A rare case of oculocutaneous melanosis (nevus of Ota) at Ophthalmologist's appointment

2021 ◽  
pp. 39-43
Author(s):  
E.E. Sidorenko ◽  
◽  
A.O. Nazarenko ◽  
I.V. Suhanova ◽  
A.P. Shavaleeva ◽  
...  
Keyword(s):  
Risk Factors ◽  
Differential Diagnosis ◽  
Clinical Picture ◽  
Rare Case ◽  
Clinical Case ◽  
Diagnostic Methods ◽  
Skin Melanoma ◽  
Nevus Of Ota ◽  
Melanoma Patients ◽  
Eye Melanoma

A rare clinical case of nevus of Ota in a 6-year-old child is described. The clinical picture and diagnostic methods used in this case are reflected. On the example of the patients presented in this article, differential diagnosis with alkaptonuria is fully described. Given the risk of transition to skin melanoma and ocular melanoma, patients with nevus of Ota should be observed by Dermatologist and Ophthalmologist annually. Such patients should also strictly avoid exposition to any ultraviolet radiation and exclude possible risk factors traumatizing the nevus. Key words: nevus, Ota nevus, alkaptonuria, skin melanoma, eye melanoma.

Congenital optic disc coloboma

2021 ◽  
pp. 33-39
Author(s):  
A.O. Nazarenko ◽  
◽  
E.E. Sidorenko ◽  
D.V. Miguel ◽  
A.S. Smartsev ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Optic Nerve ◽  
Clinical Picture ◽  
Clinical Case ◽  
Charge Syndrome ◽  
Diagnostic Methods ◽  
Newly Diagnosed ◽  
Optic Nerve Atrophy ◽  
Optic Disc Coloboma ◽  
Optic Nerve Coloboma

A clinical case of observation of a 3-year-old child with a newly diagnosed optic nerve coloboma and multiple malformations is considered. The clinical picture and diagnostic methods necessary for the diagnosis are reflected. On the example of this child, the differential diagnosis with Charge syndrome is considered. Key words: coloboma, optic nerve coloboma, partial optic nerve atrophy, astigmatism, Charge syndrome.

Clinical case of a comorbid patient with arterial hypertension

2020 ◽  
pp. 31-39
Author(s):  
Ella Polozova ◽  
Vsevolod Skvortsov ◽  
Olga Radaykina ◽  
Mariya Narvatkina ◽  
Anastasiya Seskina ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Arterial Hypertension ◽  
Clinical Picture ◽  
Clinical Case ◽  
Diagnosis And Treatment ◽  
The Moment

The widespread prevalence of comorbid pathology determines the relevance of this problem. Comorbid pathology due to the interaction of diseases, drug pathomorphism, age characteristics of the patient, significantly changes clinical picture and course of the main nosology, affects severity of complications and their nature, significantly affects quality of life and prognosis of patients. Diagnosis and treatment of many diseases is complicated in the conditions of comorbidity. The article presents a clinical case of a comorbid patient with arterial hypertension from the moment of exposure to risk factors and ending with the formation of many concomitant diseases, as an example of trans-nosological comorbidity.

scholarly journals Wilson–Konovalov disease: acute onset, course, diagnosis and treatment (clinical case)

2021 ◽  
pp. 76-81
Author(s):  
Yu.I. Alekseeva ◽  
◽  
Ji. V. Turkin ◽  
О.B. Synoverskaya ◽  
L.Ya. Ivanyshyn ◽  
...  
Keyword(s):  
Clinical Picture ◽  
Clinical Case ◽  
Local Level ◽  
Acute Onset ◽  
Left Lobe ◽  
Diagnostic Methods ◽  
Laboratory Research ◽  
Disease Etiology ◽  
Research Institution ◽  
Body Tissues

The article presents information on the main etiology and pathogenesis of Wilson–Konovalov disease, as hepato-lenticular degeneration associated with excessive accumulation of copper in body tissues due to an inherited autosomal recessive defect of a protein that transports copper. A rare case of the onset and course of the disease in a patient who was examined and treated at the Ivano-Frankivsk Regional Children's Clinical Hospital is described. The main focus is on the acute, atypical onset of the disease, in particular the signs of severe intoxication syndrome caused by manifestations of hepatic encephalopathy, steroid-induced diabetes, anemia of complex genesis, coronavirus disease, pyoderma. The difficulties of diagnosing the disease against the background of delayed manifestation of the main pathognomonic manifestations and the absence of reliable signs of the disease are shown. The clinical picture of this clinical case, features of the course are described, the indicators of the main clinical and laboratory research methods are given, the results of instrumental diagnostic methods and genetic examination methods are shown, both in laboratories of Ukraine and abroad, which confirmed the diagnosis of Wilson–Konovalov disease. The treatment of this clinical case is described in detail not only at the local level but also in the main leading research institution of Ukraine «OHMATDYT» and «National Institute of Surgery and Transplantology named after O.O. Shalimov». Recommendations for further observation and treatment of the child at the place of residence after orthotopic transplantation of the left lobe of the liver from a living family donor. The research was carried out in accordance with the principles of the Helsinki Declaration. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors. Key words: Wilson-Konovalov disease, etiology, pathogenesis, clinical picture, diagnosis, examination, treatment.

scholarly journals Nevus of Ota with Rare Palatal Involvement: A Case Report with Emphasis on Differential Diagnosis

2011 ◽  
Vol 2011 ◽  
pp. 1-4
Author(s):  
Gaurav Sharma ◽  
Archna Nagpal
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Oral Cavity ◽  
Rare Case ◽  
Indian Subcontinent ◽  
English Literature ◽  
Melanocytic Nevus ◽  
Oral Manifestations ◽  
Nevus Of Ota ◽  
The Face

Nevus of Ota, a dermal melanocytic nevus, is rare in the Indian subcontinent. It presents as a brown, blue, or gray patch on the face and is within the distribution of the ophthalmic and maxillary branches of the trigeminal nerve. The oral cavity is infrequently involved in nevus of Ota. Only 11 cases have been documented in the English literature. We report a rare case of intraoral nevus of Ota in a 22-year-old male patient. This paper focuses on the differential diagnosis of oral manifestations of nevus of Ota to assist in proper followup to avert malignant transformation.

Microcirculatory Changes in the Retina in Patient with COVID-19

2021 ◽  
pp. 46-49
Author(s):  
M.S. Krivosheeva ◽  
◽  
E.E. Ioyleva ◽  
Keyword(s):  
Macular Edema ◽  
Key Words ◽  
Retinal Vein Occlusion ◽  
Clinical Picture ◽  
Branch Retinal Vein Occlusion ◽  
Clinical Case ◽  
Diagnostic Methods ◽  
Pathological Changes ◽  
Renin Angiotensin Aldosterone System ◽  
Vein Occlusion

A clinical case of observation of a patient who had branch retinal vein occlusion with the development of macular edema, against the background of a moderate-severe course of COVID-19, was considered. The clinical picture and diagnostic methods necessary for the diagnosis are described. Some aspects of pathological changes in the organ of sight in COVID-19 are discussed. Key words: COVID-19, branch retinal vein occlusion, macular edema, renin-angiotensin-aldosterone system.

scholarly journals Advanced ovarian pregnancy: an elusive diagnosis

2019 ◽  
Vol 8 (7) ◽  
pp. 2878
Author(s):  
Bhanupriya .
Keyword(s):  
Differential Diagnosis ◽  
Ectopic Pregnancy ◽  
Ovarian Cyst ◽  
Clinical Picture ◽  
Early Onset ◽  
Rare Case ◽  
Ovarian Tissue ◽  
First Trimester ◽  
Ovarian Pregnancy ◽  
Ectopic Pregnancies

Primary ovarian ectopic is a rare variant of ectopic pregnancies. It is commonly confused with tubal pregnancy aborted over ovary, hemorrhagic ovarian cyst, ruptured corpus luteal cyst. The women with ovarian ectopic generally presents early because of early onset hemorrhage in ovary. This is a rare case where woman with ectopic pregnancy presents at 13 weeks. The clinical picture is also highly unusual with just spotting and fainting attacks at the end of first trimester to make a diagnosis of ectopic pregnancy. The laparotomy done showed an unruptured ovarian ectopic pregnancy and with 350 cc hemoperitoneum. Salpingoopherectomy was done and the ectopic mass was removed as hardly any ovarian tissue was left to conserve the ovary. Hence, clinicians should be cautious enough to keep a differential diagnosis of ectopic even at advanced gestation.

scholarly journals Rare Case of Dental Implantation in the Segment with Residual Filling Material in the Mandibular Canal

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Yury Georgievich Sedov ◽  
Kamil Nail’evich Khabiev ◽  
Zulfiya Iltuzurovna Yarulina ◽  
Vasiliy Stanislavovich Tarasuk ◽  
Anatoliy Mikhailovich Avanesov ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rare Case ◽  
Clinical Case ◽  
Treatment Protocol ◽  
Mandibular Canal ◽  
Filling Material ◽  
Safety Zone ◽  
Surgical Guide ◽  
Implant Placement ◽  
Dental Implantation

Dental implantation is the most popular method of restoring lost teeth. There are risk factors for dental implantation. These risk factors include the localization of residual filling material in the lumen of the mandibular canal in the selected jaw segment for implantation. A rare clinical case of dental implant placement with preservation of the safety zone relative to the residual siler in the mandibular canal is presented. A surgical guide was used for precise positioning. The treatment protocol was carried out without an immediate loading stage to monitor the possible development of symptoms.

scholarly journals Clinical case of observation of patient with primary systemic amyloidosis

2020 ◽  
pp. 46-48
Author(s):  
Yu. N. Fedulaev ◽  
N. V. Khabazov ◽  
A. Yu. Chuprakova ◽  
M. V. Ezhikova ◽  
A. A. Kurshin ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Histological Examination ◽  
Clinical Picture ◽  
Clinical Case ◽  
Final Diagnosis ◽  
Amyloid Deposition ◽  
Systemic Amyloidosis ◽  
Primary Amyloidosis ◽  
Amyloid Protein

Amyloidosis combines diseases that are characterized by extracellular deposition of a specific insoluble fibrillar amyloid protein. The prevalence of amyloidosis is an average of 10 cases per 100 thousand people. The clinic of the disease is polymorphic and depends on the organ with amyloid deposition. The article discusses the clinical case of systemic amyloidosis with damage to the stomach, liver and other organs. The differential diagnosis was carried out with tuberculosis, cancer, cirrhosis. The final diagnosis was made by histological examination of biopsy samples of the liver and stomach. Difficulties in diagnosing primary amyloidosis are due to the attrition and non‑specificity of the clinical picture of the disease. Amyloidosis is diagnosed based on organ biopsy data.

A case of congenital diffuse lipomatosis in ophthalmic practice

2021 ◽  
pp. 42-45
Author(s):  
E.E. Sidorenko ◽  
◽  
I.V. Sukhanova ◽  
Y.V. Taranova ◽  
◽  
...  
Keyword(s):  
Connective Tissue ◽  
Clinical Diagnosis ◽  
Clinical Picture ◽  
Congenital Malformations ◽  
Clinical Case ◽  
Diagnostic Methods ◽  
Diagnostic Measures ◽  
Appropriate Treatment ◽  
Childhood Form ◽  
Key Words Congenital Malformations

A clinical case of a childhood form of diffuse lipomatosis is considered. The clinical picture and diagnostic methods necessary for the establishment of a clinical diagnosis are reflected. When observing patients with diffuse lipomatosis, it is required to involve specialists of various specialties and conduct thorough diagnostic measures to verify the clinical diagnosis and select the appropriate treatment methods. Key words: congenital malformations of the organ of vision, germ layers, mesenchyme, connective tissue, lipomatosis.

Challenges of differential diagnosis of mediators-induced and bradykinin-induced angioedema shown by a clinical case series

2021 ◽  
Vol 18 (2) ◽  
pp. 131-137
Author(s):  
Irina A. Manto ◽  
Elena A. Latysheva ◽  
Daria O. Timoshenko ◽  
Tatiana V. Latysheva
Keyword(s):  
Mast Cell ◽  
Differential Diagnosis ◽  
Clinical Picture ◽  
Patient Management ◽  
Clinical Case ◽  
Case Series ◽  
Reference Center ◽  
Main Challenge ◽  
Appropriate Therapy ◽  
Selection Of

Angioedema is caused by a local increase in vascular permeability induced by bradykinin or mast cell mediators. The main challenge of the differential diagnosis of angioedema lies in the fact that different pathophysiological processes may lead to a very similar clinical picture. Moreover, verification of the type of angioedema is crucial for selection of appropriate therapy. In 2020, a school for doctors Chronic urticaria: scientific and medical accomplishments and practical aspects of patient management was held on the basis of the National Research Center Institute of Immunology of the FMBA of Russia as part of the work of the reference center that provides expert assistance to patients with urticaria (GALEN UCARE). A clinical case series of related patients with hereditary angioedema due to a mutation in the PLG gene was presented to demonstrate the challenges of the differential diagnosis between types of angioedema. This article focused on the description of this series.

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