scholarly journals Differential diagnosis of dirofilariasis of the lower lid: a clinical case from Ophthalmological diagnostic center no. 7 for children and adults, Saint Petersburg

2016 ◽  
Vol 9 (3) ◽  
pp. 45-54
Author(s):  
Yury S Astakhov ◽  
Vitaly O Sokolov ◽  
Natalya V Morozova ◽  
Yuriy V Skorobogatov ◽  
Ekaterina N Drobyshevskaya ◽  
...  

We present a brief literature review on dirofilariasis and its incidence in Russia. The diagnosis and operative treatment of a patient with dirofilariasis caused by infection with Dirofilaria repens is described. The diagnostic criteria (epidemiological analysis, ultrasonographic, and laboratory-based and parasitological work-up) are presented. Ultrasonography plays an important role in the differential diagnosis of dirofilariasis and cavernous hemangiomas. Different non-surgical and surgical treatment approaches are discussed.

2021 ◽  
Vol 1 (1) ◽  
pp. 15-21
Author(s):  
Rodrigo Cristhian Avelino Bezerra ◽  
Jonas Nogueira Ferreira Maciel Gusmão ◽  
Bruno Frota Amora Silva ◽  
Rodrigo Lemos Alves ◽  
Eliardo Silveira Santos ◽  
...  

The styloid process is a bone projection that originates in the tympanic portion of the temporal bone. The enlongation of the styloid process, or the ossification of the styloid process, can originate a series of symptoms such as dysphagia, odynophagia, facial pain, otalgia, headache, tinnitus and trismus, establishing the clinical picture of Eagle Syndrome. In this report, we present an important clinical case of adult patient diagnosed with Eagle’s Syndrome who underwent surgery for reduction of the enlongated styloid process, by intraoral approach, added to a literature review study.


2009 ◽  
Vol 3 (1) ◽  
pp. 41-45 ◽  
Author(s):  
Murat Vural ◽  
Mustafa F. Acikalin ◽  
Baki Adapinar ◽  
Metin A. Atasoy

The authors present the case of a 6-month-old infant with a cavernous hemangioma of the parietal bone and discuss the radiological, operative, and pathological features and differential diagnosis of these extremely rare lesions in infants. Only 1 case of an infant with a calvarial cavernous hemangioma without intracranial invasion has previously been reported, and that case involved a 4 month old. Although a cavernous hemangioma of the calvaria is extremely rare in the newborn, this condition should be included in the differential diagnosis of calvarial lesions. During surgical treatment of calvarial cavernous hemangiomas, utmost attention should be paid to avoid blood loss, which could be fatal in infants.


2017 ◽  
Vol 9 (1) ◽  
pp. 114-120 ◽  
Author(s):  
Rémy Gossart ◽  
Eve Malthiery ◽  
Fanny Aguilar ◽  
Jacques-Henri Torres ◽  
Marie-Alix Fauroux

Fuchs syndrome is a particular type of erythema multiforme major; the lesions are only found on the mucosae and specifically affect oral, ocular, and genital mucosae. The cause is not always immediately apparent, which is why this pathology requires a rigorous, detailed clinical examination to eliminate a differential diagnosis. The severity of the symptoms, particularly of oral and ocular symptoms, requires immediate treatment. The treatment of this pathology requires a multiple-drug regime. Through a clinical case study, the objective of this work is to help guide practitioners when diagnosing and treating this pathology as no current consensus exists on these 2 subjects. The authors present the case of a 29-year-old patient who was suffering from a recurring outbreak of Fuchs syndrome, suspected of having been triggered by Mycoplasma pneumoniae. After completing the treatment program based on colchicine and prednisolone, the patient was relieved from pain and has not suffered from any further periodic eruptions of erythema multiforme.


Author(s):  
A Yakovleva

According to evidence in the literature occurrence of the Hippel Lindau disease changes from 1: 33000 - 1: 36000 (population frequency) to 1 in 39000 live births. Up to 20% of them have not family history. Hereditary predisposition of most patients with systemic angioreticulomatosis has patterns and attributes. Diversity of forms and infrequent cases of the Hippel Lindau disease complicate timely diagnosis. Untimely control of condition of patient with the Hippel Lindau disease increases the probability of complications in surgical treatment. It can be the reason of early disability too. The presented clinical case reflects the need for a multidisciplinary approach to the management of patients with von Hippel-Lindau syndrome.


2019 ◽  
Vol 2 (3) ◽  
pp. 110-114
Author(s):  
K. Skaletsky ◽  
E. Kosmacheva ◽  
N. Kizhvatova ◽  
V. Porhanov

Abstract Primary aldosteronism (PA) is one of the most common causes of secondary hypertension, which in less than half of cases is manifested by hypokalemia. In cases where hypokalemia becomes significant, it can lead to muscle weakness or even paralysis. Such patients are often unsuccessfully treated by neurologists or rheumatologists. In our clinical case a 61 year old patient had rapidly developing symptoms, which were interpreted by ambulance paramedics as an acute cerebrovascular accident. Since the patient was admitted to a multidisciplinary hospital, he was examined by doctors of different specialties, the diagnostic direction was set correctly and rhabdomyolysis was already detected at the initial stage. We excluded various causes of myopathy, which ultimately led us to the most likely cause of this condition - hypokalemia, and explained muscle symptoms. As a result, it helped us to identify the correct diagnosis - aldosteronism. The patient quickly recovered due to the prescribed therapy and felt good, and therefore refused surgical treatment (adrenalectomy), which, perhaps, would allow him to fully recover. Thus, a rare clinical case of differential diagnosis and successful drug treatment of PA with hypokalemia, which is manifested by rhabdomyolysis, is presented.


2020 ◽  
Vol 8 (1) ◽  
pp. 83-94
Author(s):  
Olga E. Agranovich ◽  
Sergey Yu. Semenov ◽  
Eugeniya F. Mikiashvili ◽  
Svetlana V. Sarantseva

Background. The LoeysDietz syndrome is a rare autosomal dominant connective tissue disorder characterized by the pathology of the cardiovascular system in combination with various anomalies of the musculoskeletal system. In modern literature, there is neither any information about the frequency of pathology nor any algorithm of examination and treatment for patients with this syndrome. Clinical case. The article presents a clinical observation of a 7-year-old patient with LoeysDietz syndrome with a genetically confirmed diagnosis. Discussion. This article provided a literature review, examined diagnosis issues and differential diagnosis, and presented the clinical picture of the syndrome. The main symptoms of LoeysDietz syndrome are artery aneurysms (most often in the aortic root), arterial tortuosity (mainly the vessels of the neck), hypertelorism, and bifid (split) or broad uvula. However, the combination of these symptoms is not found in all patients with this disease. Conclusions. The article emphasized the importance of a genetic verification of the disease, as well as a multidisciplinary approach to treatment with mandatory dynamic monitoring by specialists such as a cardiologist, neurologist, orthopedist, and pediatrician, which help prevent the development of complications and increase the life expectancy of this group of patients.


2020 ◽  
Vol 179 (3) ◽  
pp. 95-99
Author(s):  
M. A. Ufimtseva ◽  
Yu. M. Bochkarev ◽  
S. A. Chernyadev ◽  
E. P. Gurkovskaya ◽  
D. S. Zhunisova

A clinical case of gangrenous pyoderma is described, as well as the difficulty of differential diagnosis and treatment of this disease. We carried out a literature review of the materials of foreign and domestic authors describing the course of gangrenous pyoderma using search engines PubMed, Google Scholar, BioMed Central (55 articles).


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