scholarly journals A case of urticaria multiforme with unusual presentation

2019 ◽  
Vol 6 (6) ◽  
pp. 1946
Author(s):  
Mohammad S. Alkhowailed
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Erythema Multiforme ◽  
Case History ◽  
Diagnostic Tests ◽  
Clinical Manifestations ◽  
Unusual Presentation ◽  
Effective Management ◽  
Urticarial Vasculitis ◽  
Wide Range

Urticaria multiforme is a condition which manifests as acute, polycyclic, annular oedematous pink plaques with an ecchymosis hue that is associated with acral edema. The condition is often misdiagnosed as erythema multiforme, serum-sickness-like reactions, or urticarial vasculitis. Author present a case of acute annular urticaria in a 3-year-old girl who presented with unusual clinical manifestations of the condition. Through this case report, Author aim to emphasize the wide range of morphologic manifestations that can be seen in urticaria multiforme. This can assist pediatric physicians to differentiate urticaria multiforme from other clinical dermatologic conditions and prevent misdiagnosis. A detailed case history and physical examination, along with relevant diagnostic tests can enable prompt and effective management of the condition.

scholarly journals Unusual Presentation of Acute Annular Urticaria: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-3
Author(s):  
Gilles Guerrier ◽  
Jean-Marc Daronat ◽  
Roger Deltour
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Erythema Multiforme ◽  
Diagnostic Testing ◽  
Unusual Presentation ◽  
Serum Sickness ◽  
Urticarial Vasculitis ◽  
Acute Urticaria ◽  
Appropriate Treatment

Acute urticarial lesions may display central clearing with ecchymotic or haemorrhagic hue, often misdiagnosed as erythema multiforme, serum-sickness-like reactions, or urticarial vasculitis. We report a case of acute annular urticaria with unusual presentation occurring in a 20-month-old child to emphasize the distinctive morphologic manifestations in a single disease. Clinicians who care for children should be able to differentiate acute urticaria from its clinical mimics. A directed history and physical examination can reliably orientate necessary diagnostic testing and allow for appropriate treatment.

scholarly journals Esophageal Variceal Bleeding as the First Manifestation of COVID-19 Infection: A Case Report

2022 ◽  
Vol 7 (01) ◽  
pp. 41-45
Author(s):  
Christos Sotiropoulos, MD, MSc ◽  
Eftichia Sakka, MD ◽  
Georgios Theocharis, MD, PhD ◽  
Konstantinos Thomopoulos, MD, PhD
Keyword(s):  
Liver Cirrhosis ◽  
Case Report ◽  
Variceal Bleeding ◽  
Clinical Manifestations ◽  
Polymerase Chain Reaction Test ◽  
Variceal Hemorrhage ◽  
Esophageal Variceal ◽  
Esophageal Variceal Bleeding ◽  
Wide Range ◽  
Upper Gastrointestinal

Liver cirrhosis is a defined liver disease with a wide range of clinical manifestations. Variceal bleeding is the main source of gastrointestinal hemorrhage among cirrhotic patients induced by several factors, such as alcohol consumption or infections. This is a report of a cirrhotic patient presenting with esophageal variceal bleeding in the context of COVID-19 infection. We report the case of a 53-year-old patient with liver cirrhosis and multifocal hepatocellular carcinoma presenting with upper gastrointestinal bleeding as the first manifestation of COVID-19 infection. Upon admission, the patient had no symptoms suggestive of a respiratory tract infection or any contact with positive SARS-CoV-2 individual and upper gastrointestinal endoscopy revealed variceal hemorrhage. After a few hours the patient manifested with fever, cough and dyspnea and a SARS-CoV-2 polymerase chain reaction test obtained was positive. The patient was initially treated with endoscopic band ligation and transferred in the COVID-19 infection clinic, where after a few days of hospitalization he passed away. The devastating pandemic of coronavirus disease 2019 had altered the pathophysiology and clinical presentation of several chronic diseases. This case report suggests that coronavirus disease as a potential triggering factor of variceal bleeding.

A Case Report on Effective Management of Artavadushti with Vandhyatwa by Ayurveda Regimen

The Healer ◽  
2021 ◽  
Vol 2 (02) ◽  
pp. 102-105
Author(s):  
Khushboo Jha ◽  
Kajal Jha ◽  
K. Bharathi ◽  
Sonu Verma
Keyword(s):  
Health Care ◽  
Case Report ◽  
Physical Examination ◽  
Female Patient ◽  
Effective Management ◽  
Detailed History ◽  
Normal Duration ◽  
Laboratory Investigations ◽  
Physical And Chemical ◽  
Hormonal Analysis

ABSTRACT: A  female  patient  of  25  years  of  age  came  to  OPD  of Arogyam Health Care on 15\5\2076 B.S. with complaints of want issue since 3 years. She had not achieved her menses since 3 months and her menstruation was irregular since menarche. Methodology:  Detailed  history  with  all  necessary  clinical,  physical  examination  and laboratory  investigations  were  carried  out.  No gross physical and chemical abnormality was found. All the laboratory investigations (including USG and hormonal analysis) were found to be normal. So the treatment was planned according to the symptoms. Diagnosis made on the basis on the basis of presenting complaints was Vandhaytwa.  Patient was treated with Arogyavardhi vati, Dashmoolarista, Kanchanar guggulu, Matra vasti and nasya with Mahanarayan taila, Bandhyaharan churna and Aswagandha churna. Patient was kept on follow. Result: Patient had got her menstruation regularly with normal duration while taking medicine.  Also  the  amount  of  flow  was  also  improved  and the patient got conceived.  Keywords: Vandhyatwa, Vasti, Nasya, Arogyavardhini vati, Dashmoolarishta

Macro-aspartate aminotransferase (AST): a case report / Makro aspartat aminotransferaz (AST): Bir olgu takdimi

2016 ◽  
Vol 41 (1) ◽  
Author(s):  
Ümmügülsüm Can ◽  
Ersin Sayar ◽  
Muhittin A. Serdar
Keyword(s):  
Case Report ◽  
Polyethylene Glycol ◽  
Physical Examination ◽  
Aspartate Aminotransferase ◽  
Diagnostic Tests ◽  
Present Report ◽  
Evaluation Process ◽  
Reference Interval ◽  
Test Results ◽  
Laboratory Test Results

AbstractAspartate aminotransferase (AST) macroenzyme leads to an increase in AST without the presence of any disease. In present report, an isolated increase of AST was detected in a 6-year old girl following the investigations prior to tonsillectomy. As to her history, physical examination and other laboratory test results, no abnormal findings were detected. AST levels were measured as 591 IU/L and 585 IU/L after repeated tests. While found as <5.4 IU/L (recovery <0.8%, reference interval 42.0-82.2%) after polyethylene glycol (PEG) precipitation, AST was determined as 561 IU/L (recovery 95.4%) as a result of the assessment performed with non-specific human antimouse antibodies (HAMA). No diseases were encountered in the patient, and reason for the increase of AST was considered to be macroAST. Because continuously increased enzyme value may lead to various invasive and expensive diagnostic tests, macroAST should be taken into account in the evaluation process.

scholarly journals Déjà vu phenomenon as symptom of temporal lobe epilepsy in eight-year-old girl: A case report

2020 ◽  
Vol 11 (1) ◽  
pp. 90-95
Author(s):  
Goran Popović ◽  
Ranka Mirković ◽  
Dejan Bokonjić ◽  
Biljana Milinković ◽  
Tatjana Gavrilović-Elez
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Diagnostic Tests ◽  
Epileptic Activity ◽  
Epileptic Discharges ◽  
Deja Vu ◽  
Déjà Vu ◽  
The Right

Introduction. Deja vu (franc. Déjà vu) is a phenomenon experienced by two thirds of all people. However, this phenomenon can follow aura during the temporal lobe epilepsy. It is believed that it originates from hippocampus, which plays a major role in generating epileptic discharges. Some authors emphasize that in these patients déjà vu phenomenon is not an aura but rather it sometimes refers to the attack itself. Method. In this case report, an eightyear-old girl suffering from repeated crisis of consciousness is described. Case report. The aim of the study was to present the case of an eightyearold girl who underwent three crisis of consciousness, headache behind the forehead as well as the repeated déjà vu phenomenon. The girl was hospitalized, after which medical history was taken and physical examination, as well as other diagnostic tests, were performed. EEG recording revealed an increased electrocortical epileptic activity above the right frontotemporal region. An antiepileptic therapy (Karbapin) leading to attack control was introduced. Conclusion. It is necessary to give temporal lobe epilepsy in children with déjà vu phenomenon serious consideration.

scholarly journals Duodenocecal Fistula Developing after Hairpin Ingestion: A Case Report

2017 ◽  
Vol 23 (2) ◽  
Author(s):  
Fatima Naumeri ◽  
Hafiz Mahmood Ahmad
Keyword(s):  
Case Report ◽  
Pediatric Population ◽  
Clinical Manifestations ◽  
Wide Range ◽  
One Year

AbstractForeign body ingestion is quite a common pheno-menon in pediatric population and presents with a wide range of clinical manifestations. This is a case report of hair pin ingestion which presented in pedia-tric surgery emergency one year post ingestion with duodenocecal fistula and was managed with removal of hair pin and repair of duodenal and cecal fistula rents primarily. 

scholarly journals Neonatal Cholestasis: A Rare and Unusual Presentation of Pituitary Stalk Interruption Syndrome

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
R. El Qadiry ◽  
A. Ouayad ◽  
H. Nassih ◽  
A. Bourrahouat ◽  
I. Ait Sab
Keyword(s):  
Case Report ◽  
Hormone Replacement ◽  
Clinical Manifestations ◽  
Brain Magnetic Resonance Imaging ◽  
Pituitary Hormones ◽  
Unusual Presentation ◽  
Pituitary Stalk ◽  
Endocrine Disorders ◽  
Neonatal Cholestasis ◽  
Rapid Improvement

Pituitary stalk interruption syndrome (PSIS) is a very rare entity, and the clinical manifestations are nonspecific. Neonatal cholestasis due to endocrine disorders is rare and poorly recognized. Our case report describes a case of PSIS in a Moroccan infant revealed by isolated neonatal cholestasis, which is an unusual presentation in children. Case report. A 40-day-old girl was admitted to our department for progressive cholestatic jaundice appeared on the third day of life. She was born from a non-consanguineous marriage, and her prenatal and perinatal history went without incident. Physical examination showed icteric skin and sclera, without hepatomegaly. Analysis of pituitary hormones revealed panhypopituitarism. On brain magnetic resonance imaging (MRI), the pituitary stalk was absent, the posterior pituitary was ectopic, and the anterior pituitary was hypoplastic. The patient was diagnosed with interrupted pituitary stalk syndrome. The treatment consisted of hormone replacement with rapid improvement of her clinical condition. Conclusion. Panhypopituitarism, a consequence of PSIS, is a rare cause of neonatal cholestasis. However, pediatricians should keep this syndrome in mind for patients who present with neonatal cholestasis.

Lymphadenopathies in pediatric practice

2020 ◽  
Vol 18 (6) ◽  
pp. 63-68
Author(s):  
O. I. PIKUSA ◽  
◽  
E. A. SAMORODNOVA ◽  
Keyword(s):  
Case History ◽  
Clinical Symptoms ◽  
Clinical Manifestations ◽  
General Information ◽  
Differential Diagnostics ◽  
Treatment Efficiency ◽  
Laboratory Examination ◽  
Pediatric Practice ◽  
Wide Range

The purpose — to present the information on the main causes of lymphadenopathies in children and the stages of differential-diagnostic search which complicate diagnosing and determining the treatment tactics. Material and methods. Analysis of literature data on lymphadenopathies in children, features of clinical manifestations under tumorous and non-tumorous etiology of the disease, and approaches to differential diagnostics. Results. The article presents the general information on etiology and classification of the characteristic clinical symptoms of lymphadenopathies in children, which are necessary for a pediatrician to determining the treatment tactics of a patient with this pathology. Conclusion. For duly diagnosing a child with lymphadenopathy, a pediatrician should be aware of a wide range of nosologies and be attentive to any detail of the case history, clinical picture and laboratory examination data, as it may influence not only the treatment efficiency but even life forecast for the patient.

Acupuncture, Ketamine and Piriformis Syndrome – a Case Report from Palliative Care

2007 ◽  
Vol 25 (3) ◽  
pp. 109-112 ◽  
Author(s):  
Juliet Spiller
Keyword(s):  
Palliative Care ◽  
Case Report ◽  
Spinal Stenosis ◽  
Case History ◽  
Care Setting ◽  
Unusual Presentation ◽  
Hodgkin's Lymphoma ◽  
Piriformis Syndrome ◽  
Palliative Care Setting ◽  
Strong Opioids

This case history gives the unusual presentation of piriformis syndrome as the immediate cause of symptoms for a patient with spinal stenosis and non Hodgkin's lymphoma in a palliative care setting. It also details the relief and subsequent resolution of symptoms with acupuncture where strong opioids and neuropathic agents such as gabapentin and ketamine were providing only minimal relief.

GH Deficiency in a Dalmatian Puppy with Megaesophagus

2013 ◽  
Vol 49 (6) ◽  
pp. 407-411 ◽  
Author(s):  
Kyu-Deok Cho ◽  
Ji-Houn Kang ◽  
Sung-Jun Noh ◽  
Dongwoo Chang ◽  
Ki-Jeong Na ◽  
...  
Keyword(s):  
Growth Hormone ◽  
Case Report ◽  
Physical Examination ◽  
Growth Retardation ◽  
Gh Deficiency ◽  
Clinical Manifestations ◽  
Pituitary Dwarfism

An 8 wk old female Dalmatian weighing .56 kg presented with growth retardation. The puppy exhibited no abnormalities during physical examination other than significantly reduced growth compared with her littermates. Endocrine results suggested pituitary dwarfism. Two wk later, the puppy returned due to the onset of megaesophagus, but the puppy unfortunately died the following morning. This case report describes the diagnosis of dwarfism in a Dalmatian puppy that was caused by growth hormone (GH) deficiency and describes its early clinical manifestations.

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