scholarly journals Congenital Absence of Skin on the Right Leg and Nail Abnormalities-Epidermolysis Bullosa or Bart’s Syndrom ?

Author(s):  
Marina Stanojevic ◽  
Katarina Cuković Prokic ◽  
Dragana Savic ◽  
Biljana Vuletic ◽  
Andjelka Stojkovic ◽  
...  

Abstract Children born with the epidermolysis bullosa (so-called “butterfly children”) can eat only liquid or soft food due to the blisters on their mouth, tongue and esophagus. Due to their inactivity and permanent wounds, their fingers are curved and grown with a fist. Their eyes, anus and genitals are not spared either. The digestion is usually poor, so they often suffer from the constipation, and sometimes the intestine discharge can be performed only surgically. Due to frequent and numerous wounds, infections may develop, which can lead to sepsis. Wounds are caused by any kind of the pressure and re-bandaging of wounds is the most painful. These children can later be susceptible to other diseases, especially the skin cancer. More than 80% of children diagnosed with this disease become disabled in the first years of their lives, and some of them pass away immediately after birth. The average lifespan of the diseased is about 28 years. Here we have presented a rare case of a newborn male infant with a dystrophic epidermolysis bullousa, a congenital skin aplasia on the right leg and a nail dystrophy. Based on a typical clinical presentation, we think that it is Bart’s syndrome.

2018 ◽  
Vol 49 (06) ◽  
pp. 405-407
Author(s):  
Vivek Agarwal ◽  
Sumeet Dhawan ◽  
Naveen Sankhyan ◽  
Sameer Vyas

AbstractIsolated cranial nerve absence is a rare condition that can be diagnosed using high-resolution cranial nerve magnetic resonance (MR) imaging. Thorough clinical examination with proper knowledge of the course of cranial nerves may help diagnose this rare condition. We describe two cases, one each of, isolated congenital absence of the third and seventh cranial nerve with their clinical presentation. High-resolution T2-weighted MR imaging was done in both patients which revealed absence of cisternal segment of the right-sided third nerve and cisternal with canalicular segment of the right-sided facial nerve.


Author(s):  
Richmond Ronald Gomes ◽  

Fitz-Hugh–Curtis syndrome (FHCS) isa rare complication of pelvic inflammatory disease (PID) characterized by inflammation of the liver capsule (perihepatitis) following the spread of a pelvic starting point infection leading to the creation of adhesions. The most commonly involved germ is Chlamydia trachomatis. The condition is named after the two physicians, Thomas Fitz-Hugh, Jr and Arthur Hale Curtis who first reported this condition in 1934 and 1930 respectively. The clinical presentation can be misleading and simulate cholecystitis or other cause of pain in the right hypochondrium. In imaging, it results in a contrast enhancement characteristic of the hepatic capsule at portal time.


2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Sinisa Maslovara ◽  
Andro Kosec ◽  
Ivana Pajic Matic ◽  
Anamarija Sestak

A rare case of a 38-year-old female patient who developed benign paroxysmal positional vertigo (BPPV) three weeks after head trauma is presented. The disease manifested bilaterally, which is not uncommon posttraumatically, but in this case, it manifested itself as canalithiasis of the posterior canal on both sides and cupulolithiasis of the right lateral canal, which to our knowledge is a unique and, until now, unpublished case. The aim of this review is to point out the fact that, in such a complex multicanal and bilateral clinical presentation of BPPV, it is not sufficient to perform only positioning but also additional laboratory tests. With a good knowledge of the etiopathogenesis, pathophysiology and clinical forms of BPPV, we can, in most cases, make an accurate and precise diagnosis of the disease and carry out appropriate treatment.


2016 ◽  
Vol 2 (4) ◽  
pp. 68-69
Author(s):  
Ajit Reddy ◽  
Anil K Shukla ◽  
Annitha E Jayamohan ◽  
Prakash M Lakshmanan

ABSTRACT Scrotal cystocele is a type of urinary bladder hernia, where the bladder herniates into the scrotum. They are not common and constitute to less than 4% of the hernias and bear a gender predilection toward males with history of lower urinary tract symptoms. Clinical presentation usually varies with some being asymptomatic while others present with intermittent scrotal swellings and voiding problems. We report the case of a 55-year-old asymptomatic individual who came with incidentally detected hydroureteronephrosis. Nonenhancing spiral computed tomography revealed large scrotal swelling with bilateral inguinal hernia. The bladder was seen herniating on the right while the colon was the content of the left. How to cite this article Jayamohan AE, Reddy AK, Shukla AK, Lakshmanan PM. The Rarest of Rare Case of Scrotal Cystocele. J Med Sci 2016;2(4):68-69.


2021 ◽  
Vol 5 (7) ◽  
pp. 664-669
Author(s):  
Upi Puspita ◽  
Fauzar ◽  
Roza Kurniati

Introduction: Pulmonary malignancies may easily be overlooked and valuable time may be lost. Lung cancer is sometimes diagnosed as a tuberculous cavity or an abscess. Abscess formation can appear in several different ways. Carcinoma that occurs in medium-sized bronchi causes partial bronchial obstruction, atelectasis, and infection due to retention. Inflammation can progress to damage to lung tissue, resulting the formation of multiple suppurative foci or more localized lung abscess. The link between lung abscess and lung cancer has been known, but the presence of malignancy in lung abscesses often undiagnosed. Obstruction from lung cancer can predispose to the development of a lung abscess. Case of a 54 year old man with increased pain at the right chest when breathing in since two months. On physical examination, it was found decreased of fremitus at the right hemithorax, deafness and decreased breath sounds as high as the II - V thoracic right hemithorax. Thorax CT-scan showed a round, homogeneous (HU: 17-30), with a cavity-like image with air fluid level, size: 7,88 cm x 8,2 cm x 9,29 cm and honey comb appearance around it. On the examination of TTNA (Transthoracic Needle Aspiration) results obtained Squamous Cell Carcinoma. A lobectomy is planned for the patient. Conclusion: We reported a rare case, a 54 year old male patient, with the diagnosis of Carcinomatous Lung Abscess. This case report was prepared with the aim of increasing awareness of malignancy in patients with a clinical presentation of abscesses, especially in old age.


2016 ◽  
Vol 30 (1) ◽  
pp. 57-64 ◽  
Author(s):  
D. Adam ◽  
R. Cergan ◽  
D. Iftimie ◽  
Cristiana Moisescu

Abstract Background: There is a significant variety of odontoid fracture classifications along with corresponding treatment strategies. There are though cases which cannot be framed within the existing classifications. Clinical presentation: We report the case of a 91 years old female patient who suffered a cervical trauma secondary to a ground level fall. The cervical CT scan revealed a particular type of odontoid fracture, unframeable within existing classifications. The fracture line was at the base of the odontoid process and continued in an oblique trajectory through the right pedicle of the axis. As treatment strategy, we opted for external immobilization in a Minerva jacket and, after 3 months, the patient is symptom free, with partial bone fusion. Conclusion: We named this rare case of odontoid fracture type II B for which external immobilization seems sufficient.


2013 ◽  
Vol 03 (02) ◽  
pp. 100-101
Author(s):  
Suresh G. ◽  
Rama Prakasha S. ◽  
Giridhar B. H. ◽  
Shama Prakash K.

AbstractAn elderly patient was evaluated for fever and cough of three weeks duration. Chest X-ray revealed a thin walled cavity in the right parahilar region. Sputum Acid Fast Bacilli was negative and sputum culture has grown multidrug resistant Burkholderia Cepacia sensitive to carbapenams only. This is a rare case report of community acquired B. Cepacia infection in an individual wherein the clinical presentation was mimicking smear negative pulmonary tuberculosis, but the patient has shown a complete clinical and radiological response to imipenam.


2021 ◽  
Vol 5 (3) ◽  
pp. 692-697
Author(s):  
Upi Puspita ◽  
Fauzar ◽  
Roza Kurniati

Introduction: Pulmonary malignancies may easily be overlooked and valuable time may be lost. Lung cancer is sometimes diagnosed as a tuberculous cavity or an abscess. Abscess formation can appear in several different ways. Carcinoma that occurs in medium-sized bronchi causes partial bronchial obstruction, atelectasis, and infection due to retention. Inflammation can progress to damage to lung tissue, resulting the formation of multiple suppurative foci or more localized lung abscess. The link between lung abscess and lung cancer has been known, but the presence of malignancy in lung abscesses often undiagnosed. Obstruction from lung cancer can predispose to the development of a lung abscess. Case of a 54 year old man with increased pain at the right chest when breathing in since two months. On physical examination, it was found decreased of fremitus at the right hemithorax, deafness and decreased breath sounds as high as the II - V thoracic right hemithorax. Thorax CT-scan showed a round, homogeneous (HU: 17-30), with a cavity-like image with air fluid level, size: 7,88 cm x 8,2 cm x 9,29 cm and honey comb appearance around it. On the examination of TTNA (Transthoracic Needle Aspiration) results obtained Squamous Cell Carcinoma. A lobectomy is planned for the patient. Conclusion: We reported a rare case, a 54 year old male patient, with the diagnosis of Carcinomatous Lung Abscess. This case report was prepared with the aim of increasing awareness of malignancy in patients with a clinical presentation of abscesses, especially in old age.


F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 6 ◽  
Author(s):  
Sunil Munakomi

Herein, we report a rare case study of a sarcoidosis presenting with the features of compressive myelopathy. There were multiple extra-dural lesions in the thoracic region. Computerized Tomography (CT) of the chest revealed fibrotic changes with a pleural based nodular lesion in the right lung. The patient underwent laminectomy and partial excision of both the lesions. The histology revealed presence of non-caseating granulomas. The patient made a good recovery following adjuvant medical management with steroid and Methotrexate. Repeat CT scan of the chest also confirmed good resolution in the size of the pleural based nodule.


We report a very rare case of squamous cell cancer of the right foot which had metastasize to the ipsilateral popliteal lymph node after initial diagnosis and treatment for the loco-regional disease.


Sign in / Sign up

Export Citation Format

Share Document