Differential diagnosis of HaNDL syndrome in a case report of a pediatric patient: The role of SPECT with 99mTc-HMPAO

The paper presents a case of a 61-year-old patient with chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids (CLIPPERS), along with a detailed description of the diagnostic and therapeutic process, as well as radiological records reflecting the evolution of lesions depending on the steroid therapy used. We also refer to the latest literature reports on the aetiology, pathogenesis, diagnosis and treatment of this clinical entity, including its potential relationship with lymphoproliferative and lymphohistiocytic processes. Furthermore, we present a spectrum of diseases that can clinically and radiologically mimic CLIPPERS (CLIPPERS-mimics), along with the proposed differential diagnosis. Finally, the paper presents the recommended treatment strategy for both acute disease and a maintenance therapy, with particular emphasis on the role of steroid therapy.

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Spotted fever: case report

Residência Pediátrica ◽

10.25060/residpediatr-2020.v10n3-82 ◽

2020 ◽

Vol 10 (3) ◽

Author(s):

Thais Wyatt ◽

Manoella Carrera ◽

Thaís Lacerda ◽

Janinne Rocha ◽

Bárbara Pinto ◽

...

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Rural Area ◽

Pediatric Patient ◽

Indirect Immunofluorescence ◽

Clinical Symptoms ◽

Spotted Fever ◽

Immunofluorescence Test ◽

Fever Case ◽

Indirect Immunofluorescence Test

Spotted fever is a severe and emergent zoonosis caused by Rickettsia and transmitted by ticks, it can be fatal if not diagnosed and treated in the begging of clinical symptoms. The following report is the description of a case of a pediatric patient residing in a rural area in the countryside of the state of Espírito Santo, Brazil, with spotted fever presenting unfavorable evolution. The diagnosis was confirmed by the indirect immunofluorescence test after death. Considering the high lethality and prevalence of the disease in the southeastern and southern regions of Brazil, this differential diagnosis should be considered in the presence of symptomatology and epidemiology suggestive of this disease, in order to reduce the morbidity and mortality of the affected population.

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Recurrent Hemoptysis: A Bronchial Dieulafoy’s Lesion in a Pediatric Patient

Annals of Otology Rhinology & Laryngology ◽

10.1177/0003489420962132 ◽

2020 ◽

pp. 000348942096213

Author(s):

Jeremy S. Ruthberg ◽

Anish Abrol ◽

N. Scott Howard

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Pediatric Patient ◽

Pediatric Patients ◽

Stable Condition ◽

Selective Embolization ◽

Dieulafoy’S Lesion ◽

Tertiary Center ◽

Pediatric Pulmonology ◽

The Right

Objective: This paper presents a case of a bronchial Dieulafoy’s lesion in a pediatric patient with recurrent hemoptysis. Case report: A 11-year old female presented multiple times with dry cough and hemoptysis to an outside hospital, each time leading to a diagnosis of epistaxis and subsequent discharge. When she arrived to our tertiary center with heavy hemoptysis and no evidence of epistaxis, the patient was urgently taken to the operating room by both the otolaryngology and pediatric pulmonology services. Active bleeding from a Dieulafoy’s lesion on the right lower bronchus was found and selective embolization of two tortuous arteries was subsequently performed. The patient was discharged in stable condition without recurrence of hemoptysis over the last two months. Conclusion: While rare, especially in pediatric patients, bronchial Dieulafoy’s lesions may cause severe hemoptysis and should be considered in the differential diagnosis when the etiology for hemoptysis is unclear.

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The role of differential diagnosis in intravascular papillary endothelial hyperplasia of the sinonasal cavity mimicking angiosarcoma: A case report

Oncology Letters ◽

10.3892/ol.2018.9717 ◽

2018 ◽

Cited By ~ 1

Author(s):

Vittorio D'Aguanno ◽

Massimo Ralli ◽

Armando De Virgilio ◽

Antonio Greco ◽

Marco de Vincentiis

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Intravascular Papillary Endothelial Hyperplasia ◽

Papillary Endothelial Hyperplasia

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Extracranial glomus faciale tumour

The Journal of Laryngology & Otology ◽

10.1017/s0022215107000126 ◽

2007 ◽

Vol 122 (9) ◽

pp. 986-989 ◽

Cited By ~ 7

Author(s):

S E J Connor ◽

M J Gleeson ◽

E Odell

Keyword(s):

Computed Tomography ◽

Differential Diagnosis ◽

Case Report ◽

Parotid Gland ◽

Facial Nerve ◽

Core Biopsy ◽

Facial Weakness ◽

History Of ◽

Petrous Temporal Bone

AbstractObjectives:To describe a unique presentation of a predominantly extracranial glomus faciale tumour. To discuss the role of imaging in the differential diagnosis and evaluation of a hypervascular parotid mass. To review the previous literature concerning the glomus faciale tumour.Case report:A 54-year-old woman presented with a six-month history of facial weakness, pain and a parotid mass. Ultrasound revealed a hypervascular parotid mass and pre-operative core biopsy suggested a paraganglioma. Computed tomography defined its deep extent and demonstrated involvement of the petrous temporal bone along the descending portion of the facial nerve canal with a pattern of permeative lucency. A tumour was surgically removed which arose from the facial nerve from the second genu to the proximal divisions within the parotid gland and histology confirmed a paraganglioma.Conclusions:A facial nerve glomus faciale tumour should be considered in the differential diagnosis of a hypervascular parotid mass and may present in a predominantly extracranial location. Computed tomography will prove helpful in such a case in order to limit the differential diagnosis and to define the extent of skull base involvement.

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Initial approach in cleidocranial dysplasia: the role of Pediatric Dentistry.

Revista Brasileira de Odontologia ◽

10.18363/rbo.v74n3.p.246 ◽

2017 ◽

Vol 74 (3) ◽

pp. 246

Author(s):

Milena Sierra Drumond da Costa ◽

Rafael Celestino Colombo de Souza ◽

Sanny Bozza Silvestri ◽

Ana Paula Carvalho ◽

Thaís Gimenez Cóvos ◽

...

Keyword(s):

Case Report ◽

Treatment Planning ◽

Pediatric Patient ◽

Dental Treatment ◽

Pediatric Dentistry ◽

Cleidocranial Dysplasia ◽

Main Complaint ◽

Anterior Teeth ◽

School Of Dentistry

Objective: to emphasize the importance of Pediatric Dentistry in the dental treatment planning as a first step of rehabilitation in a pediatric patient diagnosed with Cleidocranial Dysplasia (CCD). Case Report: this study presents the case of a ten years old girl, with CCD diagnosis, which attended the Sector of Pediatric Dentistry of São Leopoldo Mandic School of Dentistry - Campinas / São Paulo sent by orthopedist, your main complaint was the delay on superior anterior teeth irruption. Needs preventive, curative, rehabilitative, orthodontic and surgical dental treatment. After an interdisciplinary planning, a treatment proposal was nominated and accepted by responsibles’ patient.

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