A 76-year-old man with a five-day history of painful swelling of the right hand

JAMA ◽  
1983 ◽  
Vol 250 (11) ◽  
pp. 1441-1442
Author(s):  
J. M. Aronchick
Keyword(s):  
Author(s):  
Niv Allon

This chapter shifts to three-dimensional art and studies scribal statues. It traces back the history of this statuary motif through time, studying changes in the texts inscribed on the statue and the gesture of the right hand. Analyzing these elements, the chapter investigates the relationships between statue, patron, and text. A close inspection of this statuary motif reveals a growing emphasis on the act of writing and a reinterpretation of the literacy act. Focusing on the Eighteenth Dynasty patrons who commissioned such statues once again suggests that men of military background like Haremhab play a significant role in disseminating images of literacy through their self-representation.


Hand ◽  
2021 ◽  
pp. 155894472097513
Author(s):  
Arthur Samia ◽  
Joshua Scarcella ◽  
Richard Zeri ◽  
Yifan Guo

There have been 8 synovial sarcomas of the median nerve reported. We report a case of a 15-year-old male with synovial sarcoma of the right-hand median nerve. Patient presented with a 2-month history of enlarging mass at the base of the right thenar eminence associated with numbness in the median nerve distribution. Physical examination revealed a soft mass over the thenar eminence and paresthesia in the median nerve distribution. He underwent excision of the tumor, which revealed a well-encapsulated lesion encompassing the median nerve, involving the first, second, and radial aspect of the third web space as well as recurrent branches of the median nerve. Following excision of the tumor, a thorough metastatic workup was negative for metastatic disease. He was staged as III, T2b, N0, M0—poorly differentiated monophasic synovial sarcoma of the right median nerve. Postoperatively the patient was started on chemotherapy and radiation. Intraneural synovial sarcoma is extremely rare. Our case is the youngest with the longest follow-up. He is currently at a status of 3 years posttreatment with no signs of recurrence and excellent use of his right hand. This case is of particular interest due to the rarity of the disease along with this being the best outcome reported in the literature to-date.


2021 ◽  
Vol 9 (1) ◽  
pp. 30-30
Author(s):  
Abu Mansor Matardiah Nor Hashimah ◽  
Lim Ai Lee ◽  
Azman Ali Raymond

Recurrent cellulitis is one of the cutaneous tuberculosis mimickers. As the skin lesion can mimic other skin diseases, the diagnosis can easily be missed especially in immunocompetent patients without any other risk factors. We present a case of a 62-year-old lady with history of right hand extensor tenosynovitis presented with right hand and forearm swelling and pain, associated with fever. Clinically, her right hand and forearm were erythematous with a small nodule at the right elbow. She was treated for recurrent right upper limb cellulitis and thrombophlebitis complicated by septic shock needing several courses of antibiotics. However, she did not show any significant response to the treatment. Multiple septics work up were carried out and all were negative, except aspiration of her right elbow nodule was positive for Mycobacterium tuberculosis. Anti-tuberculous treatment was started but unfortunately, she succumbed due to nosocomial infection.


1995 ◽  
Vol 37 (3) ◽  
pp. 267-270 ◽  
Author(s):  
Clarisse Zaitz ◽  
Edward Porto ◽  
Elisabeth Maria Heins-Vaccari ◽  
Aya Sadahiro ◽  
Ligia Rangel Barbosa Ruiz ◽  
...  

We present a case of subcutaneous hyalohyphomycosis due to Acremonium recifei, a species whose habitat is probably the soil, first identified in 1934 by Arêa Leão and Lobo in a case of podal eumycetoma with white-yellowish grains and initially named Cephalosporium recifei. A white immunocompetent female patient from the state of Bahia, Brazil, with a history of traumatic injury to the right hand is reported. The lesion was painless, with edema, inflammation and the presence of fistulae. Seropurulent secretion with the absence of grains was present. Histopathological examination of material stained with hematoxylin-eosin showed hyaline septate hyphae. A culture was positive for Acremonium recifei. Treatment with itraconazole, 200 mg/day, for two months led to a favorable course and cure of the process. We report for the first time in the literature a case of subcutaneous hyalohyphomycosis due to Acremonium recifei in a immunocompetent woman. Treatment with itraconazole 200 mg/day, for two months, resulted in cure.


2013 ◽  
Vol 7 (1) ◽  
pp. 75-77 ◽  
Author(s):  
V De Luna ◽  
V Potenza ◽  
L Garro ◽  
P Farsetti ◽  
R Caterini

Trigger finger is a rare condition in children. In this paper, we report on a 2-year-old boy with multiple congenital bilateral trigger digits. The patient had no history of perinatal trauma, viral or bacterial infections, or metabolic disorders. The patient was treated with physiotherapy for one year. At the one-year follow-up, the boy presented with six trigger fingers (3 on the right hand, 3 on the left hand). Neither thumb was involved. The six trigger fingers were treated surgically: first, the right-hand trigger fingers and, six months later, those of the left hand. After each operation, a 4-week brace in extension was applied to the operated hand. The symptoms were completely resolved after surgical treatment. Many authors have recommended surgical release for the treatment of trigger finger in children; empirical treatment with physiotherapy may be an option when symptoms present or appear at an older age.


Author(s):  
Svetlana A. Semiachko ◽  

The article examines the early history of Anna of Kashin and Euthymius of Arkhangelsk’s cults. Their veneration began at the end of the 1640s and acquired new content several decades later, after the Russian Church schism. The author of the article focuses on the origin of the legends, according to which the saints rest in their tombs with fingers of their right hands positioned as if they were making a two-finger sign of the cross. The study is based on hagiographic texts dedicated to these saints, legislative acts, documents of church councils, and icons. The author comes to the conclusion that the legends had oral roots and originated among the opponents of Nikon's reforms in the early post-reform period.


2016 ◽  
Vol 138 (02) ◽  
pp. 42-47
Author(s):  
Henry Petroski

This article discusses various road infrastructure history and perspectives that could help in improving future infrastructure. The visibility of pavement markings has continued to be problematic, especially where winter and snow are virtually synonymous. The American reinvention of the highway centreline has been described as ‘the most important single traffic safety device in the history of auto transportation.’ The solid white line that marks the right-hand edge is thus considered another significant innovation. The white line delineating the pavement’s right-hand edge was explicitly advocated in the 1961 manual, and the 1978 edition made it required for all multilane rural highways. Such standardization, while it may take time to be codified, certainly does make our highways safer and less stressful to navigate.


1924 ◽  
Vol 4 (2) ◽  
pp. 93-100
Author(s):  
T. Ashby

Professor T. Zammit was so kind as to invite me, during a short visit to Malta in March and April 1921, to conduct supplementary excavations under the torba floors of the sanctuary at Hal-Tarxien, which he had discovered and excavated. The results are not without interest both for the history of the building and from the nature of the objects found. They bear out Professor Zammit's conclusions as to the relative date of the various portions of the building; and we may add that the spiral decorations and small niches found in the temple of the second period all appear to belong to the latest (third) period in the history of the whole. It also unfortunately seems clear that we have not, as I had hoped, acquired any information to help us in the dating of the various forms and decorations which we find in the pottery of Malta. The excavations in those parts of the building which belonged to the first and second periods revealed in almost every case the existence of an earlier floor below that which had previously been cleared. Taking the earliest building first, we found that the slabs in the right-hand apses BB, DD (which are alone preserved, the left-hand apses having been destroyed by subsequent alterations) rested upon the rock, which had been cut away so as to follow their curve, and were kept in place by inclination against one another, smaller stones being placed to block up the interstices between them.


2020 ◽  
Vol 13 (12) ◽  
pp. e236521
Author(s):  
Marie Louise Naestholt Jensen ◽  
Victor Dahl Mathiasen ◽  
Marinne Ifversen ◽  
Jeppe Sylvest Angaard Nielsen

A 9-year-old girl was admitted to the paediatric intensive care unit with acute respiratory failure due to influenza. Nine months earlier, she presented with unexplained lymphoedema of the lower extremities and monocytopenia. She had a history of occasional finger warts and onychomycoses. During hospitalisation, the patient was diagnosed with Emberger syndrome caused by GATA2 deficiency. The admission was complicated by thromboses in the right hand, leading to amputation of multiple fingers. From then on, the patient has been in good recovery, the function of her right hand was improving and an allogeneic haematopoietic cell transplantation has now been successfully performed.


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