scholarly journals Radix Entomolaris in Mandibular First Molars in Indian Population: A Review and Case Reports

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Kanika Attam ◽  
Ruchika Roongta Nawal ◽  
Shivani Utneja ◽  
Sangeeta Talwar
Keyword(s):  
Root Morphology ◽  
Indian Population ◽  
Case Reports ◽  
Accurate Diagnosis ◽  
Mandibular Molars ◽  
Distolingual Root ◽  
Instruments And Techniques ◽  
Characteristic Features

Purpose. The aim of this paper is to present cases of mandibular first molars with an additional distolingual root and their management using appropriate instruments and techniques.Basic Procedures and Main Findings. Mandibular molars can sometimes present a variation called radix entomolaris, wherein the tooth has an extra root attached to its lingual aspect. This additional root may complicate the endodontic management of the tooth if it is misdiagnosed or maltreated. This paper reviews the prevalence of such cases in Indian population and reports the management of 6 such teeth.Principal Conclusions. (1) It is crucial to be familiar with variations in tooth/canal anatomy and characteristic features since such knowledge can aid location and negotiation of canals, as well as their subsequent management. (2) Accurate diagnosis and careful application of clinical endodontic skill can favorably alter the prognosis of mandibular molars with this root morphology.

scholarly journals Two case reports of novel cutaneous mycoses in cats in the UK using molecular identification for rapid and accurate diagnosis

2019 ◽  
pp. 443-443
Author(s):  
Nikoleta Makri ◽  
Gavin Paterson ◽  
Fiona Gregge ◽  
Catriona Urquhart ◽  
Holly McCluskey ◽  
...  
Keyword(s):  
Molecular Identification ◽  
Case Reports ◽  
Accurate Diagnosis ◽  
The Uk

scholarly journals Systematic review of Kabuki Syndrome’s phenotype with KMT2D gene mutation

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Leonardo Bonini Fischetti ◽  
Julia Zaccarelli Magalhães ◽  
André Rinaldi Fukushima ◽  
Paula Waziry ◽  
Esther Lopes Ricci
Keyword(s):  
Systematic Review ◽  
Differential Diagnosis ◽  
Case Report ◽  
Animal Models ◽  
Case Reports ◽  
Accurate Diagnosis ◽  
Kabuki Syndrome ◽  
Live Births ◽  
Comparative Review ◽  
Secondary Phenotypes

Kabuki Syndrome is rare and poorly documented, initially mentioned by Niikawa and Kuroki in 1981. The prevalence of the syndrome among live births is 1:32,000. Case reports are now available, which correlates to improved techniques for accurate diagnosis. This study focused on a systematic comparative review of the phenotypes of individuals with Kabuki Syndrome, with the purpose to facilitate diagnosis. The systematic review was done with a bibliographic survey of case studies using the following databases: Pubmed, Science Direct and Google Scholar, in conjunction with the following key-words: Kabuki syndrome, phenotype, KMT2D and case report. The literature shows that patients with this syndrome present five main characteristics, besides several types of secondary phenotypes. These characteristics present variations in permeability as well as expressivity of some genes in individuals, therefore, a characterization through phenotype alone becomes limited, making it necessary to perform genetic analysis for differential diagnosis. In order to increase the knowledge and elucidate mechanisms of Kabuki syndrome, we suggest further studies that utilize animal models.

scholarly journals Psychiatric Symptomatology in Early-Onset Binswanger’s Disease: Two Case Reports

1995 ◽  
Vol 8 (1) ◽  
pp. 43-46 ◽  
Author(s):  
R. M. Lawrence ◽  
J. C. Hillam
Keyword(s):  
Early Identification ◽  
Psychiatric Illness ◽  
Case Reports ◽  
Accurate Diagnosis ◽  
Psychotic Symptoms ◽  
Psychiatric Symptomatology ◽  
Neurological Signs ◽  
Binswanger’S Disease ◽  
History Of ◽  
Binswanger's Disease

We describe two cases of Binswanger's disease of pre-senile onset which presented with affective and psychotic symptoms well before the appearance of cognitive deterioration and neurological signs, initially evading an accurate diagnosis. Psychiatrists should be aware of white matter disease and its role in the pathogenesis of psychiatric illness. Particular attention should be given to a history of hypertension as a risk factor in the early identification of these cases.

scholarly journals Pituitary abscess: two case reports

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Yaotse Elikplim Nordjoe ◽  
Suzanne Rita Aubin Igombe ◽  
Fatima Zahra Laamrani ◽  
Laila Jroundi
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Case Reports ◽  
Brain Magnetic Resonance Imaging ◽  
Accurate Diagnosis ◽  
Differential Diagnoses ◽  
Imaging Features ◽  
Resonance Imaging ◽  
Pituitary Abscess ◽  
Hormone Substitution

Abstract Background Pituitary abscess is a rare condition with nonspecific symptoms that can be delayed. Proper diagnosis needs to occur preoperatively so that the management can be set up accordingly. Accurate diagnosis is challenging because many differential diagnoses can exhibit the same magnetic resonance imaging features. Case presentation We report two cases of pituitary abscess. The first patient was a 66-year-old Arab woman who underwent a surgical procedure for a pituitary macroadenoma and presented 3 months later with chronic headaches and panhypopituitarism. A pituitary abscess was found on the follow-up magnetic resonance imaging. The second patient was a 64-year-old Arab man with no medical history who presented with a chiasmal syndrome with headaches and panhypopituitarism. Brain magnetic resonance imaging showed a heterogeneous pituitary mass that turned out to be a pituitary abscess intraoperatively. These two patients were treated with hormone substitution, endoscopic transsphenoidal drainage, and antibiotherapy, with excellent outcomes. Conclusions Pituitary abscess is a rare and serious condition. Preoperative diagnosis can be challenging because of the many existing differential diagnoses upon imaging. Magnetic resonance imaging is the mainstay technique of imaging due to its multimodal nature. These cases demonstrate the variable patterns of a pituitary abscess seen on magnetic resonance imaging and the potential difficulties in achieving an accurate diagnosis preoperatively due to many other conditions potentially exhibiting the same magnetic resonance imaging features.

scholarly journals Candida albicansEpididymo-Orchitis and Fungemia in a Patient with Chronic Myelogenous Leukemia

1996 ◽  
Vol 7 (5) ◽  
pp. 332-334
Author(s):  
Mark Pimentel ◽  
Lindsay E Nicolle ◽  
Salman Qureshi
Keyword(s):  
Amphotericin B ◽  
Chronic Myelogenous Leukemia ◽  
Low Dose ◽  
Case Reports ◽  
Myelogenous Leukemia ◽  
Current Case ◽  
Characteristic Features ◽  
Immunocompromised State ◽  
Intravenous Amphotericin ◽  
Ultrasonographic Appearance

The fourth reported case of candidal epididymo-orchitis in the literature and the first reported case successfully cured with only low dose amphotericin B is described. A 75-year-old male with chronic myelogenous leukemia presented with acute testicular and epididymal swelling and pain. Subsequent investigations suggested the diagnosis of epididymo-orchitis due toCandida albicans. This was successfully treated with intravenous amphotericin B (total dose of 500 mg). Based on the three previous case reports and the current case several characteristic features that increased the suspicion of this entity were identified. These features include an immunocompromised state, candiduria, specific epididymal ultrasonographic appearance, as well as typical clinical features of epididymo-orchitis.

Two Cases of Primary Yolk Sac Tumor of the Liver in Childhood: Case Reports and Literature Review

2009 ◽  
Vol 12 (5) ◽  
pp. 410-416 ◽  
Author(s):  
Mikako Warren ◽  
Karen S. Thompson
Keyword(s):  
Liver Biopsy ◽  
Literature Review ◽  
Tumor Cells ◽  
Case Reports ◽  
Primary Source ◽  
Yolk Sac ◽  
Yolk Sac Tumor ◽  
Recurrent Tumor ◽  
Normal Range ◽  
Characteristic Features

Primary yolk sac tumor of the liver is an extremely rare neoplasm, with fewer than 20 cases reported. We evaluated 2 pediatric cases (21-month-old and 23-month-old female patients), who presented with liver masses and markedly raised serum α-fetoprotein (AFP). One patient received a partial hepatectomy and another patient underwent a liver biopsy, both of which showed characteristic features of yolk sac tumor, with tumor cells staining strongly positive for AFP. There was no evidence of an extrahepatic primary source. Both of our patients have been healthy, without evidence of recurrent tumor, and their AFP level remains in the normal range after their chemotherapeutic treatments.

scholarly journals An Aggressive Urothelial Carcinoma in a Horseshoe Kidney- A Case Report

2020 ◽  
Author(s):  
Sana Fathima ◽  
Sulata Manjunath Kamath
Keyword(s):  
Renal Mass ◽  
Indian Population ◽  
Index Case ◽  
Case Reports ◽  
Correct Diagnosis ◽  
Horseshoe Kidney ◽  
Urothelial Carcinomas ◽  
Appropriate Treatment ◽  
Radiologic Imaging ◽  
Poorly Differentiated

Evidence of horseshoe kidney in Indian population is 1 in 600-800 individuals. Horseshoe kidney is predisposed to complications by virtue of its ectopic position, malrotation and associated vascular and ureteral anomalies. Incidence of Renal Cell Carcinoma (RCC) in a horseshoe kidney is same as that in general population. Other pelvic tumours, transitional tumours, Wilms tumour and carcinoids show a greater frequency. High grade urothelial carcinomas are quite rare with a few case reports available. An index case of 75 yeal old male presented with renal mass in an incidentally diagnosed horseshoe kidney on radiologic imaging. The case has been highlighted due to its poorly differentiated tumour morphology and aggressive nature. Further, immunohistochemistry was done to arrive at a correct diagnosis for appropriate treatment. The tumour cells showed positivity for Cytokeratin 7 (CK 7) and CK 5/6. They were negative for p63, PAX-8 (Paired-box gene 8). Also, it is technically difficult to excise large-sized renal mass in an anomalous kidney.

scholarly journals THE INCIDENCE AND CHARACTERISTIC FEATURES OF ANEMIA IN OLDER PATIENTS WITH CORONARY ARTERY DISEASE

2018 ◽  
Vol 6 ◽  
pp. 912-915
Author(s):  
Alpha James ◽  
Nataliia Pavliukovych ◽  
Oleksandr Pavliukovych
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Older Patients ◽  
Case Reports ◽  
Hospital Treatment ◽  
Rapid Progression ◽  
Hospitalization Period ◽  
Characteristic Features ◽  
Artery Disease ◽  
Cardio Vascular

INTRODUCTION: Previous studies have shown that the presence of anemia is associated with increased short- and long-term outcomes in patients with cardio-vascular diseases, especially coronary artery disease. Decreased hemoglobin level is associated with increased mortality, increased frequency of hospitalization due to different reasons, decreased quality of life and worsening of the clinical course of the main and comorbid diseases. Knowledge about the origin of the patient’s anemia should result in its treatment and possible prevention of the rapid progression of the main cardio-vascular disease, particularly in elderly patients.OBJECTIVES: determination of the incidence and characteristic features of anemia in elderly and senile patients with chronic forms of coronary artery disease.METHODS: 1993 case reports of patients with chronic forms of coronary artery disease with comorbid anemia were analyzed retrospectively.RESULTS: Among all examined patients with coronary artery disease, anemia is found in nearly 70% of cases. In people after the age of 60, anemia is more common in men than in women. Only in less than a hundred case reports, the diagnosis of anemia was recorded in the final clinical diagnosis during patients’ discharge from the hospital. The incidence of anemia does not depend on the form of the chronic CAD (stable angina pectoris or cardiosclerosis).  In most patients with CAD, comorbid anemia is of a normochromic and normocytic character. Along with the progression of the severity of the comorbid anemia, a statistically significant increase of the hospitalization period is observed. In patients with CAD and comorbid anemia the frequency of hospitalizations per year is also increased.CONCLUSIONS: Chronic forms of coronary artery disease in elderly and senile patients in 69,89% of cases are complicated by comorbid anemia of different degrees of severity. In older patients with CAD, anemic syndrome is most often caused by respiratory diseases, stomach and duodenal ulcers, and cancer of various localizations. In most patients with CAD, comorbid anemia is of a normochromic and normocytic character. Concomitant anemia in patients with CAD contributes to the prolongation of the patients’ in-hospital treatment and increases the frequency of hospitalizations due to the main disease throughout the year.

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