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Present Case Report (present + case_report)
Selected AbstractsA case of progressive pseudorheumatoid arthropathy of ,childhood' with the diagnosis delayed to the fifth decadeINTERNATIONAL JOURNAL OF CLINICAL PRACTICE, Issue 10 2006A. CEFLE Summary Progressive pseudorheumatoid arthropathy of childhood (PPAC) is a rare single gene disorder which is frequently misdiagnosed as juvenile rheumatoid arthritis. It is characterised with arthralgia, joint contractures, bony swelling of metacarpophalangeal and interphalangeal joints and platyspondyly. Clinical and laboratory signs of joint inflammation such as synovitis, a high erythrocyte sedimentation rate and an elevated C-reactive protein level are usually absent. Although the disease begins early in life (usually between 3 and 8 years of age), the diagnosis may be delayed. In the present case report, we describe a male patient diagnosed with PPAC at the age of 46 years, although he had been exhibiting the typical radiological and clinical features of the disease since the age of 7 years. [source] Pocket elimination surgery with simultaneous connective tissue graft.JOURNAL OF CLINICAL PERIODONTOLOGY, Issue 4 2001A case report with 3-year follow-up Abstract Background, aims: The purpose of the present case report was to present 2 ways of treating recession in a periodontal patient combined with regular pocket elimination surgery. The techniques used enabled the operator to reduce the number of surgical sessions and clinically evaluate the 3-year coverage of gingival recessions using a subpedicle connective tissue graft. Methods: Surgery consisted of pocket elimination procedures to treat adult periodontitis as a way to harvest connective tissue to be placed in the areas of recession. The grafted tissue was covered by the primary flap or left uncovered in a pouch, according to 2 different techniques described in the literature. Results: In this case, we observed that, with this approach, we were successful in reducing the number of surgical session as well as achieving objective and subjective goals of therapy in treated areas. Zusammenfassung Mit der Präsentation dieses Fallberichtes sollen 2 Methoden zur Rezessionsdeckung bei Parodontitispatienten in Kombination mit chirurgischer Taschenelimination vorgestellt werden. Die Anwendung dieser Methoden machte es möglich, die Zahl der operativen Eingriffe zu reduzieren. Die klinische Rezessionsdeckung durch subepitheliale Bindegewebstransplantate wurde über 3 jahre nachverfolgt. Die parodontalchirurgische Therapie bestand aus einem Verfahren zur Taschenelimination (distale Keilexzion, apikaler Verschiebelappen bei Mobilisation eines Spaltlappens) bei der Behandlung von Erwachsenenparodontitis. Dabei wurden Bindegewebstransplantate gewonnen, die zur Rezessionsdeckung genutzt werden konnten. Die Transplantate wurden entweder mit einem Lappen gedeckt (nach Harris modifizierte Langer-Technik) oder ungedeckt in einer Tasche ("Envelope"-Technik) belassen. In dem präsentierten Fall konnten die Zahl der operativen Eingriffe gesenkt und dabei objektive und subjektive Therapieziele erreicht werden. Résumé L'intérèt de ce rapport de cas est de présenter 2 façons de traiter des récessions chez un patient atteint de maladie parodontale en association avec une chirurgie normale d'élimination des poches. Les techniques utilisées permettent à l'opérateur de réduire le nombre de temps opératoires et nous évaluons cliniquement le recouvrement sur 3 ans des récessions gingivales en utilisant une greffe de tissus conjonctif sous pédiculée. La chirurgie consiste à utiliser les procédures d'élimination des poches, pour traiter la parodontite de l'adulte, comme moyens de prélever du tissus conjonctif qui sera placé sur les zones de récessions. Le tissus greffé est recouvert par le lambeau primaire ou laisséà découvert dans une enveloppe, selon 2 differentes techniques décrites dans la litterature. Dans ce cas, nous avons observé que, avec cette approche, nous réduisions avec succés le nombre de temps opératoires et que nos objectifs de traitement objectifs et subjectifs étaient atteints dans les zones traitées. [source] IgG4-related inflammatory aneurysm of the aortic archPATHOLOGY INTERNATIONAL, Issue 4 2009Mitsuaki Ishida IgG4-related sclerosing disease can occur in the cardiovascular system and some inflammatory abdominal aortic aneurysms have been shown to belong to IgG4-related sclerosing disease. Herein is reported a case of IgG4-related inflammatory aortic aneurysm of the aortic arch. A 71-year-old Japanese man was found to have an aneurysm of the aortic arch with maximum dimension of 5.5 cm. The surgically resected aneurysm wall had conspicuous fibrosclerotic changes, dense lymphoplasmacytic infiltration and occasional obliterative phlebitis in the adventitia; the thickness of the adventitia was 6.5 mm. Immunohistochemistry indicated numerous IgG4-positive plasma cell infiltrates; 84% of the IgG-bearing cells were IgG4 positive. The diagnosis of IgG4-related inflammatory aortic aneurysm of the aortic arch was made. Although previously reported IgG4-related inflammatory aortic aneurysms were confined to the abdominal aorta, the present case report demonstrates that IgG4-related inflammatory aortic aneurysm can occur in the aortic arch, thereby extending the spectrum of IgG4-related periaortitis. Further studies are needed to clarify the spectrum of IgG4-related sclerosing disease in the cardiovascular system. [source] Risk factors and independent predictors of survival in patients with pulmonary epithelioid haemangioendothelioma.RESPIROLOGY, Issue 6 2006Review of the literature, a case report Abstract: Pulmonary epithelioid haemangioendothelioma (PEH) is a rare pulmonary neoplasm. A patient with PEH with lymph node and pleural metastases that were discovered incidentally is described. An abnormal left upper lobe shadow was noticed on CXR in a 70-year-old woman during an assessment for the sudden onset of nausea and vomiting. Transbronchial lung biopsy did not provide a diagnosis. Lobectomy and lymph node resection were performed. The histological diagnosis of PEH was confirmed immunohistochemically by positive reactions to factor VIII-related antigen and CD34. Data on 93 patients with PEH including the present case report were analysed by Cox regression analysis using forward stepwise method to identify the risk factors, and the independent predictors of survival in patients with PEH. It revealed that male, symptomatic patients, presence of cough, haemoptysis, chest pain, multiple unilateral nodules, pleural effusion, metastases to more than one site and lymph node metastases were all significant risk factors for PEH (P < 0.05). Symptomatic patients and presence of pleural effusion were the independent predictors of survival in patients with PEH. [source] Serous papillary adenocarcinoma and adult granulosa cell tumor in the same ovary,APMIS, Issue 10 2005An unusual case Surface epithelial-stromal cell tumors are the most common neoplasms of the ovary but occurrence of a serous adenocarcinoma and an adult granulosa cell tumor in the same ovary is an unusual incident. In the present case report we describe this very uncommon occurrence in the ovary of a 50-year-old woman. The patient suffered abdominal distention and was referred to the state hospital where a 5×3 cm multilocular cystic lesion was observed on abdominal CT. Total abdominal hysterectomy with salpingo-oophorectomy and omentectomy was performed. Microscopy revealed an adult granulosa cell tumor and a serous papillary adenocarcinoma in the left ovary. Immunohistochemical staining with inhibin , and pancytokeratin confirmed the diagnosis. [source] Observation of three cases of temporomandibular joint osteoarthritis and mandibular morphology during adolescence using helical CTJOURNAL OF ORAL REHABILITATION, Issue 4 2004K. Yamada summary, Temporomandibular joint (TMJ) osteoarthritis (OA) is a potential cause of craniofacial deformity. If TMJ OA appears during orthodontic treatment, the mandible usually rotates posteriorly, resulting in an unsatisfactory profile, especially in patients with pre-treatment mandibular retrusion. Although it is important to confirm the kind of TMJ pathosis at the start of orthodontic treatment, the relationship between TMJ OA, condylar remodelling and changes in craniofacial morphology remains unclear because of a lack of longitudinal studies. Elucidating this relationship might allow better prediction of post-treatment craniofacial morphology. In the present case reports, helical computed tomography and cephalometry were used to analyse relationships between the pattern and location of condylar remodelling and the changes in craniofacial morphology in three patients with TMJ OA. [source] | ||||||||||