scholarly journals Lymphocutaneous Sporotrichosis during Treatment with Anti-TNF-Alpha Monotherapy

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Francesco Ursini ◽  
Emilio Russo ◽  
Christian Leporini ◽  
Marilena Calabria ◽  
Caterina Bruno ◽  
...  
Keyword(s):  
Sporothrix Schenckii ◽  
Direct Consequence ◽  
Dimorphic Fungus ◽  
Left Hand ◽  
Clinical Syndromes ◽  
Nodular Lesions ◽  
Appropriate Therapy ◽  
The Right ◽  
First Time

Sporotrichosis is an infectious disease caused bySporothrix schenckii, a dimorphic fungus isolated for the first time in 1896 by Benjamin Schenck from a 36-year-old male patient presenting lesions on the right hand and arm. The infection generally occurs by traumatic inoculation of soil, plants, and organic matter contaminated with the fungus. Different clinical syndromes are described as a direct consequence ofS. schenckiiinfection, including lymphocutaneous and disseminated forms, although extracutaneous presentations are reported most frequently in AIDS patients. Here we describe the case of a 57-year-old Caucasian male diagnosed in 2004 with ankylosing spondylitis under stable treatment with adalimumab monotherapy (40 mg every other week). During a routine follow-up visit in March 2013, he presented with multiple nodular lesions arranged in a linear fashion along the left hand and forearm. After diagnostic aspiration of the lesions, lymphocutaneous sporotrichosis was diagnosed and appropriate therapy started.

scholarly journals Laparoscopic Resection of Renal Capsular Endometriosis in a Woman with Menstrual-Related Flank Pain: Case Report

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Abbas Basiri ◽  
Iman Ghanaat ◽  
Hamidreza Akbari Gilani
Keyword(s):  
Flank Pain ◽  
Pathological Examination ◽  
Histologic Evaluation ◽  
Normal Renal Parenchyma ◽  
Perinephric Space ◽  
Superior Portion ◽  
The Right ◽  
First Time ◽  
Laparoscopic Removal

Abstract Background Although involvement of the urinary system is not uncommon, endometriosis in the kidneys is rare. To date, laparoscopic partial nephrectomy has been the preferred approach for managing renal endometriosis. Here, we report for the first time the results of laparoscopic removal of a renal capsular endometriosis in a malrotated kidney in an attempt to save the whole kidney parenchyma, in terms of feasibility and safety. Case presentation A 37-year-old female presented with periodic right flank pain associated with her menstrual cycle. On imaging, a malrotated right kidney and a hypodense irregular-shaped lesion measuring 30 * 20 * 15 mm were seen in the superior portion of the right perinephric space. Histologic evaluation of the ultrasound-guided biopsy was consistent with renal capsular endometriosis. The patient underwent laparoscopic surgery to remove the capsular mass while preserving the normal renal parenchyma. Pathological examination of the biopsy obtained during surgery was in favor of renal endometriosis. At 6-month follow-up, the patient’s pain had completely disappeared and no complications had occurred. In addition, imaging did not show any remarkable recurrence. Conclusion Renal endometriosis should be strongly considered as a differential diagnosis in female patients with a renal capsular mass and exacerbation of flank pain during menstruation. Based on our experience, with preoperative needle biopsy and clearing the pathology, laparoscopic removal of the mass in spite of renal anatomic abnormality is feasible and safe and thus could be considered as a possible treatment option.

“Craniotomy Within Craniotomy” Technique for Safe Resection of an Intracranial Arteriovenous Malformation With Frontal Bony Erosion: 2-Dimensional Operative Video

2021 ◽  
Author(s):  
MirHojjat Khorasanizadeh ◽  
Kristine Ravina ◽  
Aristotelis Filippidis ◽  
Christopher S Ogilvy
Keyword(s):  
Surgical Resection ◽  
Endovascular Embolization ◽  
Acute Onset ◽  
Bone Flap ◽  
Intracranial Arteriovenous Malformation ◽  
Excessive Bleeding ◽  
Left Hand ◽  
The Right ◽  
Venous Varix

Abstract Surgical resection is one option in the treatment of large high-grade brain arteriovenous malformations (AVMs). Resection of AVMs with skull-eroding components can be challenging due to the risk of excessive bleeding from these components during craniotomy and bone flap removal. We present a case of a 25-yr-old woman who presented with an acute onset right-sided frontal headache. She was found to have a large, frontal Spetzler-Martin grade IV AVM with an associated dural AVM. The AVM had caused focal erosions of the right frontal bone by a venous varix traversing the region of the calvarial defect. An elective staged endovascular embolization followed by surgical resection was recommended considering the patient's young age and the large size of the AVM located in a noneloquent area. Given the high risk of intraoperative hemorrhage during the craniotomy portion of the procedure, a “craniotomy within craniotomy” approach was planned. During this approach, a small rectangle of bone, including the portion eroded by the venous varix, was left in place, while the larger bone flap surrounding it was removed for an initial approach to the AVM. The small bony piece was safely removed at later stages of resection once the arterial feeders had been reasonably obliterated. Immediate postoperative catheter angiogram demonstrated good filling of the intracranial vascular territories with no residual AVM. The patient developed mild left facial and left hand weakness postoperatively, which resolved after 2 wk of follow-up. The patient remained neurologically intact on further follow-up.

Phaeohyphomycotic osteomyelitis in the femur of a cat

2009 ◽  
Vol 11 (10) ◽  
pp. 878-880 ◽  
Author(s):  
Michal O. Hess
Keyword(s):  
Physical Examination ◽  
Distal Femur ◽  
Lytic Lesion ◽  
High Dose ◽  
Dimorphic Fungus ◽  
Cytological Examination ◽  
The Right ◽  
Lost To Follow Up ◽  
Deep Fungal Infection

A 4-month-old castrated male domestic shorthair cat was presented for a right hind leg lameness of 1-week duration. Physical examination revealed a painful swelling over the right distal femur. A radiograph of the right stifle revealed an extensive lytic lesion involving the distal metaphysis of the right femur. Cytological examination of a needle aspirate was consistent with a deep fungal infection. A pigmented dimorphic fungus was isolated in pure culture from a representative needle aspirate from the lesion. The patient improved substantially after 5 weeks of high-dose itraconazole therapy, although it was subsequently lost to follow-up.

scholarly journals Bilateral Multiple Metacarpal Head Avascular Necrosis: A Case Report

2016 ◽  
Vol 101 (9-10) ◽  
pp. 473-477 ◽  
Author(s):  
Wengang Li ◽  
Biao Liu ◽  
Jun Song ◽  
Yan Liu ◽  
Haoyu Liu ◽  
...  
Keyword(s):  
Avascular Necrosis ◽  
Middle Finger ◽  
Left Hand ◽  
The Third ◽  
Metacarpal Head ◽  
Right Hand ◽  
Satisfactory Clinical Result ◽  
Slight Limitation ◽  
The Right

Avascular necrosis of the metacarpal head is a rare disease. We herein report a case with varying degrees of lesions in the third and fourth metacarpal heads of the right hand and the third metacarpal head of the left hand. The patient was a 37-year-old male right-handed mechanical worker who presented with persistent dull pain in the right hand after labor work for more than a year. The 3 lesions in this patient were treated differently based on their clinical imaging manifestations. The neurologic function of the right hand recovered by the 18-month follow-up; only a slight limitation remained in the right middle finger. This is the first report of 1 patent who received 2 different treatment methods simultaneously and both provided a satisfactory clinical result.

Detailed Sonographic Anatomy of Dorsal Hand Augmentation With Hyaluronic Acid and Calcium Hydroxyapatite Fillers

2018 ◽  
Vol 39 (10) ◽  
pp. 1096-1106 ◽  
Author(s):  
Jong Seo Kim
Keyword(s):  
Hyaluronic Acid ◽  
Calcium Hydroxyapatite ◽  
Level Of Evidence ◽  
Left Hand ◽  
Stratum Corneum Hydration ◽  
Dorsal Hand ◽  
Hands On ◽  
Grading Scale ◽  
The Right

Abstract Background Volume restoration using filler in the dorsum of the hand is a simple and effective procedure to improve wrinkles and hide veins and tendons. Currently, calcium-hydroxyapatite (CaHA) filler is the only FDA-accepted material to use in the hand dorsum. However, it is not easy to inject due to swelling and redness. In addition, hand anatomy through sonography is wrongly described in Plastic and Reconstructive Surgery® Journal. Through incorrect marking in sonographic hand anatomy, physicians will conduct erroneous procedures and surgeries. Objectives CaHA filler and hyaluronic acid (HA) filler were both injected into the hand to compare intra-individually the effect of each filler. Through this study, the author introduced detailed and refined sonographic anatomy. Overall, the author identified the correct injection method and depth. Methods In this prospective, intra-individual, comparative study, patients were injected 1 cc of CaHA filler to the left hand and 3 cc (36 mg) of microphasic hyaluronic acid to the right. Outcomes were assessed by Merz hand grading scale, skin bio-parameters, dermascopic finding, and Global Aesthetic Improvement Scale (GAIS) with follow-up at 3, 6, 9, and 12 months. Results The average GAIS score improved in both hands and generally maintained over the course of the study. There was significantly more bruising and swelling in the CaHA-injected hands compared with the HA-injected hands. The skin roughness and appearance improved in both sets of hands on dermascope. The average Trans-Epidermal-Water-Loss decreased and the average Stratum Corneum Hydration increased in HA-injected hands. The biopsy study showed that the HA particles lasted for 9 months. Conclusions The author reestablished sonographic anatomy. Veins and tendons became less apparent after injections. Level of Evidence: 2

Huge peripapillary staphyloma with craniofacial clefts: A case report

2020 ◽  
pp. 112067212094629
Author(s):  
Fei Yu ◽  
Yao Fu
Keyword(s):  
Case Report ◽  
Deep Excavation ◽  
Resonance Imaging ◽  
Large Defect ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
First Time ◽  
Left Eyelid ◽  
Peripapillary Staphyloma

Purpose: We reported the occurrence of a congenital unilateral huge peripapillary staphyloma in association with craniofacial clefts for the first time. Case report: A 1-year-old boy presented with a large defect on his left eyelid, a wide oblique columella nasi and an atypical wedge-shaped extension of the unilateral anterior hairline. Magnetic resonance imaging (MRI) examinations revealed there were cracks on his nasal septum, palate, and superior alveolar midline. Moreover, we surprisingly uncovered a gourd-shaped eyeball with the compressed optic nerve on the right side, while the right eye seemed normal from appearance. Under anaesthesia, fundus examination of the right eye showed a 15 mm-deep excavation surrounding the optic disc with defective choroid and dysplastic optic papilla. We reconstructed the left eyelid of the patient to protect his cornea and would make other solutions according to the results of follow-up. Conclusion: Peripapillary staphyloma and craniofacial clefts are two dissimilar rare congenital anomalies. In this patient, we firstly observed the co-existence of the two defects, which may provide the experience to the diagnosis and treatment of peripapillary staphyloma and craniofacial clefts. This case also gives us the pathogenic inspiration for further studies of peripapillary staphyloma and craniofacial clefts.

Body Scheme Gates Visual Processing

2004 ◽  
Vol 91 (5) ◽  
pp. 2376-2379 ◽  
Author(s):  
Christian Dohle ◽  
Raimund Kleiser ◽  
Rüdiger J. Seitz ◽  
Hans-Joachim Freund
Keyword(s):  
Visual Cortex ◽  
Visual Processing ◽  
Functional Magnetic Resonance ◽  
Resonance Imaging ◽  
Body Scheme ◽  
Left Hand ◽  
Opposite Hand ◽  
The Right ◽  
First Time ◽  
Motor Acts

We used functional magnetic resonance imaging (fMRI) to explore how guidance of motor acts is influenced by the visually perceived body scheme. We found that when subjects view their hand as their opposite hand, i.e., the right hand is seen as the left hand and vice versa, activation in the visual cortex was lateralized opposite to the seen hand. This demonstrates for the first time that our body scheme to which vision relates our environment is already represented at the level of visual cortex.

The Right to Vote in Nigeria: A Critical Commentary on the Open Ballot System

1994 ◽  
Vol 38 (2) ◽  
pp. 173-180 ◽  
Author(s):  
Epiphany Azinge
Keyword(s):  
Direct Consequence ◽  
The North ◽  
Critical Commentary ◽  
Right To Vote ◽  
The Right ◽  
Political Right ◽  
First Time

The right to vote in Nigeria has a rather chequered history. Universal adult suffrage became a reality in Nigeria in the 1979 elections when women in the North were allowed for the first time to participate in elections. Originally the right to vote was thought of as a direct consequence of property interests rather than adhering to the person as a political right. It was only gradually that the vote was altered from a property and income right to a political right.

scholarly journals Three-Dimensional Computed Tomography Follow-Up on Spontaneous Bone Healing after Excision of Periorbital Dermoid Cyst: A Case Report

2021 ◽  
Vol 17 (3) ◽  
pp. 213-217
Author(s):  
Hannara Park ◽  
Jaemin Seong ◽  
Hyochun Park ◽  
Hyeonjung Yeo
Keyword(s):  
Computed Tomography ◽  
Dermoid Cyst ◽  
Three Dimensional ◽  
Surgical Excision ◽  
Complete Recovery ◽  
Bony Defect ◽  
Palpable Mass ◽  
Nodular Lesions ◽  
The Right

Dermoid cysts are among the most common periorbital and orbital tumors presenting in childhood. Several studies have shown that dermoid cysts may deform adjacent bones; however, few studies have followed the course of bone regeneration after the excision of a cyst. We report a case of a 29-month-old female infant who presented with a palpable mass over her right lateral eyebrow. Ultrasonography findings suggested a dermoid cyst, and computed tomography revealed a 2.1-cm round bony defect in the right zygoma. After surgical excision of the dermoid cyst, we successfully applied fibrin sealant to eliminate the dead space. Pathological findings showed nodular lesions with flat cystic walls containing lamellated keratin and sebaceous glands, supporting the diagnosis of dermoid cyst. At 6 months postoperatively, a follow-up computed tomography scan confirmed complete recovery of the bone defect in the right zygoma.

Follow-up Findings in Regional Cerebral Blood Flow (r-CBF)-SPECT in a Case of idiopathic Childhood Hemidystonia

1999 ◽  
Vol 38 (02) ◽  
pp. 72-74 ◽  
Author(s):  
J. Marienhagen ◽  
Judith Aderbauer ◽  
Elke Bock ◽  
H. Segerer ◽  
Chr. Eilles ◽  
...  
Keyword(s):  
Blood Flow ◽  
Regional Cerebral Blood Flow ◽  
Inborn Errors Of Metabolism ◽  
Successful Therapy ◽  
Regional Cerebral Blood ◽  
Inborn Errors ◽  
Left Hand ◽  
Hmpao Spect ◽  
The Right

SummaryA 9½-year-old girl suffered from intermitting tremor and jitteriness of her left hand and oral muscles every 4 to 6 weeks with long lasting episodes. Clinically myoclonias and dystonic positioning of the left arm, hand and facial muscles were seen. No evidence of trauma, infection or inborn errors of metabolism was found. Successful therapy with carbamazepine was initiated while L-DOPA failed. An ictal 99m-Tc-HMPAO-SPECT showed severe asymmetry with focal hyperperfusion of the contralateral right thalamus and basal ganglia as well as of the bifrontal cortex, whereas no anatomical lesions were found by MRI. In contrast, an interictally performed 99m-Tc-HMPAO SPECT showed hypoperfusion of the right thalamus and normalisation of the frontal perfusion under medical treatment. These 99m-Tc-HMPAO-SPECT findings may provide new insights into the localisation and pathophysiological pathways of idiopathic childhood dystonia.

Sign in / Sign up

Export Citation Format

Share Document