scholarly journals Primary umbilical endometriosis

2018 ◽  
Vol 45 (3) ◽  
Author(s):  
PAULO VICENTE DOS SANTOS FILHO ◽  
MARCELO PROTÁSIO DOS SANTOS ◽  
SAMANTA CASTRO ◽  
VALDINALDO ARAGÃO DE MELO
Keyword(s):  
Differential Diagnosis ◽  
Clinical Picture ◽  
Clinical Manifestations ◽  
Descriptive Study ◽  
Diagnostic Methods ◽  
Menstrual Period ◽  
Histopathological Analysis ◽  
Clinical Variables ◽  
Uncommon Disease ◽  
Umbilical Endometriosis

ABSTRACT Objective: to report the characteristics, evolution and outcome of patients with primary umbilical endometriosis. Methods: an observational and descriptive study of patients with primary umbilical endometriosis diagnosed between 2014 and 2017. The clinical variables evaluated were age, clinical picture, lesion characteristics, diagnostic methods, treatment and recurrence. Results: six patients diagnosed with primary umbilical endometriosis aged 28 to 45 years were operated on during the study period. They had lesions ranging from one to 2.5cm in diameter, violet in five patients and erythematous-violaceous in one. The duration of the symptoms until diagnosis ranged from one to three years and in all the cases studied the diagnosis was made through the clinical manifestations and confirmed by histopathological analysis. No case was associated with neoplastic alterations. All patients evaluated had pain and umbilical bleeding in the menstrual period. Conclusion: umbilical endometriosis is an uncommon disease and should be included in the differential diagnosis of women as umbilical nodules. The treatment of choice is the total exeresis of the lesion.

Congenital optic disc coloboma

2021 ◽  
pp. 33-39
Author(s):  
A.O. Nazarenko ◽  
◽  
E.E. Sidorenko ◽  
D.V. Miguel ◽  
A.S. Smartsev ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Optic Nerve ◽  
Clinical Picture ◽  
Clinical Case ◽  
Charge Syndrome ◽  
Diagnostic Methods ◽  
Newly Diagnosed ◽  
Optic Nerve Atrophy ◽  
Optic Disc Coloboma ◽  
Optic Nerve Coloboma

A clinical case of observation of a 3-year-old child with a newly diagnosed optic nerve coloboma and multiple malformations is considered. The clinical picture and diagnostic methods necessary for the diagnosis are reflected. On the example of this child, the differential diagnosis with Charge syndrome is considered. Key words: coloboma, optic nerve coloboma, partial optic nerve atrophy, astigmatism, Charge syndrome.

scholarly journals Pseudo-coronary variant of the course of myocarditis

2020 ◽  
pp. 128-134
Author(s):  
S. P. Tishkov ◽  
E. A. Dotsenko ◽  
E. N. Platoshkin ◽  
E. S. Rebeko ◽  
E. G. Tireshchenko ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Differential Diagnosis ◽  
Clinical Picture ◽  
Elevated Level ◽  
Clinical Manifestations

The clinical manifestations of myocarditis may have many variants. At the onset of the disease, it may progress as myocardial infarction. In this regard, the diagnosis of myocarditis is often justified by the clinical picture of the disease, changes in the electrocardiogram, echocardiogram, elevated level of cardio-specific enzymes coupled with the absence of coronary pathology. However, not always data obtained during the examination of patients at the beginning of the disease allow undertaking differential diagnosis between myocardial infarction and myocarditis.

scholarly journals Keratosis Lichenoides Chronica – a Case Report and Literature Review

2014 ◽  
Vol 6 (3) ◽  
pp. 120-137
Author(s):  
Mirjana Paravina ◽  
Predrag Cvetanović ◽  
Miloš Kostov ◽  
Slađana Živković ◽  
Ivana Dimovski ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Literature Review ◽  
Rare Disease ◽  
Clinical Picture ◽  
Treatment Options ◽  
Clinical Manifestations ◽  
Poor Response ◽  
Unknown Etiology ◽  
Distinct Entity

Abstract Keratosis lichenoides chronica represents a distinct entity, a rare disease of unknown etiology and pathogenesis, with clinical manifestations which, although typical, require extensive differential diagnosis. The course of the disease is chronic, progressive, and it is resistant to various treatment options, so despite variations in the clinical picture it is really easier to diagnose than to treat. This is a case report of a male patient in whom the diagnosis of keratosis lichenoides chronica was based on typical clinical picture, repeated biopsies and histopathological findings, course of the disease and poor response to any therapy.

scholarly journals Infectious Alertness in Removal Benign Neoplasms in the Maxillofacial Area

2020 ◽  
Vol 5 (5) ◽  
pp. 236-241
Author(s):  
V. N. Yadchenko ◽  
◽  
I. O. Pohodenko-Chudakova ◽  
E. S. Yadchenko ◽  
◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Soft Tissues ◽  
Subcutaneous Tissue ◽  
Clinical Manifestations ◽  
Diagnostic Methods ◽  
Benign Neoplasms ◽  
Humid Climate ◽  
Maxillofacial Region ◽  
European Continent ◽  
Surgical Interventions

Human dirofilariasis is a parasitic disease, transmissible helminthiasis caused by parasitizing nematodes of the genus Dirofilaria, most often D. repens and D. immitis which occurs with a predominant lesion of the skin (63%), conjunctiva (50%), mucous membranes, subcutaneous tissue and less often – internal organs. The most frequent incidence of dirofilariasis is observed in regions with a warm, humid climate, and at temperatures below 14℃, dirofilariae stop developing. Human cutaneous dirofilariasis on the European continent is most often diagnosed in representatives of southern and eastern Europe. There are confirmed cases of dirofilariasis on the territory of the Republic of Belarus and neighboring countries. Quite often, this disease affects the maxillofacial region. The purpose of the work was to initiate infectious alertness when planning operations for the removal of benign neoplasms in the maxillofacial region and inform medical specialists about the possibility of developing dirofilariasis of the specified localization, its clinical manifestations and objective diagnostic methods. Material and methods. The object of observation was a 34-year-old female patient R. with maxillofacial dirofilariasis. The subject of the study is the medical record of an inpatient patient R. Results and discussion. At the pre-hospital stage, patient R. underwent a general clinical examination. All indicators of the tests were within the age norm. According to the results of radiation examination methods, no data confirming the parasitic etiology of the disease was obtained. Taking into account the presence of a rounded formation about 1.0-1.2 cm in diameter which is slightly displaced relative to the underlying and surrounding soft tissues, the patient was offered surgical treatment. During the operation, a rounded self-moving helminth was extracted from the formation, about 11.0 cm long and 0.15 cm in diameter. After the helminth was identified, the patient was diagnosed with dirofilariasis. This should be taken into account in the diagnostic and therapeutic aspects when working with patients who have tumor processes in the maxillofacial region. Conclusion. The presented clinical observation shows that in the practice of a dental surgeon and a maxillofacial surgeon, it is increasingly possible to deal with the localization of helminth in the maxillofacial region which simulates a neoplasm which must be taken into account when conducting diagnostics, differential diagnosis and preoperative preparation. The results of the described case are aimed at developing infectious alertness when planning surgical interventions to remove benign neoplasms in the maxillofacial region, developing a rational diagnostic scheme and differential diagnosis for patients with suspected dirofilariasis and other parasitic lesions of the maxillofacial region

scholarly journals Chronic pancreatitis: differential diagnosis of pain with a syndrome approach treatment

2018 ◽  
Vol 42 (4) ◽  
pp. 26-35
Author(s):  
T. N. Hristich ◽  
D. O. Hontsariuk
Keyword(s):  
Internal Medicine ◽  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Chronic Pancreatitis ◽  
Literature Review ◽  
Clinical Picture ◽  
Treatment Strategies ◽  
Pain Syndrome ◽  
Diagnostic Methods ◽  
Essential Problem

The aim of literature review is to highlight the essential problem of internal medicine – a differential diagnosis of abdominal pain syndrome in chronic pancreatitis. Features of the clinical picture of abdominal pain in the main diseases of internal medicine are presented. The effectiveness of laboratory and modern instrumental diagnostic methods and their significance in tactics and treatment strategies are discussed in detail.

scholarly journals Myelopathy associated with acute leukemia. Multidisciplinary view on the problem

2021 ◽  
Vol 25 (6) ◽  
pp. 19-28
Author(s):  
A. Yu. Polushin ◽  
V. S. Krasnov ◽  
S. N. Bardakov ◽  
D. I. Skulyabin ◽  
A. O. Agafonov ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Radiation Therapy ◽  
Acute Lymphoblastic Leukemia ◽  
Clinical Picture ◽  
Lymphoblastic Leukemia ◽  
Clinical Manifestations ◽  
Underlying Disease ◽  
Hematopoietic Stem ◽  
Treatment Methods ◽  
Wide Range

Leukemia-associated myelitis is a rare but underestimated complication. It has a different etiology associated with both, the main disease and its treatment methods. It requires differential diagnosis with funicular myelosis, polyradiculoneuropathy, tumor and hemorrhagic formation, stroke, dysmetabolic manifestations, as well as with the consequences of treatment of the underlying disease using radiation, cytostatic, targeted therapy.It should also be differentiated from paraneoplastic myelopathy and progression of the underlying disease. However,with the help of neuroimaging methods, it can be detected more recently than a detailed clinical picture appears. A case report of myelopathy in a 31 year old patient with acute lymphoblastic leukemia is presented. Treatment of the underlying disease was carried out with the use of chemotherapy, radiation therapy, allogeneic hematopoietic stem cell transplantation and targeted therapy. The nature of the disease,i.e. recurrent course of acute lymphoblastic leukemia, the variety of treatment methods, and the absence of focal changes in neuroimaging in the zone that determines clinical manifestations, made it necessary to consider a wide range of possible etiological factors for the development of myelopathy. Myelopathy was confirmed by MRI 2.5 months after the debut of neurological symptoms, which corresponds to modern concepts and time criteria for visualization in neurooncology. The article presents the criteria for diagnosing myelopathy, a complication of acute lymphoblastic leukemia. It should also be differentiated from However, with the help of neuroimaging methods, it can be detected more recently than a detailed clinical picture appears.

scholarly journals A Clinical Case of Stomach Perforation Concealed by a Foreign Body

2020 ◽  
Vol 10 (3) ◽  
pp. 228-232
Author(s):  
M. R. Garaev ◽  
M. Yu. Vorotnikov ◽  
Z. R. Garayeva ◽  
M. A. Nartaylakov
Keyword(s):  
Foreign Body ◽  
Clinical Picture ◽  
Clinical Case ◽  
Foreign Bodies ◽  
Abdominal Cavity ◽  
Clinical Manifestations ◽  
Diagnostic Methods ◽  
Satisfactory Condition ◽  
Therapy Choice ◽  
Ct Data

Introduction. Stomach perforations caused by ingested foreign bodies are extremely rare injuries in adults, accounting for less than 1% of all gastrointestinal perforations. The clinical picture is diverse and often presents a diagnostic problem. There are few publications reporting such cases in literature.Materials and methods. Using the example of a clinical case, this paper describes the clinical picture, diagnostic role of X-ray instruments and surgical tactics of diagnosing and treating a stomach perforation concealed by a foreign object, which occurred one week prior to admission. The patient V., 52 yo, was admitted to hospital on an emergency basis in the condition of moderate severity, complaining of abdominal pain for two days. The onset of the disease had no apparent reason. Similar pains had bothered the patient a week earlier the incident but were relieved without treatment.Results and discussion. On the basis of clinical and laboratory-instrumental data, acute pancreatitis was pre-diagnosed. Conservative drug therapy with positive dynamics was started. Two days later, computed tomography of the abdominal organs with intravenous bolus contrast was performed. According to the CT data, a foreign body in the abdominal cavity was identified, which rested on the liver at the level of the gallbladder, perforating the wall of the pyloric department of the stomach. Localized inflammatory effusion in the abdominal fat was observed. The patient was operated and discharged in satisfactory condition.Conclusion. Stomach perforations caused by small-sized foreign bodies are characterized by non-specific clinical manifestations. The use of radiation diagnostic methods facilitates the timely diagnosis and therapy choice in patients with stomach perforations caused by small-sized foreign bodies. 

scholarly journals A case of seminoma presented with clinical manifestations of testicular torsion

2017 ◽  
Vol 89 (3) ◽  
pp. 236
Author(s):  
Aytac Sahin ◽  
Caglar Yildirim ◽  
Serkan Akan ◽  
Ozgur Haki Yuksel ◽  
Ahmet Urkmez
Keyword(s):  
Differential Diagnosis ◽  
Physical Examination ◽  
Clinical Picture ◽  
Laboratory Tests ◽  
Testicular Torsion ◽  
Clinical Manifestations ◽  
Testicular Tumor ◽  
Imaging Modalities ◽  
Acute Scrotum ◽  
Testicular Tumors

Testicular tumors rarely manifest themselves with clinical picture of testicular torsion. In this presentation of ours, we reported a 30-year-old patient whose post-orchiectomy histopathology report revealed the presence of seminoma. The patient consulted us with acute scrotum whose physical examination and Doppler ultrasonographic findings showed testicular torsion. Though rarely seen patients, in cases who consulted with acute scrotum, the possibility of testicular tumor should not be discarded. For the establishment of differential diagnosis detailed anamnesis and physical examination findings should be supported with laboratory tests and imaging modalities.

A case of X-linked juvenile retinoschisis in the outpatient settings

2020 ◽  
pp. 48-50
Author(s):  
I.V. Rogozhina ◽  
◽  
А.А. Gubanov ◽  
Keyword(s):  
Optical Coherence Tomography ◽  
Differential Diagnosis ◽  
Key Words ◽  
Clinical Picture ◽  
Diagnostic Methods ◽  
Diagnosis And Treatment ◽  
Optical Coherence ◽  
Juvenile Retinoschisis ◽  
Outpatient Settings

The article considers the case of observation of a child with X-linked hereditary retinoschisis in the outpatient settings. The differential diagnosis and treatment of X-linked retinoschisis is examined on the example of this child. The article reflects the clinical picture and diagnostic methods necessary for the diagnosis. Key words: X-linked juvenile retinoschisis, children, optical coherence tomography, electroretinogram.

A rare case of oculocutaneous melanosis (nevus of Ota) at Ophthalmologist's appointment

2021 ◽  
pp. 39-43
Author(s):  
E.E. Sidorenko ◽  
◽  
A.O. Nazarenko ◽  
I.V. Suhanova ◽  
A.P. Shavaleeva ◽  
...  
Keyword(s):  
Risk Factors ◽  
Differential Diagnosis ◽  
Clinical Picture ◽  
Rare Case ◽  
Clinical Case ◽  
Diagnostic Methods ◽  
Skin Melanoma ◽  
Nevus Of Ota ◽  
Melanoma Patients ◽  
Eye Melanoma

A rare clinical case of nevus of Ota in a 6-year-old child is described. The clinical picture and diagnostic methods used in this case are reflected. On the example of the patients presented in this article, differential diagnosis with alkaptonuria is fully described. Given the risk of transition to skin melanoma and ocular melanoma, patients with nevus of Ota should be observed by Dermatologist and Ophthalmologist annually. Such patients should also strictly avoid exposition to any ultraviolet radiation and exclude possible risk factors traumatizing the nevus. Key words: nevus, Ota nevus, alkaptonuria, skin melanoma, eye melanoma.

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