dyskaryosis and we feel that there is a learning curve in laboratories converting to liquid based cytology. The spectrum of appearances of squamous dyskaryosis needs to be delineated to allow further increases in sensitivity for dyskaryosis. [source] Pigmented Bowen's Disease (Squamous Cell Carcinoma in situ): A Mimic of Malignant MelanomaDERMATOLOGIC SURGERY, Issue 7 2001Ravi Krishnan MD Background. Darkly pigmented individuals may manifest unusual or uncharacteristic presentations of various skin conditions, including heavy pigmentation of cutaneous tumors. Objective. To increase the awareness of an unusual presentation of Bowen's disease in a darkly pigmented individual. Methods. We report the case of a 52 year old black woman that presented with a lesion clinically consistent with malignant melanoma. However, histopathologic examination revealed pigmented Bowen's disease. Results. A biopsy is almost always indicated to confirm the diagnosis of lesions in darkly pigmented individuals. Conclusion. This case is presented to reinforce the idea that pigmented Bowen's disease should be considered in the differential diagnosis of malignant melanoma. [source] Bilateral Auricular Squamous Cell Carcinomas with Perineural InvasionDERMATOLOGIC SURGERY, Issue 2 2001Stacy Russell Beaty BA Background. Bilateral squamous cell carcinoma (SCC) of the external ears is a rare phenomenon, and we are unaware of instances of bilateral perineural involvement. Objective. To describe bilateral auricular SCCs, each with perineural invasion. Methods. Case report and literature review. Results. Histopathologic examination revealed perineural invasion in both tumors. Conclusion. This appears to be an unusual presentation of bilateral auricular SCCs with perineural invasion in an elderly immunocompromised patient. [source] Papillary thyroid carcinoma with atypical histiocytoid cells on fine-needle aspirationDIAGNOSTIC CYTOPATHOLOGY, Issue 4 2009Manju Harshan M.D. Abstract Although papillary thyroid carcinoma (PTC) usually has classic cytological characteristics on fine-needle aspiration (FNA), it can present rarely with aberrant features resembling those of histiocytes in a cystic nodule. The aim of the current study was to describe PTC with atypical histiocytoid cells and distinguish it from benign histiocytes. A retrospective computerized search for FNAs with atypical features suggestive of PTC and cystic degeneration was performed, and if available, the corresponding resection specimens were compared. Four cases met the criteria for FNAs and three had surgical pathology follow-up, which showed PTC. One aspirate had some features typical of PTC, but the remaining FNAs had atypical histiocytoid cells, which had traits intermediate between those of PTC and histiocytes. Large cell size, pseudoinclusions, nuclear grooves, and multiple well-defined vacuoles in atypical histiocytoid cells favor PTC over benign histiocytes. Ancillary immunocytochemical studies can also be useful in confirming the diagnosis. Histiocytic cells are frequently present in thyroid aspirates, and occasionally, they have atypical features that represent an unusual presentation of PTC. Closer examination of these cells can provide diagnostic clues for preventing false-negative diagnosis of PTC. Diagn. Cytopathol. 2009. © 2009 Wiley-Liss, Inc. [source] Paroxysmal Motor Disorders of Sleep: The Clinical Spectrum and Differentiation from EpilepsyEPILEPSIA, Issue 11 2006Christopher P. Derry Summary:, The diagnosis of paroxysmal events in sleep represents a significant challenge for the clinician, with the distinction of nocturnal epilepsy from nonepileptic sleep disorders often the primary concern. Diagnostic error or uncertainty is not uncommon in this situation, particularly with respect to nocturnal frontal lobe epilepsy (NFLE), which has a variable and often unusual presentation. Such errors can be minimized if the range of nonepileptic disorders with motor activity in sleep is fully appreciated. Here we review these disorders, before discussing the important clinical and electrographic features that allow their accurate differentiation from seizures. Particular emphasis is placed on the differentiation of nocturnal frontal lobe epilepsy from non,rapid eye movement (NREM) arousal disorders and other parasomnias. The value of recording episodes with video EEG polysomnography is discussed. [source] Acute intestinal obstruction due to intramural haemorrhage in small intestine in a patient with severe haemophilia A and inhibitorEUROPEAN JOURNAL OF HAEMATOLOGY, Issue 2 2005Khaled M. A. Ramadan Abstract:, Patients with severe haemophilia A usually present with joint, gastrointestinal and urinary tract haemorrhage. Bleeding elsewhere is often precipitated by pre-existing pathology or trauma. We report a patient with severe haemophilia A, who presented with symptoms of acute intestinal obstruction. He has a factor VIII inhibitor and receives recombinant factor VIIa on demand at home. The CT scan of abdomen showed dilated small intestine with fluid filled loops and a long segment in the jejunum with marked transmural thickening. There was no other pathology in the small intestine. These appearances were consistent with intramural haemorrhage in the small intestine as the cause of acute obstruction. He was managed conservatively with recombinant factor VIIa and this resulted in resolution of his symptoms. This case highlights an unusual presentation of bleeding in a haemophilia patient. Intestinal obstruction due to haemorrhage in the small intestinal wall is extremely rare and only previously reported in a few haemophilia patients. It also highlights the effectiveness of conservative management with recombinant factor VIIa as opposed to immediate exploratory surgery. [source] Balloon cell nevus of the pharynxHEAD & NECK: JOURNAL FOR THE SCIENCES & SPECIALTIES OF THE HEAD AND NECK, Issue 10 2004Achal Gulati MS Abstract Background. Mucosal melanotic lesions are rare, and the still rarer balloon cell variant has not been reported in the upper aerodigestive tract mucosa. We report a case of balloon cell nevus of the pharynx. Methods. A 35-year-old woman was seen with complaints of a black color in her mouth. Physical examination revealed a diffusely pigmented posterior pharyngeal wall. The pigmentation extended superiorly to the posterior edge of the palate, and laterally, it stopped short of the posterior tonsillar pillars. The overlying mucosa was smooth, with no swelling. Flexible endoscopy showed that the lesion extended to the cricopharynx. Findings on histopathologic examination were consistent with balloon cell nevus of the pharynx. Complete excision was not possible, because the lesion was very diffuse. Results. After 2 years of conservative management and regular follow-up examinations, no change in the symptoms and no increase in the lesion have been seen. Conclusion. Melanotic lesions in the upper aerodigestive tract mucosa are rare. This case is reported for its rarity, unusual presentation, and characteristic histopathologic features. © 2004 Wiley Periodicals, Inc. Head Neck26: 910,914, 2004 [source] An unusual presentation of two simultaneous primary melanomasINTERNATIONAL JOURNAL OF DERMATOLOGY, Issue 5 2006Jashin J. Wu MD No abstract is available for this article. [source] Cutaneous Wegener's granulomatosis (malignant pyoderma) in a patient with Crohn's diseaseINTERNATIONAL JOURNAL OF DERMATOLOGY, Issue 11 2003Sharon E. Jacob MD We report a case of an unusual presentation of Wegener's granulomatosis (WG) in a patient with Crohn's disease (CD). She presented to our Wound Care Center with 7th cranial nerve palsy and facial pyoderma-like ulcerations. Although WG has a predilection for the lung, kidney, and eyes, cutaneous involvement can be seen in 50% of the cases, and it can be the presenting sign in 9,14%. Because of the lethality of WG if not properly treated, the diagnosis is imperative. [source] Unusual presentation of large B cell lymphoma: a case report and review of literatureINTERNATIONAL JOURNAL OF LABORATORY HEMATOLOGY, Issue 5 2006L. AIRAGHI Summary Diffuse large B cell lymphoma (DLBCL) is the largest subtype of non-Hodgkin's lymphomas (NHLs) and is characterized by relatively frequent extranodal presentation. In these cases, the most common extranodal localizations are stomach, CNS, bone, testis and liver. Simultaneous detection of multiple extranodal involvement at presentation is quite uncommon, with the majority of these cases characterized by gastric or intestinal disease localization. Retrospective analysis concerning multifocal extranodal NHLs never pointed out disease features such as those described here. We report a patient with an unusual presentation of DLBCL, characterized by adrenal and renal involvement, associated with symptoms and signs of the cold agglutinin disease and a hypercoagulable state. Subsequently, computed tomography (CT) and fluorodeoxyglucose-positron emission tomography (FDG-PET) scanning disclosed a rapidly extensive spread to nodes and bones. Cytofluorimetric analysis of a renal specimen showed medium-to-large lympho-monocytoid elements positive for CD20 with monoclonal expression of immunoglobulin kappa light chain. Histopathological examination confirmed a renal CD20 positive DLBCL localization. [source] Severe penile edema: An unusual presentation of metastatic Crohn diseaseINTERNATIONAL JOURNAL OF UROLOGY, Issue 2 2006BASHAR ZELHOF Abstract, A case of Crohn disease involving the penis is described. Diagnosis of a metastatic Crohn disease was suggested by penile biopsy. The patient was treated with prednisolone and azathioprine. [source] Primary mucinous cystadenocarcinoma of the appendix: An unusual presentation of a rare tumorJOURNAL OF DIGESTIVE DISEASES, Issue 3 2008Nikolaos S SALEMIS [source] Axillary lump: an unusual presentation of fat necrosis in the breastJOURNAL OF MEDICAL IMAGING AND RADIATION ONCOLOGY, Issue 2007A Donuru SUMMARY The clinical presentation of an axillary lump, in majority of cases, raises suspicion of an enlarged lymph node due to malignant causes. In this case report, we established a diagnosis of an axillary lump caused by fat necrosis. We present this case report with review of the literature to familiarize clinicians with this condition. [source] Pneumatosis intestinalis and portal-venous gas: An unusual presentation of acute appendicitisJOURNAL OF MEDICAL IMAGING AND RADIATION ONCOLOGY, Issue 2007DJ Tuite SUMMARY Pneumatosis Intestinalis in association with portal venous gas is a very rare finding in children and young adults. When present, it is typically associated with bowel infarction and carries a poor prognosis. We present an extremely unusual case where imaging revealed extensive pneumatosis intestinalis and portal venous gas in a patient with acute appendicitis. [source] Pulmonary haemorrhage in a 13-year-old girl: An unusual presentation of systemic lupus erythematosusJOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 12 2008Lisa Stamp No abstract is available for this article. [source] | ||||||||||||||||||||||||||||||||||