A rare case of osteoporotic spine fracture associated with epidural lipomatosis causing paraplegia following long-term cortisone therapy

2000 ◽  
Vol 120 (7-8) ◽  
pp. 484-486 ◽  
Author(s):  
H.-J. Andress ◽  
Mathias Schürmann ◽  
Andreas Heuck ◽  
Jochen Schmand ◽  
Günter Lob
Keyword(s):  
Rare Case ◽  
Spine Fracture ◽  
Epidural Lipomatosis ◽  
Cortisone Therapy

scholarly journals Phenylketonuria and juvenile idiopathic arthritis: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ting Ting Zhu ◽  
Jin Wu ◽  
Li Yuan Wang ◽  
Xiao Mei Sun
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Case Report ◽  
Autoimmune Diseases ◽  
Hip Joint ◽  
Metabolic Disorder ◽  
Rare Case ◽  
Molecular Data ◽  
Methotrexate Therapy ◽  
Case Presentation

Abstract Background Phenylketonuria (PKU) is a genetic metabolic disorder in which patients have no ability to convert phenylalanine to tyrosine. Several autoimmune diseases have been reported to combine with PKU, co-existent of PKU and Juvenile Idiopathic Arthritis (JIA) has not been presented. Case presentation The girl was diagnosed with PKU at the age of 1 month confirmed by molecular data. At the age of 3.5 years, she presented with pain and swelling of her right ankle, right knee, and right hip joint. After a serial of examinations, she was diagnosed with JIA and treated with a nonsteroidal anti-inflammatory drug. Conclusions We report a rare case of a 4-year-old girl with PKU and JIA, which supports a possible interaction between PKU and JIA. Long-term metabolic disturbance may increase the susceptibility to JIA. Further chronic inflammation could alter the metabolism of tryptophan and tyrosine to increase blood Phe concentration. In addition, corticosteroid and methotrexate therapy for JIA may increase blood Phe concentration.

scholarly journals A Rare Case of Persistent Lactic Acidosis in the ICU: Glycogenic Hepatopathy and Mauriac Syndrome

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Kirsten S. Deemer ◽  
George F. Alvarez
Keyword(s):  
Diabetes Mellitus ◽  
Lactic Acidosis ◽  
Rare Case ◽  
Hemoglobin A1c ◽  
Blood Glucose Control ◽  
Primary Treatment ◽  
High Dose ◽  
Single Feature ◽  
Mauriac Syndrome

Mauriac syndrome is a rare disorder that can present with the single feature of glycogenic hepatopathy in children and adults with poorly controlled diabetes mellitus. An often underrecognized finding of glycogenic hepatopathy is lactic acidosis and hyperlactatemia. Primary treatment of glycogenic hepatopathy is improved long-term blood glucose control. Resolution of symptoms and hepatomegaly will occur with improvement in hemoglobin A1C. We present here a case of a young adult female presenting to the intensive care unit with Mauriac syndrome. This case demonstratesexacerbationof lactic acidosis in a patient with glycogenic hepatopathy treated for diabetic ketoacidosis with high dose insulin and dextrose.

scholarly journals Late Presentation of Idiopathic Tympanic Membrane Ossification with External Auditory Canal Stenosis

2015 ◽  
Vol 7 (3) ◽  
pp. 141-143
Author(s):  
Hitesh Verma
Keyword(s):  
Tympanic Membrane ◽  
Middle Ear ◽  
External Auditory Canal ◽  
Special Form ◽  
Rare Case ◽  
Late Presentation ◽  
Canal Stenosis ◽  
Middle Ear Cleft

ABSTRACT The external auditory canal (EAC) is formed by lateral cartilaginous and medial bony part. The stenosis of EAC is narrowing of the width of the EAC, i.e. either caused by congenital or acquired causes. Myringosclerosis is a condition caused by calcification of tissues in the tympanic membrane and ossification is a special form of fibrosis due to the long-term, irreversible continued inflammation in the middle ear cleft. We are presenting rare case of idiopathic tympanic membrane ossification with generalized stenosis of EAC in 29-year-old patient. How to cite this article Verma H, Dass A, Singhal SK, Gupta N. Late Presentation of Idiopathic Tympanic Membrane Ossification with External Auditory Canal Stenosis. Int J Otorhinolaryngol Clin 2015;7(3):141-143.

scholarly journals A Rare Case of Bicornuate Uterus with Embedded Intrauterine Contraceptive Device

2015 ◽  
Vol 1 (4) ◽  
pp. 72-73
Author(s):  
A Gayatri ◽  
Nagendra Prasad
Keyword(s):  
Rare Case ◽  
Intrauterine Contraceptive Device ◽  
Cervical Canal ◽  
Contraceptive Device ◽  
Bicornuate Uterus ◽  
Contraceptive Devices ◽  
Intrauterine Contraceptive ◽  
Postmenopausal Female ◽  
Intrauterine Contraceptive Devices

ABSTRACT Early intrauterine contraceptive devices (IUCDs) like Lippes Loop were intended for long-term use until menopause and hence often retained for years, and many patients present well into menopause still bearing a Lippes Loop either deliberately or forgotten. We present a case of a 65-year-old postmenopausal female patient presented with complaints of spotting per vagina since 20 days, associated with white discharge per vagina. Ultrasound abdomen showed calcified endometrium with IUCD in the cervical canal. Hysteroscopy was done. As IUCD could be visualized but could not be removed, hence hysterectomy was done. How to cite this article Gayatri A, Nagarathnamma R, Prasad N. A Rare Case of Bicornuate Uterus with Embedded Intrauterine Contraceptive Device. J Med Sci 2015;1(4): 72-73.

scholarly journals Juvenile Aggressive Trabecular Ossifying Fibroma of Mandible: A Rare Case Report

2016 ◽  
Vol 6 (1) ◽  
pp. 45-51
Author(s):  
Deepa Das Achath ◽  
Abhishek Sanjay Ghule ◽  
Preeti Kanchan-Talreja ◽  
Sunanda Bhatnagar
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Histological Analysis ◽  
High Recurrence Rate ◽  
Ossifying Fibroma ◽  
Appropriate Treatment ◽  
Juvenile Ossifying Fibroma ◽  
Rare Case Report

ABSTRACT Fibroosseous lesions of the jaws, including juvenile ossifying fibroma (JOF), pose diagnostic and therapeutic difficulties due to their clinical, radiological, and histological variability. There are two histological varieties of it, one as psammomatoid type and second as trebacular type; here, we present a trebacular type, which is a rare variety. After the clinical examination, radiological and histological analysis, it was diagnosed as juvenile trebacular ossifying fibroma. Although JOF is an uncommon clinical entity, its aggressive local behavior and high recurrence rate means that it is important to make an early diagnosis, apply the appropriate treatment, and, especially, follow-up the patient over the long term. How to cite this article Ghule AS, Achath DD, Kanchan- Talreja P, Bhatnagar S. Juvenile Aggressive Trabecular Ossifying Fibroma of Mandible: A Rare Case Report. J Contemp Dent 2016;6(1):45-51.

scholarly journals Primary sclerosing cholangitis and pregnancy

2011 ◽  
Vol 1 (3) ◽  
pp. 55 ◽  
Author(s):  
Casper Q. Kammeijer ◽  
Robert A. De Man ◽  
Christianne J.M. De Groot
Keyword(s):  
Ursodeoxycholic Acid ◽  
Primary Sclerosing Cholangitis ◽  
Sclerosing Cholangitis ◽  
Rare Case ◽  
Progressive Disease ◽  
High Dose ◽  
Term Outcome ◽  
Long Term Outcome ◽  
In Pregnancy

Primary sclerosing cholangitis is a progressive disease, and coincidentally in pregnancy it is rare. It is characterized by progressive inflammation and destruction of bile ducts finally resulting in liver failure. A rare case of primary sclerosing cholangitis in pregnancy is presented. The course of the pregnancy was marked by threatened preterm delivery and exacerbation of cholestasis. She was successfully treated with ursodeoxycholic acid (UDCA). Although, primary sclerosing cholangitis has both maternal and fetal effects on pregnancy, the overall outcome is favorable. Only few cases have been reported using high dose ursodeoxycholic acid for primary sclerosing cholangitis in pregnancy, it often improves pruritus but has no protection against stillbirth. Data on the safety to the fetus or neonate and long-term outcome are scarce.

scholarly journals A Rare Case with Long-term Asthma Diagnosis: Swyer-James Macleod Syndrome

2019 ◽  
Vol 1 (1) ◽  
pp. 37-40
Author(s):  
Mehmet Goktepeli ◽  
◽  
Ahmet Yalcin ◽  
Onur Taydas ◽  
Mesut Furkan Yazar ◽  
...  
Keyword(s):  
Rare Case ◽  
Asthma Diagnosis

scholarly journals Age and Other Risk Factors Influencing Long-Term Mortality in Patients With Traumatic Cervical Spine Fracture

2018 ◽  
Vol 9 ◽  
pp. 215145931877088 ◽  
Author(s):  
Matthew Bank ◽  
Katie Gibbs ◽  
Cristina Sison ◽  
Nawshin Kutub ◽  
Angelos Papatheodorou ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Hospital Mortality ◽  
Spine Fracture ◽  
Cervical Spine Fracture ◽  
Spine Fractures ◽  
Term Survival ◽  
Factors Influencing ◽  
Cervical Spine Fractures ◽  
Long Term Mortality

Objective: To identify clinical or demographic variables that influence long-term mortality, as well as in-hospital mortality, with a particular focus on the effects of age. Summary and Background Data: Cervical spine fractures with or without spinal cord injury (SCI) disproportionately impact the elderly who constitute an increasing percentage of the US population. Methods: We analyzed data collected for 10 years at a state-designated level I trauma center to identify variables that influenced in-hospital and long-term mortality among elderly patients with traumatic cervical spine fracture with or without SCI. Acute in-hospital mortality was determined from hospital records and long-term mortality within the study period (2003-2013) was determined from the National Death Index. Univariate and multivariate regression analyses were used to identify factors influencing survival. Results: Data from patients (N = 632) with cervical spine fractures were analyzed, the majority (66%) of whom were geriatric (older than age 64). Most patients (62%) had a mild/moderate injury severity score (ISS; median, interquartile range: 6, 5). Patients with SCI had significantly longer lengths of stay (14.1 days), days on a ventilator (3.5 days), and higher ISS (14.9) than patients without SCI ( P < .0001 for all). Falls were the leading mechanism of injury for patients older than age 64. Univariate analysis identified that long-term survival decreased significantly for all patients older than age 65 (hazard ratio [HR]: 1.07; P < .0001). Multivariate analysis demonstrated age (HR: 1.08; P < .0001), gender (HR: 1.60; P < .0007), and SCI status (HR: 1.45, P < .02) significantly influenced survival during the study period. Conclusion: This study identified age, gender, and SCI status as significant variables for this study population influencing long-term survival among patients with cervical spine fractures. Our results support the growing notion that cervical spine injuries in geriatric patients with trauma may warrant additional research.

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