Deep Lipoma of the Right Hand: Case Presentation

AbstractObjectivesTo report an unusual presentation of a Lobular Capillary Hemangioma in a 48 h old neonate to inform practitioners on the importance of proper identification of the lesion, differential diagnosis and management.Case presentationWe report the case of a newborn female presenting with a pedunculated mass on the right hand, port-wine colored that quickly turned dark purple indicating thrombosis. The mass was surgically excised without complications and histopathology analysis reported a LCH. An abdominal and renal ultrasound was requested to rule out any underlying abnormalities. At follow-up, two months later, there is adequate healing and no related complications.ConclusionsLobular Capillary Hemangioma is a rare vascular malformation that occurs at an early age in the head and neck in most cases. We report an unusual case of a newborn female patient with a pedunculated lobular hemangioma on the right hand. Surgical treatment was performed with good cosmetic results. Our case is relevant as it raises awareness of the different diagnoses a congenital mass can be and that we, as physicians, should take into consideration when making a diagnosis and treatment.

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Comminuted Trapezium Fracture: Case Presentation and Review of Surgical Fixation Techniques

Case Reports in Orthopedics ◽

10.1155/2021/5532713 ◽

2021 ◽

Vol 2021 ◽

pp. 1-4

Author(s):

Amanda F. Spielman ◽

Sriram Sankaranarayanan

Keyword(s):

Internal Fixation ◽

Compression Screw ◽

Case Presentation ◽

Headless Compression Screw ◽

Right Hand ◽

Fixation Techniques ◽

Surgical Fixation ◽

Trapezium Fracture ◽

The Right

We report a case of a 28-year-old male who sustained a comminuted trapezium fracture with carpometacarpal subluxation of the right hand. Treatment with internal fixation with a headless compression screw resulted in excellent outcomes.

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Deep Lipoma of the Right Hand. Case Presentation

Open Access Journal of Internal Medicine ◽

10.22259/2638-5279.0102003 ◽

2018 ◽

Vol 1 (2) ◽

pp. 17-20

Author(s):

Dr. MsC. Pavel Sanchez Puentes ◽

Dr. Olga Caridad Leon Gonzalez ◽

Dr. Pedro Rolando Lòpez Rodriguez ◽

Dr. Jorge Satorre Rocha ◽

Dr. Luis Manuel Danta Fundora

Keyword(s):

Case Presentation ◽

Right Hand ◽

The Right

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Editorial Note

Journal of Speech Disorders ◽

10.1044/jshd.1101.02 ◽

1946 ◽

Vol 11 (1) ◽

pp. 2-2

Keyword(s):

Editorial Note ◽

Speech Sounds ◽

Left Hand ◽

Hand Column ◽

Right Hand ◽

Infant Speech ◽

The Right

In the article “Infant Speech Sounds and Intelligence” by Orvis C. Irwin and Han Piao Chen, in the December 1945 issue of the Journal, the paragraph which begins at the bottom of the left hand column on page 295 should have been placed immediately below the first paragraph at the top of the right hand column on page 296. To the authors we express our sincere apologies.

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Eosinophilic vasculitis: an inhabitual and resistant manifestation of a vasculitis

VASA ◽

10.1024/0301-1526/a000060 ◽

2010 ◽

Vol 39 (4) ◽

pp. 344-348 ◽

Cited By ~ 3

Author(s):

Jandus ◽

Bianda ◽

Alerci ◽

Gallino ◽

Marone

Keyword(s):

Skin Biopsy ◽

Intravenous Iron ◽

Small Vessel Vasculitis ◽

High Dose ◽

Raynaud Phenomenon ◽

The Third ◽

Left Elbow ◽

Right Hand ◽

The Right ◽

Trunk Skin

A 55-year-old woman was referred because of diffuse pruritic erythematous lesions and an ischemic process of the third finger of her right hand. She was known to have anaemia secondary to hypermenorrhea. She presented six months before admission with a cutaneous infiltration on the left cubital cavity after a paravenous leakage of intravenous iron substitution. She then reported a progressive pruritic erythematous swelling of her left arm and lower extremities and trunk. Skin biopsy of a lesion on the right leg revealed a fibrillar, small-vessel vasculitis containing many eosinophils.Two months later she reported Raynaud symptoms in both hands, with a persistent violaceous coloration of the skin and cold sensation of her third digit of the right hand. A round 1.5 cm well-delimited swelling on the medial site of the left elbow was noted. The third digit of her right hand was cold and of violet colour. Eosinophilia (19 % of total leucocytes) was present. Doppler-duplex arterial examination of the upper extremities showed an occlusion of the cubital artery down to the palmar arcade on the right arm. Selective angiography of the right subclavian and brachial arteries showed diffuse alteration of the blood flow in the cubital artery and hand, with fine collateral circulation in the carpal region. Neither secondary causes of hypereosinophilia nor a myeloproliferative process was found. Considering the skin biopsy results and having excluded other causes of eosinophilia, we assumed the diagnosis of an eosinophilic vasculitis. Treatment with tacrolimus and high dose steroids was started, the latter tapered within 12 months and then stopped, but a dramatic flare-up of the vasculitis with Raynaud phenomenon occurred. A new immunosupressive approach with steroids and methotrexate was then introduced. This case of aggressive eosinophilic vasculitis is difficult to classify into the usual forms of vasculitis and constitutes a therapeutic challenge given the resistance to current immunosuppressive regimens.

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Detection of Sarcoidosis Based on Subcutaneous Nodules in the Dorsum of the Right Hand

Nishi Nihon Hifuka ◽

10.2336/nishinihonhifu.76.14 ◽

2014 ◽

Vol 76 (1) ◽

pp. 14-17

Author(s):

Yoshiyuki KUWAE ◽

Kunitaka HARUNA ◽

Yasushi SUGA

Keyword(s):

Subcutaneous Nodules ◽

Right Hand ◽

The Right

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Construct Validity

10.1093/oso/9780190661557.003.0008 ◽

2017 ◽

Author(s):

Richard McCleary ◽

David McDowall ◽

Bradley J. Bartos

Keyword(s):

Time Series ◽

Construct Validity ◽

Hypothesis Test ◽

Secondary Data ◽

Time Frame ◽

Primary Data ◽

Optimal Time ◽

Intervention Model ◽

Right Hand ◽

The Right

Chapter 8 focuses on threats to construct validity arising from the left-hand side time series and the right-hand side intervention model. Construct validity is limited to questions of whether an observed effect can be generalized to alternative cause and effect measures. The “talking out” self-injurious behavior time series, shown in Chapter 5, are examples of primary data. Researchers often have no choice but to use secondary data that were collected by third parties for purposes unrelated to any hypothesis test. Even in those less-than-ideal instances, however, an optimal time series can be constructed by limiting the time frame and otherwise paying attention to regime changes. Threats to construct validity that arise from the right-hand side intervention model, such as fuzzy or unclear onset and responses, are controlled by paying close attention to the underlying theory. Even a minimal theory should specify the onset and duration of an impact.

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Digit Variability in Carotenoid Scores Obtained with the Veggie Meter: A Pilot Study (P02-001-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz029.p02-001-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Velarie Ansu ◽

Stephanie Dickinson ◽

Alyce Fly

Keyword(s):

Indiana University ◽

Left Hand ◽

Funding Sources ◽

Right Hand ◽

Period Data ◽

The Mean ◽

The Right ◽

Post Hoc ◽

Main Effects ◽

Mean Square Errors

Abstract Objectives To determine which digit and hand have the highest and lowest skin carotenoid scores, to compare inter-and-intra-hand variability of digits, and to determine if results are consistent with another subject. Methods Two subjects’ first(F1), second(F2), third(F3) and fifth(F5) digits on both hands were measured for skin carotenoids with a Veggie Meter, for 3 times on each of 18 days over a 37-day period. Data were subjected to ANOVA in a factorial treatment design to determine main effects for hand (2 levels), digits (4), and days (18) along with interactions. Differences between digits were determined by Tukey's post hoc test. Results There were significant hand x digit, hand x day, digit x day, and hand x digit x day interactions and significant simple main effects for hand, digit, and day (all P < 0.001). Mean square errors were 143.67 and 195.62 for subject A and B, respectively, which were smaller than mean squares for all main effects and interactions. The mean scores ± SD for F1, F2, F3, and F5 digits for the right vs left hands for subject A were F1:357.13 ± 45.97 vs 363.74 ± 46.94, F2:403.17 ± 44.77 vs. 353.20 ± 44.13, F3:406.76 ± 43.10 vs. 357.11 ± 45.13, and F5:374.95 ± 53.00 vs. 377.90 ± 47.38. For subject B, the mean scores ± SD for digits for the right vs left hands were F1:294.72 ± 61.63 vs 280.71 ± 52.48, F2:285.85 ± 66.92 vs 252.67 ± 67.56, F3:268.56 ± 57.03 vs 283.22 ± 45.87, and F5:288.18 ± 34.46 vs 307.54 ± 40.04. The digits on the right hand of both subjects had higher carotenoid scores than those on the left hands, even though subjects had different dominant hands. Subject A had higher skin carotenoid scores on the F3 and F2 digits for the right hand and F5 on the left hand. Subject B had higher skin carotenoid scores on F5 (right) and F1 (left) digits. Conclusions The variability due to hand, digit, and day were all greater than that of the 3 replicates within the digit-day for both volunteers. This indicates that data were not completely random across the readings when remeasuring the same finger. Different fingers displayed higher carotenoid scores for each volunteer. There is a need to conduct a larger study with more subjects and a range of skin tones to determine whether the reliability of measurements among digits of both hands is similar across the population. Funding Sources Indiana University.

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Embolization of the false lumen using IMPEDE-FX embolization plugs as part of treatment of an infrarenal post-dissection aneurysm: a case report

CVIR Endovascular ◽

10.1186/s42155-020-00183-6 ◽

2020 ◽

Vol 3 (1) ◽

Author(s):

Anne-Jet S. Jansen ◽

Paul M. van Schaik ◽

Jasper M. Martens ◽

Michel M. P. J. Reijnen

Keyword(s):

Case Report ◽

Mesenteric Artery ◽

Inferior Mesenteric Artery ◽

False Lumen ◽

True Lumen ◽

Case Presentation ◽

Type A Dissection ◽

Prospective Trials ◽

The Right ◽

Embolization Procedure

Abstract Background This case report demonstrates the value of IMPEDE-FX plugs in an embolization procedure of a false lumen of an infrarenal post-dissection aneurysm. Case presentation A 69-year-old patient was treated with mitral valve replacement, complicated by a Stanford type-A dissection. After 9 years he presented with an enlarging infrarenal post-dissection aneurysm. The false lumen was embolized using multiple IMPEDE-FX plugs as part of the treatment in addition to embolization of the inferior mesenteric artery and overstenting of the re-entry in the right iliac artery. At 15 months the CTA showed a fully thrombosed false lumen and remodeling of the true lumen. Conclusions The false lumen of an infrarenal post-dissection aneurysm can successfully be embolized using IMPEDE-FX embolization plugs as part of the treatment strategy. Prospective trials on patients with non-thrombosed false lumina are indicated.

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Effective erector spinae plane block for postoperative analgesia in a pyothorax patient who underwent emergency re-open thoracotomy—a case report

Ain-Shams Journal of Anesthesiology ◽

10.1186/s42077-019-0044-8 ◽

2019 ◽

Vol 11 (1) ◽

Author(s):

Izumi Kawagoe ◽

Daizoh Satoh ◽

Mariko Fukui ◽

Kenji Suzuki ◽

Eiichi Inada

Keyword(s):

Postoperative Analgesia ◽

Transverse Process ◽

Erector Spinae ◽

Open Thoracotomy ◽

Case Presentation ◽

Lung Lobectomy ◽

Erector Spinae Plane Block ◽

Lower Lung ◽

The Right ◽

Vein Stenosis

Abstract Background The appropriate choice of postoperative analgesia for pyothorax surgery is unclear since local infection could contaminate the catheter used for regional blocks and bacteremia can lead to disordered coagulation. We performed erector spinae plane block (ESPB) in a pyothorax patient undergoing emergency re-open thoracotomy. Case presentation An 81-year-old male with internal jugular vein stenosis on aspirin therapy was scheduled for pyothorax drainage and residual middle lobectomy 14 days after he underwent open right lower lung lobectomy for lung cancer. ESPB was performed with injection of 20 ml of 0.375% levobupivacaine at the Th5 transverse process of the right side under ultrasound guidance. Although he needed intravenous pentazocine for pain on postoperative day 0, no more analgesics were required postoperatively. NRS score ranged from 0 to 1 thereafter. Conclusions ESPB provided effective postoperative analgesia following emergency re-open thoracotomy for our pyothorax patient. ESPB might be the appropriate choice for postoperative analgesia following pyothorax surgery.

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