scholarly journals Hyperphosphatemic tumoral calcinosis: a rare differential of periarticular swelling

Author(s):  
Sunil Nanjareddy ◽  
Rajashree Paidipatti ◽  
Vishwanath Muttagaduru Shivalingappa ◽  
Nuthan Jagadeesh

Tumour calcinosis is a rare clinical and histopathological syndrome characterised by deposition of calcium deposits in different periarticular soft tissue regions of the body. It mainly manifest in childhood/ adolescence as a painless, firm to hard tumour like mass around the joints. Most common regions involved: Shoulder, elbow and hip. An 18 year old male patient presented to the opd with a history of pain and swelling over his left hip since 2 months. On examination, there was a diffuse tender swelling over the left greater trochanter, skin over the swelling was normal with no discharge, no dilated/ engorged veins. Range of motion of left hip was normal, no limb length discrepancies. X-ray: Showed a well define calcified mass over the greater trochanter with no osseous involvement. MRI revealed an encapsulated hypointense mass present posterior to the greater trochanter, mostly in the muscular plane. Lab findings revealed mild hyperphosphetemia. An aspirate from the swelling showed casseousmaterial. En mass removal was done and sent for biopsy. Biopsy showed features suggestive of tumoral calcinosis. Tumoral calcinosis is a distinct clinico-radiopathological entity characterised by soft tissue periarticular calcinosis which mimics a true neoplasm, associated with elevated levels of serum phosphate. It is an extremely rare condition which is seen in the adolescence and requires more studies regarding the surgical and medical management of the same.

Author(s):  
Yulia V. Chumakova ◽  
Sofia E. Dubrova ◽  
Natalia S. Muranova ◽  
Olga M. Popova ◽  
Vladimir A. Klevno

Introduction: The article deals with the criteria, forensic and radiological "life tests", difficulties in assessing the results of live birth and stillbirth of the fetus. An excursion into the history of the development of X-ray, including pre-sectional, examination of the corpses of newborns is made. Cases from the practice of two corpses of newborns which underwent pre-section computed tomography are presented. Case presentation: Case № 1: examination of the corpse of a baby found in a cardboard box on the unheated terrace of a private house after a secret self-birth. Case № 2: examination of the corpse of an infant with massive injuries and the division of the body into two fragments, found on a sorting tape in the premises of the waste sorting shop. Conclusion: Postmortem CT of newborn corpses was an evidence-based and visual addition to the traditional forensic medical study, which allowed even at the pre-dissection stage to speak about the maturity of fetuses, to identify injuries and anatomical variants of the structure, to refute the presence of congenital deformities; to establish and record evidence-based CT signs of live birth and stillbirth.


1970 ◽  
Vol 1 (1) ◽  
pp. 29-32
Author(s):  
MD A Kalam ◽  
F Ahmad ◽  
M Hassan ◽  
Md Nasiruddin ◽  
SA Rahman ◽  
...  

The term fibromatosis refers to a group of benign soft tissue tumors (fibromas), which have certain characteristics in common, including absence of cytologic and clinical malignant features, a histology consistent with proliferation of well-differentiated fibroblasts, an infiltrative growth pattern, and aggressive clinical behavior with frequent local recurrence. Lymphangiomas are malformations of the lymphatic system, which is the network of vessels responsible for returning to the venous system of excess fluid from tissues. Here we report a case of 30 years old lady with history of multiple soft tissue tumours in thigh, axilla and abdomen. On physical examination the swelling of the thigh and abdomen were firm and those of axilla were soft. All the tumours were excised surgically and diagnosis of thigh swelling was fibromatosis and that of axilla was lymphangioma, on histopathology.DOI: http://dx.doi.org/10.3329/bdjps.v1i1.6490Bangladesh Journal of Plastic Surgery (2010) Vol. 1 (1) pp.29-32


2015 ◽  
Vol 5 (3) ◽  
pp. 175-178 ◽  
Author(s):  
Sayma Afroz ◽  
Gulshan Ara

Behcet’s disease which can affect almost every organ system of the body and is diagnosed mainly clinically is a rare condition. The presence of certain clinical features, elimination of other possible causes of patient’s symptoms and if possible proof of vasculitis by biopsy of an involved tissue supports a diagnosis. We report a young female presented with 7-day history of vulval ulcer and erythema nodosum. Diagnosis was made according to International Study Group criteria for Behcet’s disease and histological findings. She was treated with corticosteroid, colchicine and dapsone which caused significant clinical improvement. We report this case to increase awareness among physicians on Behcet’s disease to improve its management.J Enam Med Col 2015; 5(3): 175-178


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A219-A220
Author(s):  
Quang Nguyen ◽  
Karim El-Kersh ◽  
Bakeerathan Gunaratnam ◽  
Egambaram Senthilvel

Abstract Introduction Adenoid recurrence in children after adenotonsillectomy can be an etiology for obstructive sleep apnea (OSA). The aim of this study was to assess the role of x-ray soft tissue neck (XR-STN) in evaluating adenoid recurrence from a sleep physician perspective and to assess the polysomnographic findings of pre and post revision adenoidectomy. Methods This was a single center retrospective study that included children <18 years old with a history of adenotonsillectomy who underwent sleep study that confirmed the diagnosis of OSA and had XR- STN to evaluate for adenoidal tissue recurrence at the University of Louisville/Norton Pediatric Sleep Disorders clinic from July 2012 to September 2020. XR-STN level of adenoidal obliteration, baseline and post revision adenoidectomy PSG data were analyzed. Results A total of 160 subjects were included in the study with a mean age of 9.71±3.5 years, 59.4% were male, 54.4% were Caucasians, and the mean z-score was 1.77±1.15. XR-STN was normal in 39.4% of the subjects and it showed mild, moderate, and complete adenoidal obliteration in 20.6%, 32.5% and 7.5% of the subjects, respectively. Multiple regression analysis showed that the total AHI, the mean for the moderate and complete adenoidal obliteration are significantly higher than children with no obstruction (p-value=000). However, mild obliteration, Z score, age, gender, and race were not significantly associated with an increased total AHI. Pre- and post- adenoid revision PSGs were available in 20 subjects and they showed significant improvement in AHI (10.4±12.9 vs. 21.1±23.9, p=0.04), arousal index (15.4 ±10.6 vs. 21.1± 14.9, p=0.04), and nadir SaO2 (86.7%±8.1 vs. 76.58% ±18.44, p=0.04). Conclusion Soft tissue neck x-ray was useful in assessing adenoid recurrence in our study. Revision adenoidectomy resulted in an overall improvement in several PSGs parameters of OSA. Pediatric sleep physicians may consider XR-STN in the evaluation of children with OSA with a previous history of adenotonsillectomy. Support (if any) None


2015 ◽  
Vol 04 (03) ◽  
pp. 145-148
Author(s):  
Barman A. ◽  
Dutta BC ◽  
Sarkar JK

AbstractApert syndrome was described as a triad of craniosynostosis, syndactyly and maxillary hypoplasia. The incidence of Apert syndrome is approximately one in 50,000 births. A three year old boy was brought with a history of facial, hand and feet deformities to the Pediatrics out patient department. On examination, he had symmetric syndactyly of the hands and feet. He also had craniosynostosis with deformed skull. This patient also exhibited midface hypoplasia, exophthahnia, ocular hypertelorism and high arch palate. Crowding of the teeth, malocclusion with anterior open bite is also found. The X-ray of the hand and feet showed skeletal fusion of phalanges (complex syndactyly). The case represents a rare condition where there is a mutation in the FGFR2 gene causing Apert syndrome.


2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Yunus Oc ◽  
Muhammed Sefa Ozcan ◽  
Hasan Basri Sezer ◽  
Bekir Eray Kilinc ◽  
Osman Tugrul Eren

In most of the cases trauma is the leading etiology and the nontraumatic myositis ossificans (MO) is a very rare condition. We present an MO case without any trauma occurring. A 36-year-old female patient with a history of pain and restriction of range of motion of the left hip was admitted. Hip motions were restricted with 10–60° of flexion, 10° of internal rotation, 20° of external rotation, 10° of abduction, and 10° of adduction. There was no history of trauma and familial involvement. The biopsy of the lesion revealed mature bone tissue confirming our diagnosis of MO. The mass was removed surgically and postoperatively the patient was treated with a single dose radiotherapy with 800 gyc. MO is a benign and well differentiated bone formation or in other words heterotopic ossification of the muscle tissue. It has a prevalence of less than 1/1 million. Trauma is the most frequent etiological factor seen in almost 60–75% of the cases. Nontraumatic MO is very rare in the literature. Our patient had no history of trauma or familial involvement. Combination of the surgical excision with radiotherapy in the treatment of the MO of the hip may give satisfactory results.


Geology ◽  
2021 ◽  
Author(s):  
Lesley Cherns ◽  
Alan R.T. Spencer ◽  
Imran A. Rahman ◽  
Russell J. Garwood ◽  
Christopher Reedman ◽  
...  

The extreme rarity of soft-tissue preservation in ammonoids has meant there are open questions regarding fundamental aspects of their biology. We report an exceptionally preserved Middle Jurassic ammonite with unrivaled information on soft-body organization interpreted through correlative neutron and X-ray tomography. Three-dimensional imaging of muscles and organs of the body mass for the first time in this iconic fossil group provides key insights into functional morphology. We show that paired dorsal muscles withdrew the body into the shell, rather than acting with the funnel controlling propulsion as in Nautilus. This suggests a mobile, retractable body as a defense strategy and necessitates a distinct swimming mechanism of hyponome propulsion, a trait that we infer evolved early in the ammonoid-coleoid lineage.


2016 ◽  
Vol 10 (1) ◽  
Author(s):  
Naeem Ahmad Khan ◽  
Asma Abdul Razzaq ◽  
Mirrat Imtiaz ◽  
Khalid Rehman Yousaf, ◽  
Nasir Raza Zaidi

A 23 years old man presented in emergency with acute onset of pain in the centre of abdomen. He had a history of pain in abdomen & vomiting off and on for one week only. In emergency he was investigated by plain X-Ray abdomen (erect) and other routine laboratory tests. On plain X-ray abdomen multiple air fluid levels were noted & laboratory investigations were within normal limits. He was advised routine abdominal ultrasound which revealed a gut mass measuring about 8x6.5cm showing multilayered pattern. The mass was mobile while pressing with ultrasound probe. The appearances were suggestive of Ileoileal Intussusception (rare variety of intussusception). Barium follow through was done which revealed typical coil spring appearance indicative of Ileoileal intussusception. Surgery was done which confirmed the ultrasound & Barium study findings. There was another finding on surgery after the reduction of intussusception. A rounded mass was seen at the site of intussusception which was found to be the leading factor for this ileo-ilea/ intussusception. Resection and end to end anastomosis was done. On histopathology this mass was turned out to be Fibroliposarcoma.


2021 ◽  
Vol 12 (2) ◽  
pp. 145-147
Author(s):  
Ramin Mofarrah ◽  
Nafiseh Jallab ◽  
Ramina Mofarrah ◽  
Kousar Jahani Amiri ◽  
Naghmeh Jallab

Erythema induratum (EI) is a rare chronic disease, which occurs with cutaneous tuberculosis (TB). Nodular vasculitis, much rarer than erythema induratum, describes the same condition but without cutaneous TB, with lesions usually in the lower legs and rarely on the breasts. We report the case of a 46-year-old female with a history of crusted skin and necrotic lesions two years before, which, once self-limited, multiplied one month before and transferred to uncommon sites of the body, such as the breast. There was no evidence of other clinical presentations, and a chest X-ray gave no pathological findings. A biopsy was taken from the lesions, and the patient was diagnosed with erythema induratum without cutaneous tuberculosis, that is, nodular vasculitis. After treatment with calcineurin-inhibiting tacrolimus ointment, topical corticosteroids, and immunosuppressive oral azathioprine, the lesions improved.


2017 ◽  
Vol 2 (4) ◽  
Author(s):  
Piotr Brzezinski ◽  
Viktoryia Kazlouskaya ◽  
Cesar Bimbi

<p>Multiple clustered dermatofibroma (MCDF) is an unusual variant of dermatofibroma (DF) presentation, localized on one segment of the body. Multiple dermatofibroma is a term for when there are more than 15 dermatofibromas,  which in itself is already a rare condition. The dermatofibromas usually appear in younger adults and are predominantly located on lower parts of the  body. No associations, except one case with pulmonary hypertension, were described in patients with MCDF. Herein we present another case of this rare complaint in a 58 year old female with clustered lesions on the thigh. Pericardial cyst was identified in our patient during routine chest X-ray and the patient is asymptomatic. MCDFs do not usually require treatment unless requested by the patient for cosmetic reason. This variant of MCDF, which is neither congenital nor eruptive, is extraordinarily rare, with only 13 cases reported. Further reports may identify possible associations of MCDF.</p>


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