scholarly journals Eosinophilic Polymyositis: A Rare Cause of Atraumatic Compartment Syndrome of the Forearm

2019 ◽  
Vol 12 (S 01) ◽  
pp. S67-S69
Author(s):  
Michael K. Boyajian ◽  
Lauren O. Roussel ◽  
Galam Khan ◽  
Edward Stopa ◽  
Reena Bhatt
Keyword(s):  
Case Report ◽  
Connective Tissue ◽  
Compartment Syndrome ◽  
Rare Case ◽  
Chart Review ◽  
Surgical Intervention ◽  
Retrospective Chart Review ◽  
Definitive Diagnosis ◽  
Pertinent Literature ◽  
Case Summary

Abstract Background Eosinophilic polymyositis is a rare disorder in which eosinophils infiltrate muscle and supporting connective tissue structures, resembling autoimmune or immunologically mediated disease. This disorder can be associated with muscle inflammation and death, and can be a cause of atraumatic compartment syndrome. Methods This is a retrospective chart review of a case report as well as review of pertinent literature. Results This report presents a rare case of atraumatic compartment syndrome of the forearm caused by eosinophilic polymyositis. It provides a case summary and histological examination of this patient. Conclusion This is an important case to report because it highlights eosinophilic polymyositis as a unique etiology of compartment syndrome. In appropriate clinical situations where patients do not improve despite standard interventions, one should consider the rare and unusual etiology of compartment syndrome due to eosinophilic polymyositis. Furthermore, primary surgical intervention should not be delayed while waiting to ascertain a definitive diagnosis.

scholarly journals Palisaded neutrophilic and granulomatous dermatitis following a long-standing monoclonal gammopathy: A case report

2021 ◽  
Vol 9 ◽  
pp. 2050313X2097956
Author(s):  
Dorsa Zabihi-pour ◽  
Bahar Bahrani ◽  
Dalal Assaad ◽  
Jensen Yeung
Keyword(s):  
Rheumatoid Arthritis ◽  
Case Report ◽  
Connective Tissue ◽  
Monoclonal Gammopathy ◽  
Inflammatory Dermatosis ◽  
Case Summary ◽  
Underlying Causes ◽  
Granulomatous Dermatitis ◽  
Skin Biopsies ◽  
Underlying Diseases

Background: Palisaded neutrophilic granulomatous dermatitis is a rare inflammatory dermatosis with possible underlying systemic conditions including rheumatoid arthritis, autoimmune connective tissue disease, and malignancies. Case Summary: We report a case of an 84-year-old man presenting with a 3-week eruption of asymptomatic annular plaques on his neck, which progressed to involve his back and legs. Skin biopsies confirmed a diagnosis of palisaded neutrophilic granulomatous dermatitis, and he was treated with prednisone. Full workup related to potential underlying causes of palisaded neutrophilic granulomatous dermatitis was completed. Conclusion: Palisaded neutrophilic granulomatous dermatitis may precede the onset of underlying systemic conditions or occur concomitantly. Following the diagnosis, clinicians should perform a comprehensive focused history, physical examination, and laboratory investigation related to the associated underlying diseases.

scholarly journals Pyogenic granuloma of tongue: A rare case report

2014 ◽  
Vol 6 (3) ◽  
pp. 84-86
Author(s):  
Sonam Sharma ◽  
Amita Sharma ◽  
Ashok Kumar ◽  
Shivani Kalhan ◽  
Jasmine Kaur
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Male Patient ◽  
Rare Case ◽  
Pyogenic Granuloma ◽  
Definitive Diagnosis ◽  
Medical Sciences ◽  
New Approaches ◽  
Rare Case Report ◽  
Chronic Irritation

Pyogenic granuloma (PG) is a kind of inflammatory hyperplasia in response to chronic irritation. Here, we report a case of 64 year old male patient with PG on midline of the dorsum of the posterior third of the tongue. Its differential diagnosis, the importance of biopsy findings in establishing definitive diagnosis and about the new approaches for its treatment is discussed. DOI: http://dx.doi.org/10.3126/ajms.v6i3.10619Asian Journal of Medical Sciences Vol.6(3) 2015 84-86

scholarly journals Case Report: A Rare Case of Right-Sided Papillary Fibroelastoma in a 1-Year-Old With Congenital Heart Disease

2021 ◽  
Vol 7 ◽  
Author(s):  
Ali Ahmad ◽  
Edward A. El-Am ◽  
Reto D. Kurmann ◽  
Donald J. Hagler ◽  
Melanie C. Bois ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Case Report ◽  
Mitral Regurgitation ◽  
Rare Case ◽  
Congenital Heart ◽  
Cardiac Tumors ◽  
Atrioventricular Canal ◽  
Case Summary ◽  
Atrioventricular Canal Defect

Introduction: Cardiac papillary fibroelastomas (PFEs) are the most common primary benign cardiac tumors, although they are somewhat unusual in children and typically seen on the left-sided cardiac valves.Case summary: A 10-week-old patient was found to have a partial atrioventricular canal defect, with associated tricuspid and mitral regurgitation. He was medically managed until 1 year of age, when surgical correction was done. During the procedure, a PFE was found incidentally on the TV.Conclusion: This is one of the youngest patients to be reported with PFE, thus adding to the literature of these unusual cases in children.

scholarly journals AGGRESSIVE MESENTRIC FIBROMATOSIS: A RARE CASE REPORT AND REVIEW OF LITERATURE

2013 ◽  
Vol 03 (01) ◽  
pp. 79-82
Author(s):  
Rohan Shetty ◽  
Shubha Bhat ◽  
Rajesh Ballal ◽  
Pramod Makannavar ◽  
Anil Kumar K. N.
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Rare Case ◽  
Clinical Presentation ◽  
Aggressive Fibromatosis ◽  
Definitive Diagnosis ◽  
Review Of Literature ◽  
Therapeutic Challenge ◽  
Rare Case Report ◽  
Small Intestinal

AbstractMesentric fibromatosis is a proliferative fibroblastic neoplasm of the small intestinal mesentery with varied clinical presentation. Giant mesentric fibromatosis is uncommon and its rarity poses a diagnostic and therapeutic challenge. This paper presents a recurrent aggressive fibromatosis in a 38 year old male patient, who had initially undergone a laparotomy outside for mass abdomen but only pus was evacuated and definitive diagnosis was not made.

The Currarino Triad: Neurosurgical Considerations

Neurosurgery ◽  
2006 ◽  
Vol 58 (5) ◽  
pp. 924-929 ◽  
Author(s):  
Pieter J. Emans ◽  
Jasper van Aalst ◽  
Ernest L.W. van Heurn ◽  
Carlo Marcelis ◽  
Gauke Kootstra ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Canal ◽  
Chart Review ◽  
Surgical Intervention ◽  
Tethered Cord ◽  
Retrospective Chart Review ◽  
Risks And Benefits ◽  
Chiari Type 1 Malformation ◽  
Spine Imaging

Abstract OBJECTIVES: The Currarino triad, a relatively uncommon hereditary disorder, is often associated with tethered cord and anterior myelomeningocele. Little is known of the implications of these neuroanatomic malformations or of the neurosurgical attitude. The objective of this study is to identify the spinal cord and meningeal malformations associated with the Currarino triad and to discuss the risks and benefits of surgical intervention. METHODS: We analyzed the spinal cord malformations and the neurosurgical involvement with the Currarino triad by retrospective chart review. RESULTS: The Currarino triad neuroanatomic malformations were identified in five patients. The Currarino triad was associated with a tethered cord in three patients, a myelomeningocele in five patients, a syrinx in two patients, a fistula between the colon and spinal canal in two patients, and an Arnold-Chiari Type 1 malformation in one patient. CONCLUSION: Full spine imaging is required for all patients diagnosed with the Currarino triad. Magnetic resonance imaging of the head should be performed in every patient with neuroanatomic anomalies. Surgery of an anterior myelomeningocele is not necessarily indicated, only in the rare case in which the space-occupying aspect is expected to cause constipation or problems during pregnancy or delivery. Constipation directly after birth is seen in virtually all patients with the triad. Therefore, constipation cannot be used to diagnose a tethered cord syndrome nor indicate tethered cord release. Fistulas between the spinal canal and colon have to be operated on directly.

Interaction between Warfarin and Trazodone

2000 ◽  
Vol 34 (6) ◽  
pp. 734-736 ◽  
Author(s):  
Nancy L Small ◽  
Kathy A Giamonna
Keyword(s):  
Chart Review ◽  
Retrospective Chart Review ◽  
International Normalized Ratio ◽  
Potential Interaction ◽  
Case Summary ◽  
Subsequent Decrease ◽  
Clinically Significant ◽  
Few Data ◽  
Time To Onset ◽  
Potentially Clinically Significant

BACKGROUND: It is well known that there are many drug interactions involving warfarin. However, few data have been supplied to guide clinicians concerning the interaction between trazodone and warfarin. CASE SUMMARY: Three clinically significant cases of suspected trazodone and warfarin interactions were identified in a retrospective chart review based on changes in the prothrombin time (PT) and international normalized ratio (INR) that were not explained by other factors. In each of the cases, the INR changed by ≥1.0 after the initiation or discontinuation of trazodone. In the patients who started trazodone, a subsequent decrease in the PT and INR resulted; conversely, the PT and INR increased in the patient who stopped trazodone therapy. Although none of the patients experienced adverse effects due to the marked changes in PT and INR, the warfarin dosages had to be adjusted accordingly on initiation and discontinuation of trazodone. DISCUSSION: These cases show that there is a potentially clinically significant interaction between trazodone and warfarin. The time to onset of the interaction is variable; the mechanism behind it is not known, but it may involve substrate or protein-binding competition. CONCLUSIONS: The use of trazodone on an as-needed basis for sleep is strongly discouraged in patients who are receiving warfarin, due to the difficulty of achieving a therapeutic PT and INR. Until more is known, patients and clinicians should be educated about this potential interaction and monitor for changes in the anticoagulant effects when trazodone is initiated or stopped.

Acute triceps ruptures: Case report and retrospective chart review

2006 ◽  
Vol 15 (1) ◽  
pp. 130-134 ◽  
Author(s):  
Rafael J. Sierra ◽  
Nicholas G. Weiss ◽  
Michael W. Shrader ◽  
Scott P. Steinmann
Keyword(s):  
Case Report ◽  
Chart Review ◽  
Retrospective Chart Review

scholarly journals Spinal dysraphism with tripedus morphology: A case report

2021 ◽  
pp. 509-511
Author(s):  
Mohd Monis ◽  
Shagufta Wahab ◽  
Divyashree Koppal ◽  
Aiman Ibbrahim
Keyword(s):  
Case Report ◽  
Spina Bifida ◽  
Vertebral Column ◽  
Rare Case ◽  
Surgical Intervention ◽  
Spinal Dysraphism ◽  
Tethered Cord ◽  
Lower Back ◽  
Rare Case Report ◽  
Spinal Mri

This is a rare case report of a 5-month-old child with a complex spinal dysraphic state, and an accessory limb (tripedus morphology), accessory genitalia, and anal dimple. The child was brought to the hospital with an accessory limb arising from the back. On clinical examination, an accessory limb arising from the lower back with a partially developed foot with the presence of toes and nails was noted. Spinal MRI was advised which revealed dysraphic features including spina bifida with the low lying and posteriorly tethered cord with diastematomyelia along with a supernumerary appendage attached to the vertebral column having rudimentary bones resembling those of extremities. The presence of an accessory limb with spinal dysraphism is quite a rare anomaly. The condition can be treated by surgical intervention and involves excision of the accessory limb with adequate dural and paraspinal muscle cover.

scholarly journals A rare case report of aplasia cutis congenita of the scalp with triplet skin defects in non-syndromic newborn

2021 ◽  
Vol 8 (3) ◽  
pp. 997
Author(s):  
Naim Sulaiman Abuzarifa ◽  
Wan Azman Wan Sulaiman
Keyword(s):  
Case Report ◽  
Gestational Age ◽  
Rare Case ◽  
Surgical Intervention ◽  
Skin Condition ◽  
Skin Defect ◽  
Aplasia Cutis Congenita ◽  
Skin Defects ◽  
Rare Case Report ◽  
Aplasia Cutis

Aplasia cutis congenita is an uncommon localized or widespread congenital skin condition characterized by the absence of the skin, and occasionally underlying tissues occurs in about one every 10.000 birth mostly in the scalp as single or more than one lesion and sometimes occurs in extremities and trunk with an uncertain cause and can be associated with numerous syndromes or can be sporadic which is diagnosed clinically and usually conservatively managed but sometimes surgical intervention needed. In this literature, we present nonsyndromic newborn Malay girl normally delivered with 35 weeks gestational age with triplet skin raw areas at the vertex of the scalp with well-demarcated defect round in shape measured about 0.5 in radius covered with a noninflammatory, necrotic patch. To our knowledge, many works of literatures presented Aplasia cutis congenita at the scalp with solitary single or occasionally more than one skin defect. In contrast, in our case, we present an infrequent rare case of triplet skin defect of aplasia cutis congenita for nonsyndromic newborns. 

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