scholarly journals Dilated Cardiomyopathy Compatible With Sarcoidosis Presenting with Syncope Due to Torsades de Pointes: a Case Report

2021 ◽  
Vol 34 (1) ◽  
pp. 32-37
Author(s):  
Carollina Fernandes Tinoco ◽  
Nathalia Rodrigues Perrenoud Branca ◽  
Gabriela Domingues Carvalho ◽  
Lívia Silva de Paula Faria ◽  
Erivelton Alessandro do Nascimento
Keyword(s):  
Case Report ◽  
Natural History ◽  
Dilated Cardiomyopathy ◽  
Female Patient ◽  
Diagnostic Tests ◽  
Clinical Presentation ◽  
Cardiac Sarcoidosis ◽  
Torsades De Pointes ◽  
Unknown Etiology ◽  
Granulomatous Disease

Sarcoidosis is a multisystemic noncaseating granulomatous disease of unknown etiology. Cardiac sarcoidosis clinical presentation is diverse, and syncope is one of the possible primary events. Due to its variable natural history and initial presentation associated with lacking sensitive and specific diagnostic tests, it still represents a challenging diagnosis. This article presents the case of a 51-year-old female patient with intermittent syncope events associated with torsades de pointes and dilated cardiomyopathy compatible with sarcoidosis.

scholarly journals Erythromelanosis Follicularis Faciei et Colli: A Case Report in a Caucasian Male and Brief Review of the Literature

2020 ◽  
Vol 12 (3) ◽  
pp. 231-235
Author(s):  
Carl Maximilian Thielmann ◽  
Wiebke Sondermann
Keyword(s):  
Case Report ◽  
Family History ◽  
Clinical Presentation ◽  
Rare Condition ◽  
Unknown Etiology ◽  
Review Of The Literature ◽  
Caucasian Male

Erythromelanosis follicularis faciei et colli, a rare condition of unknown etiology, was first described by Kitamura et al. from Japan in 1960. It is characterized by a triad consisting of well-demarcated erythema, hyperpigmentation, and follicular papules. We report the case of a 50-year-old Caucasian male, who had asymptomatic symmetrical facial lesions since the age of 42. His family history was unremarkable. Published erythromelanosis follicularis faciei et colli cases of the last 10 years are summarized in this report to demonstrate the variability and differences in the clinical presentation of this uncommon diagnosis.

Sarcoidosis Presenting as Nasal Obstruction

1993 ◽  
Vol 7 (3) ◽  
pp. 133-138 ◽  
Author(s):  
Mark J. Shikowitz ◽  
Aijaz Alvi
Keyword(s):  
Respiratory Tract ◽  
Nasal Obstruction ◽  
Clinical Presentation ◽  
Multiple Organ ◽  
Diagnostic Workup ◽  
Unknown Etiology ◽  
Granulomatous Disease ◽  
Upper Respiratory Tract ◽  
Important Symptom ◽  
Upper Respiratory

Sarcoidosis is a chronic systemic granulomatous disease of unknown etiology. The histology of this disease was first reported by Boeck in 1899. Since that time many reports of multiple organ involvement have been published. Symptoms relating to the upper respiratory tract are not uncommon. Nasal obstruction as the presenting and primary complaint in sarcoidosis however is a rare but important symptom as it may lead to the diagnosis of this treatable disease. We present three patients whose initial complaint of progressive nasal obstruction heralded the diagnosis of sarcoidosis upon further workup. The clinical presentation, diagnostic workup, histology, and management of nasal sarcoidosis are discussed.

scholarly journals Addison’s Disease and Dilated Cardiomyopathy: A Case Report and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Viktoriya Mozolevska ◽  
Anna Schwartz ◽  
David Cheung ◽  
Bilal Shaikh ◽  
Kapil M. Bhagirath ◽  
...  
Keyword(s):  
Case Report ◽  
Dilated Cardiomyopathy ◽  
Clinical Presentation ◽  
Addison’S Disease ◽  
Addison's Disease ◽  
Review Of The Literature ◽  
Cardiac Disorder ◽  
New Onset

Addison’s disease is often accompanied by a number of cardiovascular manifestations. We report the case of a 30-year-old man who presented with a new onset dilated cardiomyopathy due to Addison’s disease. The clinical presentation, treatment, and outcomes of this rare hormone mediated cardiac disorder are reviewed.

scholarly journals Cardiac Sarcoidosis as an Uncommon Etiology for Posterior Circulation Stroke Presenting with Alexia without Agraphia

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Mohankumar Kurukumbi ◽  
Lauren Gardiner ◽  
Shevani Sahai ◽  
John W. Cochran
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Cardiac Involvement ◽  
Clinical Presentation ◽  
Cardiac Sarcoidosis ◽  
Systemic Disease ◽  
Pulmonary Sarcoidosis ◽  
Posterior Circulation ◽  
Presenting Symptoms ◽  
Memory And Recall

Sarcoidosis is a systemic disease with cardiac involvement occurring in 20-50% of cases. Cardiogenic stroke caused by cardiac sarcoidosis, especially PCA infarction, is a rare clinical presentation that necessitates timely diagnosis and may warrant treatment prophylaxis against CVA. In this case report, we describe a 54-year-old Caucasian male presenting with left PCA stroke in the setting of cardiac and pulmonary sarcoidosis, and hypertension. His presenting symptoms included right partial hemianopia, difficulty with naming, memory, and recall, and alexia without agraphia. Cardiogenic stroke is an uncommon manifestation of cardiac sarcoidosis, and given the disabling nature of these sequelae, the importance of early diagnosis and prevention with anticoagulation is crucial to prevent morbidity and mortality.

scholarly journals Bilateral Paragangliomas in the Setting of Autonomic Dysfunction: A Case Report

2021 ◽  
pp. 790-794
Author(s):  
Jerry Shen ◽  
Angela Ryck ◽  
Iris Chan ◽  
Kaitlin S. McFadden ◽  
Anna D. Hohler
Keyword(s):  
Blood Pressure ◽  
Case Report ◽  
Neck Pain ◽  
Female Patient ◽  
Arm Movement ◽  
Carotid Bifurcation ◽  
Large Mass ◽  
Unknown Etiology ◽  
Patient Reported ◽  
The Right

In 2018, a 59-year-old female patient presented with hoarseness in her voice, headache, intermittent pain in her right side, difficulty of right arm movement, left side neck pain, difficulty controlling hypertension of unknown etiology, and a large mass on the upper left side of her neck with a smaller mass on the right side. MRI of the neck revealed masses at each carotid bifurcation. These were determined to be bilateral paragangliomas. Paragangliomas are rare tumors, and bilateral ones tremendously so. The patient underwent radiation over 2 years, resulting in the successful shrinking and stabilization of both masses. Since completing radiation, the patient reported improvement in her memory, and her blood pressure has stabilized with medication.

scholarly journals Do you know this syndrome?

2013 ◽  
Vol 88 (3) ◽  
pp. 473-475 ◽  
Author(s):  
Laura Maria Andrade Silveira ◽  
Andreia Nogueira Ramos ◽  
Isadora Rosado do Amaral ◽  
Vitoria Regina Pedreira de Almeida Rego
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Autosomal Dominant ◽  
Congenital Abnormalities ◽  
Clinical Presentation ◽  
Current Knowledge ◽  
Genetic Disorder ◽  
Mucous Membranes ◽  
Form Part

Congenital Hypertrichosis Lanugionsa is a rare autosomal dominant genetic disorder, with fewer than 50 cases reported in the literature. It is characterized by excessive lanugo hair, sparing only the mucous membranes, palms and soles. It may be associated with other organic abnormalities and should form part of the dermatologist's current knowledge. We discuss some aspects of the syndrome in question arising from the case report of a 2-year-old female patient, black, with classic clinical presentation, with no other associated congenital abnormalities.

scholarly journals Yellow Nail Syndrome - a Case Report

2015 ◽  
Vol 7 (2) ◽  
pp. 61-68
Author(s):  
Mirjana Paravina ◽  
Ivana Binić ◽  
Danijela Popović ◽  
Dragana Ljubisavljević
Keyword(s):  
Case Report ◽  
Vitamin E ◽  
Female Patient ◽  
Respiratory Disease ◽  
Nail Plate ◽  
Chronic Respiratory Disease ◽  
Lower Limbs ◽  
Unknown Etiology ◽  
Yellow Nail Syndrome ◽  
Nail Bed

Abstract Yellow nail syndrome is a rare disease of unknown etiology. It is clinically characterized by a triad of yellow nails, lymphedema at one or more sites, and chronic respiratory disease (bronchitis, bronchiectasis and rhinosinusitis). All nails may be affected, but some may be spared. The nail plates are yellowish green, thickened, occasionally with transverse ridging and onycholysis, with increased longitudinal and transversal over-curvature, with partial or complete separation of the nail plate from the nail bed, without lunula and cuticle and slow nail growth rate. The lymphedema is usually peripheral, affecting the lower limbs, or in the form of pleural effusion. This is a case report of a 47-year-old female patient who presented with nail changes at the age of 40; two years later the patient developed lymphedema of the lower limbs, and a year later a chronic respiratory disease. The affected nails were yellow to yellow-gray, with thickened nail plates separated from the nail bed, ingrown in the perionychium, without lunula. At the same time, additional examinations revealed the following associated conditions: edema of talocrural joints in both legs, chronic obstructive bronchitis, bronchial asthma, chronic rhinitis with bilateral nasal polyposis, labile arterial hypertension. Apart from the management of chronic respiratory disease, oral vitamin E capsules (200 mg 3 times a day) and topical vitamin E solution were administered over 15 months. The nails began to grow, and the newly grown nails were of normal pigmentation. In conclusion, we present a case of an adult female patient with yellow nail syndrome, and a recognized association of peripheral edema and chronic pulmonary disease. The patient had a typical clinical picture, all the nails were affected, but showed a favorable response to systemic and topical vitamin E therapy.

scholarly journals Cutaneous Sarcoidosis in a patient with left Hilar calcification of the lungs - A Case Report

2016 ◽  
Vol 8 (3) ◽  
pp. 161-170
Author(s):  
Mirjana Paravina ◽  
Milanka Ljubenović ◽  
Milenko Stanojević ◽  
Milica Stepanović ◽  
Dragica Marković
Keyword(s):  
Case Report ◽  
Lymph Nodes ◽  
Female Patient ◽  
Skin Lesions ◽  
Granulomatous Disease ◽  
Cutaneous Sarcoidosis ◽  
Cutaneous Lesions ◽  
Antimalarial Therapy ◽  
Cutaneous Granuloma ◽  
Systemic Manifestations

Abstract Sarcoidosis is an acquired idiopathic granulomatous disease, which is characterized by noncaseating epithelioid granulomas in organs and tissues. Most frequently it affects the lungs, liver, lymph nodes, skin, eyes and other organs. The cutaneous lesions appear in 20 - 30% of patients with systemic manifestations, and in 25% of them they appear without systemic manifestations. Based on the histopathological characteristics, cutaneous lesions are divided into specific, characterized by cutaneous granuloma, and non-specific, which are not granulomatous. Moreover, they can be classified as typical and atypical. We are presenting a female patient with unilateral hilar calcification of the lungs, who exhibited plaque skin lesions typical for sarcoidosis, with a specific granulomatous histology and a favorable response to corticosteroid and antimalarial therapy.

scholarly journals Investigation and Management of COVID-19

2021 ◽  
Author(s):  
Jovana Momic ◽  
Eric Di Gravio ◽  
Thulasie Manokaran ◽  
Ruchi Sharan ◽  
Meera Shah
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Diagnostic Tests ◽  
Clinical Presentation ◽  
Management Strategies ◽  
Hubei Province ◽  
Medical Community ◽  
Unknown Etiology ◽  
Infection Rates ◽  
Test And Treat ◽  
Global Pandemic

In December 2019, an outbreak of viral pneumonia of unknown etiology arose in Wuhan, Hubei Province, China. Eventually isolated and named Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), this virus has caused a global pandemic of the pneumonia-like Coronavirus Disease (COVID-19). With global infection rates and deaths mounting, the medical community has been forced to recognize, test, and treat these patients within a rapidly evolving situation and a shortage of resources. In this article, we summarize the most recent data pertaining to the clinical presentation, diagnostic tests, imaging, and management strategies for COVID-19. This article concludes with a discussion of ongoing efforts to develop critically needed therapeutics and vaccines, which may subsequently shape our responses to future pandemics.

scholarly journals Osteomyelitis of the Patella in a 10-Year-Old Girl: A Case Report and Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Matthias Sperl ◽  
Michael Novak ◽  
Daniela Sperl ◽  
Martin Svehlik ◽  
Georg Singer ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Female Patient ◽  
Clinical Presentation ◽  
Delayed Diagnosis ◽  
Diagnostic Procedures ◽  
Long Bones ◽  
Review Of The Literature ◽  
Present Case Report ◽  
Variable Clinical Presentation

The incidence of osteomyelitis constantly declines. While the disease most commonly affects the long bones, involvement of the patella is rarely seen. Due to this rarity and the variable clinical presentation, diagnosis is often delayed. The present case report describes a 10-year-old female patient with a delayed diagnosis of patella osteomyelitis. The diagnostic procedures and the treatment regimen are described. Additionally, a detailed literature review of the available publications reporting osteomyelitis of the patella in children is presented.

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