Paradoxical, Cupping-Induced Localized Psoriasis: A Koebner Phenomenon

Background Cupping therapy is a traditional Chinese medicine used to heal psoriasis. The Koebner phenomenon is the occurrence of psoriatic lesions at the site of cutaneous injury. Objective To describe the first case of biopsy-proven cupping-induced localized psoriasis, an example of the Koebner phenomenon. Methods The histopathology of the lesions is described. A brief review of the literature regarding cupping therapy and its efficacy are discussed. Results A 45-year-old Asian male presented himself to the dermatology clinic for further treatment of his psoriasis. Four unusually circular plaques on the lower back were discovered. Pathologic diagnosis revealed an early lesion of psoriasis. on further inquiry, the patient admitted to undergoing a recent ‘'cupping'’ procedure in an attempt to cure his condition. Conclusion The efficacy of cupping therapy is controversial, and psoriatic patients may develop localized psoriasis through koebnerization as a result of cupping therapy rather than achieve desirable therapeutic benefits.

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Spinal Intradural, Extramedullary Ependymoma with Astrocytoma Component: A Case Report and Review of the Literature

Case Reports in Pathology ◽

10.1155/2016/3534791 ◽

2016 ◽

Vol 2016 ◽

pp. 1-5 ◽

Cited By ~ 2

Author(s):

Gene M. Weinstein ◽

Knarik Arkun ◽

James Kryzanski ◽

Michael Lanfranchi ◽

Gaurav K. Gupta ◽

...

Keyword(s):

Back Pain ◽

Case Report ◽

Lower Back Pain ◽

Low Grade ◽

Review Of The Literature ◽

Pathologic Evaluation ◽

Lower Back ◽

Spinal Lesions ◽

First Case ◽

Intradural Extramedullary

Ependymomas are common spinal lesions, with the vast majority arising in an intramedullary location. Several cases have been described in the literature of ependymomas in an intradural, extramedullary location. The authors present a case of a 56-year-old female who presented with several weeks of lower back pain and weakness. MRI revealed an intradural, extramedullary enhancing mass at L1-L2. The mass was successfully resected surgically. Pathologic evaluation revealed a low grade glioma with components of both ependymoma and pilocytic astrocytoma with MUTYH G382D mutation. Extramedullary ependymomas are very rare tumors. To the authors’ knowledge, this is the first case of ependymoma/astrocytoma collision tumors described in an extramedullary location.

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Scald-Induced Necrobiosis Lipoidica in a Patient with Diabetes Mellitus and Psoriasis

Case Reports in Dermatology ◽

10.1159/000443321 ◽

2016 ◽

Vol 8 (1) ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Hoshiko Ito ◽

Sadao Imamura

Keyword(s):

Diabetes Mellitus ◽

Psoriasis Patient ◽

Necrobiosis Lipoidica ◽

Koebner Phenomenon ◽

First Case ◽

Previous Trauma ◽

A Site ◽

Psoriatic Lesions

The Koebner phenomenon (KP) was first introduced by Heinrich Koebner in the 1870s to describe the appearance of psoriatic lesions following trauma in psoriasis patients. KP has since been defined in numerous diseases, including necrobiosis lipoidica diabeticorum (NLD). Since most Koebnerized dermatological lesions can localise to a site of previous trauma, Weiss et al. (Eur Acad Dermatol Venereol 2002;16:241-248) classified them into four categories (I-IV) according to the Boyd-Nelder classification (Int J Dermatol 1990;29:401-410) system. In this system, necrobiosis lipoidica is classified as category III, which includes diseases that occasionally localise at the site of trauma. We report a case of NLD that developed after scald in a psoriasis patient. NLD after trauma has often been reported, but this is the first case of NLD that coincidentally occurred at a scald site in a psoriasis patient.

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Cupping therapy as alternative medicine turns into a trigger of disease via the Koebner phenomenon: A case report of Hijama‐induced psoriasis and review of the literature

Dermatologic Therapy ◽

10.1111/dth.14264 ◽

2020 ◽

Vol 33 (6) ◽

Author(s):

Algün Polat Ekinci ◽

Gizem Pehlivan

Keyword(s):

Case Report ◽

Alternative Medicine ◽

Cupping Therapy ◽

Review Of The Literature ◽

Koebner Phenomenon

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Osteoid Osteoma of the Atlas in a Boy: Clinical and Imaging Features–A Case Report and Review of the Literature

Neuropediatrics ◽

10.1055/s-0040-1715488 ◽

2020 ◽

Author(s):

Adelaide Valluzzi ◽

Salvatore Donatiello ◽

Graziana Gallo ◽

Monica Cellini ◽

Antonino Maiorana ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Osteoid Osteoma ◽

Soft Tissues ◽

Tissue Reaction ◽

Imaging Features ◽

Review Of The Literature ◽

Resonance Imaging ◽

Radiological Findings ◽

First Case ◽

Upper Cervical

AbstractOsteoid osteoma is a benign osteoblastic tumor, quite uncommon in the spine. We report a case of an osteoid osteoma involving the atlas in a 6-year-old boy, who presented with suboccipital pain and torticollis. Initial radiological findings were ambiguous as magnetic resonance imaging showed mainly edema of upper cervical soft tissues. The subsequent computed tomography depicted a lesion of left lamina of C1. As conservative treatment failed, the lesion was surgically resected and the patient became pain free. To our knowledge, this is the first case of osteoid osteoma involving the atlas associated with abnormal soft tissue reaction reported in literature.

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Osteoblastoma of the clavicle at the site of a previous fracture—first case report and review of the literature

Skeletal Radiology ◽

10.1007/s00256-019-03197-x ◽

2019 ◽

Vol 48 (10) ◽

pp. 1623-1628

Author(s):

Adriana C. Moreira ◽

David I. Suster ◽

Sterling Ellis Eide ◽

Daniel I. Rosenthal ◽

Connie Y. Chang

Keyword(s):

Case Report ◽

Review Of The Literature ◽

Previous Fracture ◽

First Case

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B.05 Hemi-laryngopharyngeal spasm (HELPS) syndrome: The discovery, cure, and characterization of a new neurological condition

Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques ◽

10.1017/cjn.2017.76 ◽

2017 ◽

Vol 44 (S2) ◽

pp. S11-S11

Author(s):

C Honey ◽

M Morrison

Keyword(s):

Surgical Care ◽

Review Of The Literature ◽

The Past ◽

First Case ◽

Patient Reported ◽

Operative Outcome ◽

Small Cohort ◽

The Common ◽

Similar Motor

Background: We published the world’s first case of hemi-laryngpharyngeal spasm (HELPS) syndrome cured by microvascular decompression (MVD) of the Xth cranial nerve in 2016. We now present a small cohort of patients (n=3) successfully treated with surgery in order to better delineate the common characteristics of this syndrome, diagnostic tests of choice, nuances of their surgical care and outcomes of their treatment. Methods: The history and physical examination of three patients with HELPS syndrome are presented. Pre-operative laryngoscopy, neuroimaging, response to botox and intra-operative videos are detailed. Post-operative outcome and complications are presented. Results: Each patient reported similar motor (choking) and sensory (coughing) features in their history. Episodic choking relentlessly progressed over the years until it occurred while sleeping and with frightening severity prompting tracheostomy in one patient and intubation in another. A “tickling” sensation deep in the throat triggered episodic coughing that worsened over the years until it occurred while sleeping and with frightening severity (syncope and incontinence). Conclusions: A review of the literature suggests that patients with similar symptoms, often called episodic laryngospasm in the past, have been treated with psychotherapy or antacids. With the recognition that a clearly defined subset of these patients have HELPS syndrome, we can offer them the potential of a neurosurgical cure.

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Hemophagocytic Lymphohistiocytosis Complicating Erythroleukemia in a Child with Monosomy 7: A Case Report and Review of the Literature

Case Reports in Hematology ◽

10.1155/2013/581073 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3

Author(s):

Samin Alavi ◽

Maryam Ebadi ◽

Alireza Jenabzadeh ◽

M. T. Arzanian ◽

Sh. Shamsian

Keyword(s):

Bone Marrow ◽

Case Report ◽

Hemophagocytic Lymphohistiocytosis ◽

Chromosomal Abnormalities ◽

Bone Marrow Aspiration ◽

Review Of The Literature ◽

Monosomy 7 ◽

Persistent Fever ◽

First Case ◽

Erythroid Precursors

Herein, the first case of childhood erythrophagocytosis following chemotherapy for erythroleukemia in a child with monosomy 7 is reported. A 5-year-old boy presented with anemia, thrombocytopenia, and hepatosplenomegaly in whom erythroleukemia was diagnosed. Prolonged pancytopenia accompanied by persistent fever and huge splenomegaly and hepatomegaly became evident after 2 courses of chemotherapy. On bone marrow aspiration, macrophages phagocytosing erythroid precursors were observed and the diagnosis of HLH was established; additionally, monosomy 7 was detected on bone marrow cytogenetic examination. In conclusion, monosomy 7 can lead to erythrophagocytosis associated with erythroid leukemia and should be considered among the chromosomal abnormalities contributing to the association.

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Nasal Epithelial Myoepithelial Carcinoma: An Unusual Cause of Epiphora, a Case Report and Review of the Literature

Allergy & Rhinology ◽

10.2500/ar.2015.6.0127 ◽

2015 ◽

Vol 6 (2) ◽

pp. ar.2015.6.0127 ◽

Cited By ~ 7

Author(s):

Juliette O. Flam ◽

Christopher D. Brook ◽

Rachel Sobel ◽

John C. Lee ◽

Michael P. Platt

Keyword(s):

Case Report ◽

Physical Examination ◽

Nasal Cavity ◽

Surgical Excision ◽

Myoepithelial Carcinoma ◽

Review Of The Literature ◽

Nasal Symptoms ◽

First Case ◽

Nasal Tumor ◽

Epithelial Myoepithelial Carcinoma

Introduction Epithelial myoepithelial carcinoma (EMC) of the nasal cavity is a rare tumor, and here we describe the first case of EMC of the nasal cavity presenting with epiphora. A case presentation and review of the literature is provided. Methods A case report is described of a 63-year-old man who presented with unilateral epiphora and was found via a thorough history and physical examination to have a nasal tumor. The physical examination consisted of an ocular examination, including probing and irrigation, and a detailed nasal examination (anterior rhinoscopy, nasal endoscopy). The nasal examination was prompted by the patient's report of concurrent nasal symptoms during history taking. Immunohistochemistry subsequently identified the nasal tumor as EMC. A literature search was performed to gain insights into similar malignancies of the nasal cavity. Results Eight cases of EMC of the nasal cavity were identified in the literature, none of the patients presented with epiphora. The case presented here resulted in resolution of the patient's symptoms and no evidence of disease after surgical excision. Conclusion Epithelial myoepithelial is a rare salivary gland malignancy that can arise in the nasal cavity. Unilateral epiphora with concurrent nasal symptoms should prompt nasal cavity examination for the possibility of an obstructive tumor.

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Psoriasis Vulgaris Caused by Ceramic Inserts Used in Total Hip Replacement

Journal of Cutaneous Medicine and Surgery ◽

10.1177/120347541201600618 ◽

2012 ◽

Vol 16 (6) ◽

pp. 448-450 ◽

Cited By ~ 2

Author(s):

Fujio Higuchi ◽

Daisuke Tsuruta ◽

Yumiko Ishibashi ◽

Kazuko Imamura ◽

Tokiko Shimoyama ◽

...

Keyword(s):

Nous Avons ◽

Total Hip Replacement ◽

Hip Joint ◽

Hip Replacement ◽

Nuclear Factor Κb ◽

Total Hip ◽

First Case ◽

The Right ◽

Ceramic Insert ◽

Psoriatic Lesions

Background: Ceramics are inorganic nonmetallic materials and are used as bioinert components in joint replacement surgeries. Ceramics are known to be low allergenic. We experienced a ceramic-induced psoriasis. Objective: We report a first case of possible ceramic-induced psoriasis caused by a ceramic insert. Methods: A 55-year-old female received an implanted ceramic-on-ceramic total hip replacement for osteoarthritis of the right hip joint. Following surgery, she developed psoriatic lesions, which continued for 10 years. We suspected that psoriasis was caused by a ceramic insert and removed it surgically. Results: When the ceramic insert was replaced with a polyethylene-on-metal hip joint, the psoriatic lesions completely disappeared. Conclusion: The pathogenesis of psoriasis is still an enigma, although deregulation of nuclear factor κB signaling and resulting abnormal cytokine secretion are speculated to be involved. Ceramics may affect these signaling events and cause the onset of psoriasis. Renseignements de base: Les céramiques sont des matériaux non métalliques inorganiques et sont utilisées comme composants bio-inertes dans les arthroplasties. Les céramiques sont reconnues pour être peu allergisantes. Nous avons observé un psoriasis provoqué par la céramique. Objectif: Nous exposons un premier cas possible de psoriasis provoqué par la céramique causé par un implant en céramique. Méthodes: Une femme de 55 ans a reçu une prothèse céramique-sur-céramique implantée lors d'une arthroplastie totale de la hanche pour traiter l'arthrose de l'articulation de la hanche droite. Après la chirurgie, elle a développé des lésions psoriasiques dont la manifestation s'est poursuivie pendant 10 ans. Nous avons soupçonné que le psoriasis était causé par l'implant en céramique, et nous l'avons enlevé chirurgicalement. Résultats: Une fois l'implant en céramique remplacé par une prothèse articulaire en polyéthylène-sur-métal, les lésions psoriasiques ont disparu complètement. Conclusion: La pathogenèse du psoriasis demeure une énigme, bien qu'on suppose que la dérégulation de la voie de signalisation NF-κB et que la sécrétion anormale de cytokines résultante soient impliquées. Les céramiques peuvent affecter ces événements de signalisation et provoquer l'apparition du psoriasis.

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