Contact blepharoconjunctivitis due to black henna — A case report

AbstractPara-phenylenediamine (PPD) can induce immediate or — more often — delayed hypersensitivity. We report the case of 48-year old female admitted to the out-patient allergy clinic a day after her visit in a beauty parlour, where she had her eyelashes and eyebrows dyed with henna. Physical examination revealed prominent edema of the upper part of the face including forehead, cheeks and eyes causing severe narrowing of the palpebral chink. Skin prick tests (SPT) with common allergens were positive for Dermatophagoides pteronyssinus, Dermatophagoides farinae and moulds, while the SPT with PPD was negative. Patch test to PPD was positive. Further investigations revealed eosinophilia in the tear fluid. To our knowledge, this is the first case of PPD-induced contact blepharoconjunctivitis (CB) with concomitant increased eosinophilia in the tear fluid.

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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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Lung Point-of-Care Ultrasound for Unexpected Hypoxemia during Anesthesia

Healthcare ◽

10.3390/healthcare9121727 ◽

2021 ◽

Vol 9 (12) ◽

pp. 1727

Author(s):

Jui-Ting Wang ◽

I-Min Su ◽

Hsiang-Ning Luk ◽

Phil B. Tsai

Keyword(s):

Case Report ◽

Physical Examination ◽

Chest Radiography ◽

Point Of Care ◽

Point Of Care Ultrasound ◽

First Case ◽

Portable Chest ◽

Lung Point

This is a case report showing acute hypoxemia during anesthesia. Immediate differentiation using lung POCUS (point-of-care ultrasound), in addition to physical examination and portable chest radiography, was made. This is the first case report of sputum impaction due to pneumonia causing hypoxemia that has been detected by lung POCUS during anesthesia.

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Deep Temporal Nerve Transfer for Facial Reanimation: Anatomic Dissections and Surgical Case Report

Operative Neurosurgery ◽

10.1093/ons/opx190 ◽

2017 ◽

Vol 15 (1) ◽

pp. 81-88

Author(s):

Mark A Mahan ◽

Walavan Sivakumar ◽

David Weingarten ◽

Justin M Brown

Keyword(s):

Case Report ◽

Facial Nerve ◽

Nerve Transfer ◽

Lateral Approach ◽

Multiple Sources ◽

Facial Muscles ◽

First Case ◽

The Face ◽

Facial Reanimation ◽

History Of

Abstract BACKGROUND Facial nerve palsy is a disabling condition that may arise from a variety of injuries or insults and may occur at any point along the nerve or its intracerebral origin. OBJECTIVE To examine the use of the deep temporal branches of the motor division of the trigeminal nerve for neural reconstruction of the temporal branches of the facial nerve for restoration of active blink and periorbital facial expression. METHODS Formalin-fixed human cadaver hemifaces were dissected to identify landmarks for the deep temporal branches and the tension-free coaptation lengths. This technique was then utilized in 1 patient with a history of facial palsy due to a brainstem cavernoma. RESULTS Sixteen hemifaces were dissected. The middle deep temporal nerve could be consistently identified on the deep side of the temporalis, within 9 to 12 mm posterior to the jugal point of the zygoma. From a lateral approach through the temporalis, the middle deep temporal nerve could be directly coapted to facial temporal branches in all specimens. Our patient has recovered active and independent upper facial muscle contraction, providing the first case report of a distinct distal nerve transfer for upper facial function. CONCLUSION The middle deep temporal branches can be readily identified and utilized for facial reanimation. This technique provided a successful reanimation of upper facial muscles with independent activation. Utilizing multiple sources for neurotization of the facial muscles, different potions of the face can be selectively reanimated to reduce the risk of synkinesis and improved control.

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Pediatric Cutaneous Leishmaniasis in a Private Clinic of Abidjan, Ivory Coast: A Case Report

The Open Parasitology Journal ◽

10.2174/1874421402109010001 ◽

2021 ◽

Vol 9 (1) ◽

pp. 1-4

Author(s):

N’da Angbeletchi David AKA ◽

Kalou Dibert Zika ◽

Gonat Serge Pacôme Dou ◽

Fatoumata Coulibaly ◽

Mocket Adolphe Ehouman ◽

...

Keyword(s):

Case Report ◽

Cutaneous Leishmaniasis ◽

Chronic Wounds ◽

Cutaneous Lesion ◽

Buruli Ulcer ◽

Private Clinic ◽

First Case ◽

The Face ◽

Diagnostic Hypothesis ◽

Future Work

Introduction: Cutaneous Leishmaniasis (CL) is a zoonotic disease with global distribution, especially in underdeveloped countries. This parasitic disease is caused by the bite of an infected sandfly. Case Report: We report here the first case of cutaneous leishmaniasis discovered incidentally in an 11-year-old child in a private clinic. He is a primarian boy who had a wound located on his left leg. On questioning, we ascertained that the wound was not the first one and had been present for about 2 months. The cutaneous lesion was painless but itchy. The location, the crateriform appearance, and the chronic nature of the wound led us to suspect a case of cutaneous leishmaniasis. Methods: Microscopic examination of cutaneous exsudation’s smears of lesions revealed amastigote forms of leishmania, confirming our diagnostic hypothesis. The child was placed under Imidazole-based treatment associate cloxacilline. The child also received local gentamycin-based dressings. Results: The child was cured after one month. The diagnostic issues of cutaneous leishmaniasis constitute a great challenge for practitioners in endemic zone. Also, a systematic differential diagnostic should be required in the face of chronic wounds. Conclusion: The integration of the screening and management of cutaneous leishmaniasis against Buruli ulcer are eagerly waited as a future work.

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Leprosy Mimicking as Rheumatoid Arthritis: A Case Report

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2021.7629 ◽

2021 ◽

Vol 9 (C) ◽

pp. 277-279

Author(s):

Made Edwin Sridana ◽

Pande Ketut Kurniari ◽

Gede Kambayana

Keyword(s):

Rheumatoid Arthritis ◽

Case Report ◽

Physical Examination ◽

Peripheral Nerves ◽

Clinical Manifestations ◽

Mycobacterium Leprae ◽

History Taking ◽

Blood Tests ◽

The Face ◽

Bilateral Distribution

Leprosy is a chronic granulomatous infection caused by Mycobacterium leprae, which mainly damages the skin and peripheral nerves, and can also infect joints and bones. Clinical manifestations are complex, varied, and often underdiagnosed. The clinical manifestations vary and are called "the great imitator". musculoskeletal features are common in leprosy but infrequently reported. A case of borderline lepromatous (BL) type leprosy was initially suspected as rheumatoid arthritis in a 20-year-old Balinese male who complained of pain and swelling in small joints, accompanied by lesions in the form of multiple erythema macules, round-shaped geography, indistinct boundaries, with bilateral distribution is almost symmetrical in the face, thoracoabdominal, and extremity regions. The diagnosis of BL type leprosy is based on history taking, physical examination, and investigations in the form of Ziehl-Neelsen stain and blood tests.

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A Case of Unrelenting Facial Swelling

The American Journal of Cosmetic Surgery ◽

10.1177/07488068211070113 ◽

2022 ◽

pp. 074880682110701

Author(s):

Lindsay Y. Chun ◽

Paul O. Phelps

Keyword(s):

Case Report ◽

Physical Examination ◽

Facial Palsy ◽

Radiographic Imaging ◽

Presenting Symptoms ◽

Difficult Diagnosis ◽

Facial Swelling ◽

The Face ◽

History Of ◽

Patient’S History

Melkersson-Rosenthal syndrome (MRS) is an uncommon disorder with presenting symptoms that typically involve the face and orofacial structures. It is a difficult diagnosis to make, as it may present with a protracted course of seemingly unrelated dermatological, ocular, and neurological findings. This case report reviews the presentation, workup, and diagnosis of a 75-year-old woman who presented with orofacial swelling, facial palsy, and tongue fissuring that had intermittently recurred over 10 years without a unifying diagnosis. Extensive medical history, photography, laboratory workup, and radiographic imaging were performed to identify the diagnosis of MRS in this patient. Our case highlights the challenge and importance of critically evaluating and consolidating a patient’s history of their present illness, physical examination, and ancillary testing to successfully establish a unifying diagnosis, especially when the diagnosis is relatively rare and diverse in its range of affected populations and symptomatology.

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Bilateral auricular aneurysm with intact pericardial sac in a dog

Brazilian Journal of Veterinary Pathology ◽

10.24070/bjvp.1983-0246.v14i1p46-49 ◽

2021 ◽

Vol 14 (1) ◽

pp. 46-49

Author(s):

Aline Viott ◽

◽

Mayane Faccin ◽

Mônica Matos ◽

João Cavasin ◽

...

Keyword(s):

Case Report ◽

Connective Tissue ◽

Physical Examination ◽

Clinical Signs ◽

Adequate Treatment ◽

First Case ◽

History Of

A nine-year-old, male, Pekingese dog was presented with a history of dyspnea, lethargy, syncope, polyuria, polydipsia, and selective appetite over two years. When the clinical signs first began, a radiographic exam revealed a radiopaque mass in the cranial mediastinum. An adequate treatment was not performed and the dog was presented to the hospital with severe tachycardia, dyspnea, and tachypnea, and died during physical examination. On necropsy, the heart presented bilateral auricular aneurysms. The pericardial sac was intact, and no other defects were found within the heart. Microscopically, the cardiomyocytes were marked degenerated and proliferation of connective tissue. This is the first case report of a bilateral auricular aneurysm with intact pericardial sac in a dog.

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The first case of human otoacariasis in Cyprus

International Journal of ADVANCED AND APPLIED SCIENCES ◽

10.21833/ijaas.2021.01.014 ◽

2021 ◽

Vol 8 (1) ◽

pp. 114-116

Author(s):

Safakogullari et al. ◽

Keyword(s):

Acetic Acid ◽

Case Report ◽

Dermatophagoides Pteronyssinus ◽

University Hospital ◽

Mite Infestation ◽

Ear Canal ◽

Common Complaint ◽

First Case ◽

Xylocaine Spray

Otoacariasis is the ear canal infestation by the arthropod Subclass: Acari, usually ticks or mites. It is a common complaint seen in animals. However, there are relatively few documented cases of human otoacariasis. In August 2019, a physically healthy 53-year-old Cypriot man visited Near East University hospital complaining of a blockage, partial deafness, and minor pruritis in his left ear. During the examination of the patient, a mite infestation of his left external auditory canal (EAC) was determined. The mites were removed from the EAC and sent to the laboratory for identification. The mite samples were viewed under Olympus-CX31 light microscopy and identified as Dermatophagoides pteronyssinus. The patient was treated with Permethrin (cream), Xylocaine spray, dilute acetic acid (vinegar), and three ear canal aspirations. After three days, the patient’s ear was re-examined, and the number of mites had greatly decreased within the EAC. Follow up consultations confirmed the eradication of the mite infestation. This is the first case report of human otoacariasis from Cyprus.

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First report of chronic invasive fungal rhinosinusitis in a patient with ovarian cancer caused by Didymella pedeiae and successful treatment with voriconazole: A case report

Current Medical Mycology ◽

10.18502/cmm.7.1.6244 ◽

2021 ◽

Author(s):

Omid Raiesi ◽

Seyed Jamal Hashemi ◽

Muhammad Ibrahim Getso ◽

Pegah Ardi ◽

Mojtaba Mohammadi Ardehali ◽

...

Keyword(s):

Ovarian Cancer ◽

Case Report ◽

Human Infection ◽

Tissue Mass ◽

First Case ◽

Dematiaceous Fungus ◽

Human Sample ◽

The Face ◽

History Of ◽

Ethmoid Sinuses

Background and Purpose: Didymella pedeiae is a dematiaceous fungus that belongs to the Coelomycetes class. While species within this class are known to cause human infection, D. pedeiae had previously only been known as phytopathogens and had never been isolated from a human sample. Case report: A 51-year-old Iranian female patient with ovarian cancer was admitted with unilateral lesions in paranasal sinuses and a five-month history of nasal obstruction,headache, postnasal drainage, swelling on the left side of the face, and orbital pain.Paranasal sinus computerized tomography scan revealed a soft tissue mass that filled the left nasal cavity, ethmoid, sphenoid, and frontal sinuses with more involvement in the maxillary and ethmoid sinuses. Antifungal treatment was simultaneously initiated with itraconazole+prednisolone 15 mg/day, and levofloxacin. Due to poor clinical response,IV voriconazole and amphotericin B were added to the treatment as well. The patient recovered completely after 10 weeks of therapy. Conclusion: Here, we report the first case of human D. pedeiae infection in a patientwith ovarian cancer.

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Congenital Primary Pachydermoperiostosis and Striate Palmoplantar Keratoderma - a Case Report

Serbian Journal of Dermatology and Venerology ◽

10.2478/sjdv-2014-0008 ◽

2014 ◽

Vol 6 (2) ◽

pp. 81-92

Author(s):

Slobodan Stojanović ◽

Nada Vučković ◽

Marina Jovanović ◽

Kosta Petrović

Keyword(s):

Case Report ◽

Clinical Features ◽

Bronchial Carcinoma ◽

Tarsal Tunnel ◽

Hypertrophic Osteoarthropathy ◽

Palmoplantar Keratoderma ◽

First Case ◽

Rare Congenital Disorder ◽

The Face ◽

Hands And Feet

Abstract The authors present a rare case of congenital pachydermoperiostosis associated with striate palmoplantar keratoderma in a 55-year-old female. Pachydermoperiostosis (PDP) is a heterogeneous syndrome characterized by hypertrophic changes involving predominantly the skin and bones of the extremities: pachydermia, clubbing of the fingers and toes, and hypertrophic osteoarthropathy. Primary pachydermoperiostosis (Touraine-Solente-Gole syndrome) (PPDP) or primary hypertrophic osteoarthropathy (PHO) is a rare congenital disorder and is one of two types of hypertrophic osteoarthropathy. In addition to the three main criteria, which are confirmed clinically, histologically, and by X-ray, there may be other additional clinical features. Hyperhidrosis of the hands and feet may be troublesome. The skin of the face, forehead and scalp becomes grossly thickened and thrown into folds. The folding of the scalp produces a form of cutis verticis gyrata. Additional clinical features include hypohidrosis, seborrhea, sebaceous gland hyperplasia and folliculitis, carpal and tarsal tunnel syndrome, chronic leg ulcers and calcification in the Achilles tendon. Our patient presented with most of these additional clinical features, such as acro-osteolysis of the fingers and toes, which generally occurs occasionally. In regard to palmoplantar keratoderma, we have not found reports of its association with PPDP in the available literature. Unlike PPDP, secondary pachydermoperiostosis (secondary hypertrophic osteoarthropathy -SHO) occurs in association with severe pulmonary disease such as bronchiectasis, abscess, bronchial carcinoma, pleural mesothelioma, or thymic, esophageal or stomach cancer, which were all excluded in our patient. In conclusion, this paper presents a congenital form of pachydermoperiostosis in a female also suffering from striate keratoderma. According to the available literature, this is the first case report of comorbidity between these two dermatoses.

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