A rare site of subcutaneous lipoma on the middle finger: Case report and analysis of affected sites in 126 cases at a single institution

Abstract Introduction Onycholysis is a chronic nail disorder characterised by the progressive separation of the nail plate from the underlying nail bed. Apart from causing pain and discomfort, it affects the quality of life of an individual due to its visualised cosmetic appearance. Case Summary A 45-year-old female presented with complete loss of nail plate of the left middle finger for 1 month. At the first visit, homoeopathic medicine Tuberculinum bovinum was prescribed and the patient was followed up periodically for 4 months. A series of photographs captured at the first visit and in subsequent visits objectively document the gradual regrowth of her nail plate. Various aspects of her subjective improvement were documented by three validated outcome measurement scales. The patient herself assessed that, after 4 months of follow-up, she is ‘back to normal’ for her main complaint as well as for the overall well-being, which is documented as a +4 score in ‘Outcome in Relation to Impact on Daily Living’ (ORIDL) scale. The Dermatology Life Quality Index (DLQI) score was reduced from 20 at the first visit to 1 after 4 months of treatment. Modified Naranjo Criteria for Homeopathy (MONARCH) score recorded at the final visit (+8 in ‘-6 to +13’ scale) is suggestive of a high likelihood that the improvement in the patient can be attributed to the homoeopathic treatment provided. Conclusion This clinical case report is presented here to critically document the effect of individualised homoeopathic treatment in onycholysis within a plausible timeframe.

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Envenomation by neotropical Opisthoglyphous colubrid Thamnodynastes cf. pallidus Linné, 1758 (Serpentes:Colubridae) in Venezuela

Revista do Instituto de Medicina Tropical de São Paulo ◽

10.1590/s0036-46652004000500011 ◽

2004 ◽

Vol 46 (5) ◽

pp. 287-290 ◽

Cited By ~ 8

Author(s):

Fresnel Diaz ◽

Luis F. Navarrete ◽

Jaime Pefaur ◽

Alexis Rodriguez-Acosta

Keyword(s):

Case Report ◽

Marked Improvement ◽

Middle Finger ◽

Snake Bite ◽

Venomous Snake ◽

Left Hand ◽

At Home

This is a case report of a "non-venomous" snake bite in a herpetologist observed at the Sciences Faculty of the Universidad de los Andes (Mérida, Venezuela). The patient was bitten on the middle finger of the left hand, and shows signs of pronounced local manifestations of envenomation such as bleeding from the tooth imprint, swelling and warmth. He was treated with local care, analgesics, and steroids. He was dismissed from the hospital and observed at home during five days with marked improvement of envenomation. The snake was brought to the medical consult and identified as a Thamnodynastes cf. pallidus specimen. This report represents the first T. pallidus accident described in a human.

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Vulvar Lipoma: A Case Report

Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics ◽

10.1055/s-0038-1670642 ◽

2018 ◽

Vol 40 (10) ◽

pp. 647-649

Author(s):

Ahmed Reda ◽

Ihab Gomaa

Keyword(s):

Magnetic Resonance Imaging ◽

Case Report ◽

Magnetic Resonance ◽

Histopathological Examination ◽

Surgical Excision ◽

Imaging Modalities ◽

Resonance Imaging ◽

Rare Site ◽

Magnetic Resonance Imaging Mri ◽

Vulvar Mass

AbstractThe present study is a case report of vulvar lipoma. The vulva is a rare site for the development of lipomas, and the aim of the study is to determine if the current imaging modalities can diagnose lipomas correctly. A 43-year-old patient presented with a painless, slowly progressive, oval, mobile and non-tender right vulvar mass compressing the vagina and totally covering the introitus. Both the ultrasonography and magnetic resonance imaging (MRI) exams suggested the diagnosis of lipoma. Surgical excision was performed, and the histopathological examination of the mass confirmed a lipoma.

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Extragingival benign growth-Case report at a rare site

International Journal of Oral Health Dentistry ◽

10.18231/j.ijohd.2021.045 ◽

2021 ◽

Vol 7 (3) ◽

pp. 223-225

Author(s):

Merlin Thomas ◽

Leena Shettar

Keyword(s):

Case Report ◽

Pyogenic Granuloma ◽

Final Diagnosis ◽

Unusual Site ◽

Vascular Neoplasm ◽

Lower Lip ◽

Betel Quid Chewing ◽

Rare Site ◽

The Common ◽

Atypical Presentations

To present a case report of extragingival pyogenic granuloma on lower lip which is an uncommon site for pathological entity and also to emphasize the reason for its occurrence. Pyogenic granuloma (PG) is a benign vascular neoplasm more often appear as lobulated or smooth red nodular lesion commonly in gingiva. Extragingival occurrence of PG is very rare. The present article reports a rare case of 55-year-old female with PG presenting rapid growing mass on the lower lip. This article highlights the possibility on the reason for its occurrence which is important for the diagnosis in this atypical location. The primary etiology of lower lip lesion is trauma and contributory factors being poor oral hygiene and betel quid chewing. Pyogenic granuloma is one of the common lesions in oral cavity. This article highlights the pyogenic granuloma on lip which is an unusual site. Although it can be diagnosed clinically, atypical presentations lead to inappropriate diagnosis. Therefore, further investigation by biopsy confirms final diagnosis upon which treatment is instituted.

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A Well-Differentiated Liposarcoma in the Digit: A Case Report of the 5-Year Post-Surgical Follow-Up

The Journal of Hand Surgery (Asian-Pacific Volume) ◽

10.1142/s242483551872027x ◽

2018 ◽

Vol 23 (03) ◽

pp. 415-418

Author(s):

Sakiko Mizuno ◽

Kensuke Ochi ◽

Jun Miyauchi ◽

Itsuo Watanabe ◽

Hiraku Hotta ◽

...

Keyword(s):

Case Report ◽

Local Recurrence ◽

Hand Function ◽

Middle Finger ◽

Imaging Findings ◽

Lipomatous Tumor ◽

Imaging Examination ◽

Well Differentiated

A liposarcoma is extremely rare in the digits. A 73-year-old woman was diagnosed with a lipoma in her middle finger 10 years ago. As this tumor increased in size and presented with imaging findings that were atypical of lipomas, careful marginal resection biopsy outside the pseudo-capsule was performed, and the tumor was diagnosed as a well-differentiated liposarcoma. At the 5-year follow-up, the patient showed no evidence of local recurrence or metastasis, with no loss of hand function. The findings from this case suggest that even for a lipomatous tumor in the digits, further imaging examination and resection biopsy should be considered if the tumor presents with features that are atypical of lipomas.

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Plant Thorn Synovitis of the Hand in an Adult Patient: A Case Report and Review of the Current Literature

Plastic Surgery Case Studies ◽

10.1177/2513826x19876505 ◽

2019 ◽

Vol 5 ◽

pp. 2513826X1987650

Author(s):

Sarah L. Zhu ◽

Cameron F. Leveille ◽

Emily E. Dunn ◽

Michael J. Cooper

Keyword(s):

Case Report ◽

Current Literature ◽

Foreign Bodies ◽

Middle Finger ◽

Proximal Interphalangeal Joint ◽

Interphalangeal Joint ◽

The Past ◽

Left Middle ◽

Exploratory Surgery ◽

Plum Tree

This is a case of plant thorn synovitis of the hand in an adult following a plum tree thorn injury, the first reported case in the hands in the past decade. The patient initially presented with persistent joint discomfort following removal of a retained plum thorn fragment from the skin overlyin the proximal interphalangeal joint of the left middle finger. Initial radiography and sonography imaging following the removal revealed no foreign bodies. However, the patient’s symptoms were worsening and refractory to anti-inflammatory and antibiotic treatment. An exploratory surgery was carried out, which revealed multiple plant thorn fragments within the synovium, each measuring approximately 1 mm in size. A synovectomy was performed and the patient recovered with full function. Our case of plant thorn synovitis is discussed along with a review of the current literature on plant thorn synovitis in the hands.

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Aberrant Breast in a Rare Site: A Case Report

Case Reports in Medicine ◽

10.1155/2012/943102 ◽

2012 ◽

Vol 2012 ◽

pp. 1-2

Author(s):

Levent Yeniay ◽

Kilongo Mulailwa ◽

Elmir Asgerov ◽

Cüneyt Hoşcoşkun ◽

Osman Zekioğlu

Keyword(s):

Case Report ◽

Female Patient ◽

Breast Tissue ◽

Histological Features ◽

Rare Site

Aberrant breast tissue is an anomaly in the embryogenesis of the breast that is found along the mammary ridge or out of that line. We report a case of a 71-year-old female patient with an abdominal aberrant breast tissue found incidentally in a piece of mesenteric biopsy. The histological features were consistent with breast tissue.

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Sphenoid bone: a rare site for giant cell tumor – case report with literature review

Clinical Neuropathology ◽

10.5414/np300970 ◽

2016 ◽

Vol 35 (11) ◽

pp. 385-388 ◽

Cited By ~ 3

Author(s):

Debajyoti Chatterjee ◽

Kirti Gupta ◽

Navneet Singla ◽

Ankur Kapoor

Keyword(s):

Case Report ◽

Literature Review ◽

Giant Cell Tumor ◽

Giant Cell ◽

Cell Tumor ◽

Sphenoid Bone ◽

Rare Site

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A LARGE INTRA-ARTICULAR LOOSE BODY IN THE METACARPOPHALANGEAL JOINT OF THE MIDDLE FINGER MIMICKING A CALCIFIED TUMOROUS LESION: A CASE REPORT

Hand Surgery ◽

10.1142/s0218810407003511 ◽

2007 ◽

Vol 12 (02) ◽

pp. 107-111

Author(s):

Goro Ebihara ◽

Masayoshi Ikeda ◽

Yoshinori Oka

Keyword(s):

Case Report ◽

Middle Finger ◽

Metacarpophalangeal Joint ◽

Loose Body ◽

Metacarpal Head ◽

Tumorous Lesion ◽

Palmar Approach

We will report on a case with a large intra-articular loose body in the metacarpophalangeal (MP) joint of the middle finger in a 30-year-old-male, which was mimicking a calcified tumourous lesion adjacent to the palmar side of the metacarpal head. It was easily removed through the palmar approach.

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