Idiopathic orbital myositis in a pregnant woman

2021 ◽  
pp. 1753495X2110427
Author(s):  
Caroline Wilson ◽  
Jonathan Lai ◽  
Adam Morton
Keyword(s):  
Differential Diagnosis ◽  
Pregnant Woman ◽  
Oral Prednisolone ◽  
Acute Onset ◽  
Lateral Rectus ◽  
Orbital Myositis ◽  
Healthy Female ◽  
Idiopathic Orbital Myositis ◽  
Periorbital Swelling

A case of a 29-year-old woman who presented at 25 weeks’ gestation with acute onset of painful diplopia and periorbital swelling is presented. Following further investigation, a diagnosis of idiopathic acute lateral rectus myositis was established. Her condition resolved following a 4-week course of oral prednisolone without recurrence. A healthy female was delivered at 40 weeks’ gestation. The presenting features, differential diagnosis, treatment and course of orbital myositis are discussed.

scholarly journals Ovarian Torsion after Hysterectomy: Case Report and Concise Review of the Reported Cases

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Demetrio Larraín ◽  
Andrés Casanova ◽  
Iván Rojas
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Literature Review ◽  
Rare Event ◽  
Laparoscopic Hysterectomy ◽  
Acute Onset ◽  
Ovarian Torsion ◽  
Adnexal Torsion ◽  
Concise Review ◽  
History Of

Ovarian torsion after hysterectomy is a rare event. The diagnosis of ovarian torsion is challenging because symptoms are nonspecific. We present a case of ovarian torsion 2 years after laparoscopic hysterectomy (LH). Furthermore, we performed a literature review about ovarian torsion after hysterectomy. This case shows that, in cases of acute onset pelvic pain in patients with history of hysterectomy, the adnexal torsion must be kept in mind in the differential diagnosis, especially in those women who had undergone LH.

Acute Bilateral Blindness in the Setting of Sudden Onset of Bilateral Proptosis and Ophthalmoplegia: A Case Report With Literature Review

2021 ◽  
pp. 10.1212/CPJ.0000000000001090
Author(s):  
sara zarei ◽  
Phuong Vo ◽  
Christian Sam ◽  
Robert W Crow ◽  
Charles Stout ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Visual Pathway ◽  
Rapid Onset ◽  
Sudden Onset ◽  
Acute Onset ◽  
Posterior Chamber ◽  
Ischemic Optic Neuropathy ◽  
Radiographic Findings ◽  
Underlying Pathophysiology ◽  
Eye Retina

ABSTRACTPurposeof review: Acute bilateral blindness has an extensive differential diagnosis that requires a careful history and physical exam to narrow down. In this paper we discuss the pathophysiology and radiographic findings of each possible diagnosis for acute bilateral blindness.Recent findings:Visual pathology with respect to bilateral blindness can be broadly broken down into three anatomic categories: media (i.e. the anterior and posterior chamber of the eye), retina, and neural visual pathway. Possible causes of rapid onset bilateral blindness include bilateral occipital infarcts, endogenous bacterial endophthalmitis, orbital cellulitis, orbital compartment syndrome, cavernous sinus thrombophlebitis, thyroid disease and bilateral non-arteritic ischemic optic neuropathy.Summary:In this case we present a patient with acute onset of bilateral blindness, in addition to bilateral ophthalmoplegia, proptosis, and orbital chemosis. We believe this rare case of acute bilateral blindness is thought provoking and aids in the understanding of the differential diagnosis and underlying pathophysiology of visual loss.

scholarly journals The Differential Diagnosis of Acute Onset Truncal Ataxia: The Importance of Dysgeusia in Miller Fisher Syndrome

2018 ◽  
Vol 57 (14) ◽  
pp. 2057-2060 ◽  
Author(s):  
Tatsuya Ueno ◽  
Ryoya Kimura ◽  
Tomoya Kon ◽  
Rie Haga ◽  
Haruo Nishijima ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Acute Onset ◽  
Miller Fisher Syndrome ◽  
Fisher Syndrome ◽  
Truncal Ataxia

Pancreatic Panniculitis Associated with Acinar Cell Pancreatic Carcinoma

2008 ◽  
Vol 12 (1) ◽  
pp. 38-42 ◽  
Author(s):  
Susan M. Poelman ◽  
Khue Nguyen
Keyword(s):  
Differential Diagnosis ◽  
Pancreatic Disease ◽  
Acute Onset ◽  
Clinical Approach ◽  
Rare Entity ◽  
Subcutaneous Nodules ◽  
History Of ◽  
Practical Tool ◽  
Pancreatic Disorders ◽  
Pancreatic Panniculitis

Background: Pancreatic panniculitis is a rare entity, occurring in less than 2% of patients with pancreatic disorders. Skin manifestations may precede the diagnosis of a pancreatic disease by many months. When treatable, correction of the underlying pancreatic disorder may lead to prompt resolution of the panniculitis. Objective: We present the case of a 74-year-old-man with a history of chronic pancreatitis who presented with an acute onset of tender, nonulcerating nodules. The clinical and histologic features of pancreatic panniculitis are discussed, with a brief review of the differential diagnosis and clinical approach to panniculitis. Conclusions: Pancreatic panniculitis is a recognizable clinical entity with characteristic histologic features that may resolve with treatment of the underlying pancreatic disorder. The algorithm-based clinical approach to panniculitis presented in this study is a practical tool designed to guide clinicians in ordering investigations and determining the appropriate management for patients presenting with subcutaneous nodules.

A 23-year-old pregnant woman with acute-onset abdominal pain and hypotension

2014 ◽  
pp. 106-108
Author(s):  
Rachel K. Love ◽  
Nicole Calloway Rankins ◽  
David Chelmow ◽  
Christine R. Isaacs ◽  
Ashley Carroll
Keyword(s):  
Abdominal Pain ◽  
Pregnant Woman ◽  
Acute Onset

Fibrinolysis of an Acute Myocarditis Mimicking an Acute Myocardial Infarction

2020 ◽  
Author(s):  
Safir Soukaina
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Differential Diagnosis ◽  
Cardiac Magnetic Resonance ◽  
Magnetic Resonance ◽  
Acute Myocarditis ◽  
Clinical Signs ◽  
Acute Onset ◽  
St Segment Elevation ◽  
The Difference

Background: Acute myocarditis and acute myocardial infarction have frequently similar clinical presentations and poses an important clinical challenge in the differential diagnosis. In both cases, the electrocardiographic ST-T changes and an increase in troponins can be noted. Differential diagnosis may be very challenging and requires invasive assessment of coronary arteries and other investigations especially cardiac magnetic resonance. Case Presentation: In this report, we report a rare case of acute myocarditis misdiagnosed to an acute myocardial infarction in a patient presented to the emergency department for an acute onset of chest pain with ST-segment elevation on electrocardiogram for which he received urgent fibrinolysis. The confirmation of acute myocarditis was confirmed posteriori after a normal coronary angiogram using cardiac Magnetic Resonance Imaging cMRI. Conclusions: Clinical signs as long with Electrocardiogram may mimick a ST elevation myocardial infarction in the presence of an authentic acute myocarditis,Hence, cardiac magnetic resonance could present an intersting tools to make the difference even in acute phase.

Infranuclear Ophthalmoplegia

2019 ◽  
pp. 127-132
Author(s):  
Matthew J. Thurtell ◽  
Robert L. Tomsak
Keyword(s):  
Differential Diagnosis ◽  
Muscular Dystrophy ◽  
Acute Onset ◽  
Progressive External Ophthalmoplegia ◽  
Oculopharyngeal Muscular Dystrophy ◽  
Chronic Progressive External Ophthalmoplegia ◽  
Fisher Syndrome ◽  
Ocular Myasthenia ◽  
Common Causes ◽  
The Common

Infranuclear ophthalmoplegia is characterized by global weakness of the extraocular and levator muscles. It has a broad differential diagnosis that varies depending on the tempo of onset. In this chapter, we begin by describing how to differentiate nuclear-infranuclear ophthalmoplegia from supranuclear ophthalmoplegia at the bedside. We next list the common causes of acute onset infranuclear ophthalmoplegia, which include Miller Fisher syndrome, Guillain-Barré syndrome, stroke, and ocular myasthenia. We then list the common causes of chronic progressive infranuclear ophthalmoplegia, which include mitochondrial disorders, oculopharyngeal muscular dystrophy, and myotonic dystrophy. We discuss the clinical features and diagnostic workup of chronic progressive external ophthalmoplegia due to mitochondrial disease. Lastly, we briefly discuss the management of ptosis and diplopia in the setting of chronic progressive external ophthalmoplegia.

scholarly journals Idiopathic Orbital Myositis Associated with Graves' Disease

2013 ◽  
Vol 52 (7) ◽  
pp. 787-790 ◽  
Author(s):  
Seigo Tachibana ◽  
Tadao Yokoi ◽  
Shinya Sato ◽  
Yumi Oda ◽  
Toshihiko Yanase ◽  
...  
Keyword(s):  
Graves Disease ◽  
Orbital Myositis ◽  
Idiopathic Orbital Myositis

scholarly journals Acute-onset heart failure secondary to long-standing abuse of alcohol, cocaine, and marijuana

2018 ◽  
Vol 2 ◽  
pp. 239784731877072
Author(s):  
David B Chapel ◽  
Aliya N Husain
Keyword(s):  
Heart Failure ◽  
Differential Diagnosis ◽  
Alcohol Use ◽  
Dilated Cardiomyopathy ◽  
Myocardial Injury ◽  
Cardiac Injury ◽  
Clinical History ◽  
Acute Onset ◽  
Healthy Patient ◽  
Polysubstance Abuse

Acute-onset heart failure in a young, otherwise healthy patient can be due to either acquired or congenital etiologies. While some diagnoses carry specific histologic hallmarks, many causes of myocardial injury culminate in the relatively nonspecific morphologic pattern of dilated cardiomyopathy. In such cases, a broad differential diagnosis and close clinicopathologic correlation are essential. Here we describe the acute and chronic histologic features of heart failure arising in the context of long-standing abuse of cocaine, alcohol, and marijuana. The mechanisms of cardiotoxicity are discussed for each drug, with particular emphasis on the amplified cardiac injury caused by concomitant cocaine and alcohol use. Although its histologic features are themselves nonspecific, correlation with clinical history, targeted studies to exclude alternative diagnoses, and careful morphologic examination permit confident diagnosis of cardiomyopathy secondary to polysubstance abuse.

scholarly journals Battey’s operation as a treatment for hysteria: a review of a series of cases in the nineteenth century

2019 ◽  
Vol 31 (1) ◽  
pp. 55-66
Author(s):  
Tomoko Komagamine ◽  
Norito Kokubun ◽  
Koichi Hirata
Keyword(s):  
Nineteenth Century ◽  
Differential Diagnosis ◽  
Nmda Receptor ◽  
Neuropsychiatric Symptoms ◽  
Acute Onset ◽  
Cystic Degeneration ◽  
Late Nineteenth Century ◽  
Paraneoplastic Encephalitis ◽  
Nmda Receptor Encephalitis ◽  
Late Nineteenth

Ovarian resection as a treatment for hysteria, called ‘Battey’s operation’ or ‘normal ovariotomy’, was performed in the nineteenth century. Battey later reported that the resected ovaries appeared to have ‘cystic degeneration’. Currently, patients with acute neuropsychiatric symptoms are screened for teratomas for the differential diagnosis of anti-NMDA receptor encephalitis. There is now a hypothesis that ovarian lesions resulting in paraneoplastic encephalitis were among the patients who underwent Battey’s operation. We identified 94 published cases of Battey’s operation for neuropsychiatric symptoms in the late nineteenth century. Among 36 cases with detailed descriptions, we found 3 patients who showed acute onset neuropsychiatric symptoms with macropathological ovarian findings that were compatible with teratoma. They showed favourable prognoses after surgery and might have motivated the surgeons to perform the operation.

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