scholarly journals Graham-Little-Piccardi-Lassueur Syndrome: Two Case Reports and Review of the Literature

2020 ◽  
Vol 47 (4) ◽  
pp. 58-62
Author(s):  
L. Dourmishev ◽  
N. Mironova ◽  
I. Popov ◽  
D. Rusinova ◽  
M. Balabanova ◽  
...  
Keyword(s):  
Hair Loss ◽  
Marked Improvement ◽  
Case Reports ◽  
Skin Lesions ◽  
Review Of The Literature ◽  
Lichen Planopilaris ◽  
Normal Limits ◽  
First Case ◽  
The Face ◽  
Laboratory Examinations

AbstractGraham-Little-Piccardi-Lassueur syndrome (GLPLS) is a rare syndrome characterized by the triad of cicatricial alopecia of the scalp, non-cicatricial alopecia of the axilla and groin and follicular lichen planus eruptions on the trunk and extremities. GLPLS is considered to be a variant of lichen planopilaris. We report two cases that have fulfilled all of the criteria for GLPLS. The first case was a 71-year-old woman, admitted to the Department of Dermatology for pruritic perifollicullar erythema and scaling of the scalp, cicatricial scalp alopecia and hair loss of the axilla and pubic region for five months. Subsequently, follicular hyperkeratotic eruptions and hyperpigmented macules on the skin of the chest and abdomen appeared. The second case was a 48-year-old man with pruritic follicular papules on the face, trunk and extremities for four months. All of the laboratory examinations in both patients were within normal limits. No alternation in the general condition of the patients was observed. Histological examinations in both patients confirmed the diagnosis GLPLS. The patients were treated with systemic and local corticosteroid resulting in marked improvement of the skin lesions; however, cicatricial scalp alopecia showed no response to the treatment.

scholarly journals A rare case of Sweet syndrome secondary to melioidosis

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sahathevan Vithoosan ◽  
Balendran Thanushah ◽  
Paramarajan Piranavan ◽  
Dayal Gamlaksha ◽  
Harindra Karunatilake ◽  
...  
Keyword(s):  
Inflammatory Markers ◽  
Burkholderia Pseudomallei ◽  
Skin Lesions ◽  
Upper Limbs ◽  
Cutaneous Manifestations ◽  
Sweet Syndrome ◽  
Emerging Infection ◽  
Oral Ulcers ◽  
First Case ◽  
The Face

Abstract Background Melioidosis is an emerging infection in South Asia caused by Burkholderia pseudomallei with various clinical presentations that include pneumonia, bacteraemia, arthritis, and deep-seated abscesses. Various cutaneous manifestations have been described in association with melioidosis. However Sweet Syndrome secondary to melioidosis has not been reported in the literature. Herein we describe the first case of Sweet syndrome secondary to melioidosis. Case presentation A 53-year-old previously healthy Sri Lankan female presented with high-grade fever, painful oral ulcers, odynophagia and multiple bilateral cervical lymphadenopathies for 1 month. She also had a loss of appetite and weight. She had oral ulcers and bilateral blepharitis. Dermatological examination revealed multiple tender papules with a mamillated appearance and targetoid lesions with a yellowish centre over the face, upper trunk and upper limbs. She also had multiple tender subcutaneous nodules over the extensor aspect of upper limbs. Her inflammatory markers were significantly elevated. Aspirate from a submental lymph node abscess revealed the growth of Burkholderia pseudomallei. Melioidosis antibody titer was > 10,240. The histology of the skin lesions of the face and left forearm showed a prominent neutrophilic infiltrate in the dermis and the morphological features were in favour of Sweet syndrome with panniculitis. She was started on intravenous meropenem 2 g daily and showed rapid clinical improvement with the disappearance of skin lesions as well as a reduction in inflammatory markers. Conclusion Sweet syndrome is an uncommon inflammatory disorder known to be associated with upper respiratory tract and gastrointestinal infections, malignancies and the use of certain drugs. Melioidosis is an emerging infection with various cutaneous manifestations. This is the first case of melioidosis causing the secondary sweet syndrome. It emphasizes the importance of considering melioidosis as a potential aetiology in patients with Sweet syndrome.

scholarly journals Death by self-inflicted asphyxia with helium – First case reports from Norway and review of the literature

2013 ◽  
Vol 19 (2) ◽  
pp. 52-54 ◽  
Author(s):  
Joachim Frost
Keyword(s):  
Terminal Illness ◽  
Case Reports ◽  
Inert Gases ◽  
Review Of The Literature ◽  
Toxicological Analysis ◽  
First Case ◽  
The World ◽  
Gastric Contents ◽  
Plastic Bag ◽  
Different Parts

ABSTRACT An increasing number of asphyxia suicides by inhalation of inert gases have been reported from different parts of the world over the last decade. So far this phenomenon has not been described in our country. This article presents the first two case reports from Norway of presumed suicide by asphyxiation due to helium inhalation from a closed plastic bag over the head. In both cases a forensic autopsy, which included comprehensive toxicological analysis, was requested and performed. In the two cases death was attributed to asphyxia due to helium inhalation, and suffocation due to a plastic bag over the head and aspiration of gastric contents, respectively. Toxicological analysis revealed no findings contributing to the deaths. The absence of toxicological and autopsy findings to determine the cause of death in such cases may represent challenges of clinical and forensic significance. In contrast to the promotion of this method by euthanasia interest groups for the terminally ill reported suicides by helium asphyxiation primarily involve relatively young individuals suffering from psychiatric and/or substance use disorders, and not from terminal illness.

Fungal Sinusitis Presenting as an Ethmoid Mucocele

1995 ◽  
Vol 9 (5) ◽  
pp. 247-250 ◽  
Author(s):  
Todd M. Rumans ◽  
Myron Jones ◽  
Sylvester G. Ramirez
Keyword(s):  
Medical Literature ◽  
Case Reports ◽  
Ethmoid Sinus ◽  
Fungal Sinusitis ◽  
Review Of The Literature ◽  
Initial Report ◽  
First Case

Fungal sinusitis was first reported in the late 1880s and was due to Aspergillus. Since this initial report, scattered case reports of fungal sinusitis have appeared in the medical literature, with the majority of these cases being due to Aspergillus and Mucormycosis. These case reports have also demonstrated multiple presentations of fungal sinusitis; however, our review of the literature did not demonstrate any previous case reports presenting as an ethmoid sinus mucocele. We now describe what we believe to be the first case of fungal sinusitis that presented as an ethmoid sinus mucocele.

scholarly journals Nontyphoidal Cardiac Salmonellosis: Two Case Reports and a Review of the Literature

2014 ◽  
Vol 41 (4) ◽  
pp. 401-406 ◽  
Author(s):  
Daniel Ortiz ◽  
Eric M. Siegal ◽  
Christopher Kramer ◽  
Bijoy K. Khandheria ◽  
Ernesto Brauer
Keyword(s):  
Lupus Erythematosus ◽  
Heart Defects ◽  
Case Reports ◽  
Review Of The Literature ◽  
Aortic Valves ◽  
First Case ◽  
Oral Steroids ◽  
Patients At Risk ◽  
Valve Diseases ◽  
Immunodeficiency States

Nontyphoidal Salmonella, especially Salmonella enterica, is a rare cause of endocarditis and pericarditis that carries a high mortality rate. Proposed predisposing conditions include immunodeficiency states, congenital heart defects, and cardiac valve diseases. We present 2 cases of cardiovascular salmonellosis. The first case is that of a 73-year-old woman with mechanical mitral and bioprosthetic aortic valves who died from sequelae of nontyphoidal Salmonella mitral valve vegetation, aortic valve abscess, and sepsis. The second case is that of a 62-year-old man with a recent systemic lupus erythematosus exacerbation treated with oral steroids, who presented with obstructive features of tamponade and sepsis secondary to a large S. enteritidis purulent pericardial cyst. He recovered after emergent pericardial drainage and antibiotic therapy. Identifying patients at risk of cardiovascular salmonellosis is important for early diagnosis and treatment to minimize sequelae and death. We reviewed the literature to identify the predisposing risk factors of nontyphoidal Salmonella cardiac infection.

Break Dancing: A New Risk Factor for Scarring Hair Loss

2011 ◽  
Vol 15 (3) ◽  
pp. 177-179 ◽  
Author(s):  
Assaf Monselise ◽  
Lisa J.Y. Chan ◽  
Jerry Shapiro
Keyword(s):  
Risk Factor ◽  
Hair Loss ◽  
Early Recognition ◽  
Androgenetic Alopecia ◽  
Treatment Modalities ◽  
Lichen Planopilaris ◽  
First Case ◽  
Appropriate Treatment ◽  
Scalp Biopsy

Background: We report on a first case of lichen planopilaris (LPP) mimicking androgenetic alopecia (AGA) in an individual who has been break-dancing on his head for many years. LPP is an autoimmune inflammatory scalp condition that when left untreated can result in scarring and irreversible hair loss. The etiology of LPP is unknown. Different treatment modalities are used for LPP and AGA. Objective: To increase the awareness of physicians to the possibility of scarring hair loss (LPP) presenting like AGA. Results: Scalp examination showed scarring patches of hair loss. A scalp biopsy confirmed the diagnosis of LPP. Conclusion: Chronic scalp trauma due to break dancing may be a trigger for LPP. A meticulous scalp examination should be performed before making a diagnosis of nonscarring conditions of hair loss such as AGA. Early recognition of LPP and appropriate treatment are important before scarring and irreversible hair loss ensue.

scholarly journals Multiple Extrauterine Adenomyomas Presenting in Upper Abdomen and Pelvis: A Case Report and Brief Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Mana Moghadamfalahi ◽  
Daniel S. Metzinger
Keyword(s):  
Smooth Muscle ◽  
Case Report ◽  
Unusual Case ◽  
Case Reports ◽  
Abdominal Mass ◽  
Benign Tumors ◽  
Review Of The Literature ◽  
First Case ◽  
Upper Abdominal ◽  
Upper Abdomen

Adenomyomas are benign tumors composed of smooth muscle and endometrial tissue. These tumors usually arise from the myometrium. Extrauterine adenomyomas are rare with only a few case reports available in the literature. Here, we report an unusual case of multiple adenomyomas in a 39-year-old woman six years after hysterectomy for multiple leiomyomata. To the best of our knowledge, this is the first case of extrauterine adenomyoma presenting as an upper abdominal mass.

scholarly journals Case Report: Two cases of rare head injuries from Nepal

F1000Research ◽  
2021 ◽  
Vol 7 ◽  
pp. 1483
Author(s):  
Joe M. Das ◽  
Apar Pokharel ◽  
Rashmi Sapkota ◽  
Manish Mishra ◽  
Ashish Babu Aryal
Keyword(s):  
Head Injury ◽  
Case Reports ◽  
Head Injuries ◽  
Neurological Deficits ◽  
Accidental Injury ◽  
First Case ◽  
Aged Woman ◽  
The Face ◽  
Middle Aged Woman ◽  
The Impact

Background: There are a number of ways in which one can sustain a head injury. Even if you are doing simple household activities or going out for a morning walk, you cannot be sure of what type of injury awaits you. The source of injury may be a pressure cooker whistle acting as a projectile or a hailstone falling from the sky. Such injuries are common in Nepal, considering the socio-demographic and geographic conditions. In this article, we present two such very rare cases of head injury. Case Reports: The first case is a middle-aged woman who sustained an accidental injury to the face associated with fracture of frontal sinus and frontal contusion, following the impact from a high momentum projectile in the form of the pressure regulator of a pressure cooker. She underwent craniotomy and removal of the foreign body. In the second case, an elderly man sustained minor injury to the head following the fall of hail. The abrasions and contusions produced by the hail were managed conservatively. Since he did not have any clinical evidence of head injury, other than multiple abrasions with contusions in the scalp, he did not undergo any imaging studies. He did not have any neurological deficits. The postoperative period was uneventful for the first patient and she was followed up for one month. The second patient was lost to follow-up. Conclusion: Successful management of two very rare cases of head injuries from Nepal are reported. Proper care and maintenance of the house-hold utensils that are constantly used may protect people from head injuries.  Though natural calamities cannot always be avoided, simple measures like using an umbrella while going outdoors may protect individuals from head injuries due to hailstones.

Aviation Maxillofacial Shields and Blunt Impact Protection in U.S. Army Helicopter Mishaps

2021 ◽  
Vol 92 (1) ◽  
pp. 50-53
Author(s):  
Charles A. Weisenbach ◽  
James S. McGhee
Keyword(s):  
Case Reports ◽  
Service Member ◽  
Protective Equipment ◽  
Facial Injuries ◽  
Blunt Impact ◽  
First Case ◽  
The Face ◽  
Impact Protection ◽  
Impact Events

BACKGROUND: Maxillofacial shields (MFSs) are an available piece of aviation protective equipment designed to integrate into aircrew helmets and protect the face from wind and flying debris. Aviators have anecdotally reported that MFSs have provided blunt impact protection during impact events (i.e., a crash); however, no such cases have been formally documented in the literature.CASE REPORTS: Two cases were identified where aircrew wearing MFSs were involved in mishaps resulting in maxillofacial blunt impacts. In the first case, an OH-58 pilot struck the cyclic with his head/face during a crash. In the second case, a CH-47 crew chief was struck in the face by a maintenance panel dislodged from the aircraft. In both cases the MFS was damaged, but neither service member experienced injuries as a result of impact to the face.DISCUSSION: The cases illustrate the effectiveness of the MFS against blunt impact during aviation mishaps. While MFS use is currently optional for aircrew, it is believed that increased MFS use would result in fewer or less severe facial injuries as well as decrease the associated time and monetary losses due to injury.Weisenbach CA, McGhee JS. Aviation maxillofacial shields and blunt impact protection in U.S. Army helicopter mishaps. Aerosp Med Hum Perform. 2021; 92(1):5053.

scholarly journals Case Report: Two cases of rare head injuries from Nepal

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 1483
Author(s):  
Joe M. Das ◽  
Apar Pokharel ◽  
Rashmi Sapkota ◽  
Manish Mishra ◽  
Ashish Babu Aryal
Keyword(s):  
Head Injury ◽  
Case Reports ◽  
Head Injuries ◽  
Neurological Deficits ◽  
Accidental Injury ◽  
First Case ◽  
Aged Woman ◽  
The Face ◽  
Middle Aged Woman ◽  
The Impact

Background: There are a number of ways in which one can sustain a head injury. Even if you are doing simple household activities or going out for a morning walk, you cannot be sure of what type of injury awaits you. The source of injury may be a pressure cooker whistle acting as a projectile or a hailstone falling from the sky. Such injuries are common in Nepal, considering the socio-demographic and geographic conditions. In this article, we present two such very rare cases of head injury. Case Reports: The first case is a middle-aged woman who sustained an accidental injury to the face associated with fracture of frontal sinus and frontal contusion, following the impact from a high momentum projectile in the form of the pressure regulator of a pressure cooker. She underwent craniotomy and removal of the foreign body. In the second case, an elderly man sustained minor injury to the head following the fall of hail. The abrasions and contusions produced by the hail were managed conservatively. Since he did not have any clinical evidence of head injury, other than multiple abrasions with contusions in the scalp, he did not undergo any imaging studies. He did not have any neurological deficits. The postoperative period was uneventful for the first patient and she was followed up for one month. The second patient was lost to follow-up. Conclusion: Successful management of two very rare cases of head injuries from Nepal are reported. Proper care and maintenance of the house-hold utensils that are constantly used may protect people from head injuries.  Though natural calamities cannot always be avoided, simple measures like using an umbrella while going outdoors may protect individuals from head injuries due to hailstones.

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