Adult acute calcific discitis confined to the nucleus pulposus in the cervical spine

2013 ◽  
Vol 19 (2) ◽  
pp. 170-173 ◽  
Author(s):  
Shahrzad Azizaddini ◽  
Saeed Arefanian ◽  
Navid Redjal ◽  
Brian P. Walcott ◽  
Reza Mollahoseini
Keyword(s):  
Cervical Spine ◽  
Nucleus Pulposus ◽  
Pediatric Population ◽  
Adult Population ◽  
Symptom Relief ◽  
Rare Condition ◽  
Nonsteroidal Antiinflammatory Drugs ◽  
Sudden Onset ◽  
Antiinflammatory Drugs ◽  
Nonsurgical Management

Acute calcific discitis is a rare condition in the pediatric population and has been reported in only 2 instances in the adult population. This report describes a case of acute calcific discitis that uniquely presented in the adult cervical spine. A 22-year-old woman presented with the chief complaint of sudden-onset neck pain. Nonsurgical management, including nonsteroidal antiinflammatory drugs, provided moderate symptom relief. Radiography revealed nucleus pulposus calcification at the C2–3 level. Contrast-enhanced MRI did not reveal any additional abnormalities. Further nonsurgical management, including physical therapy and nonsteroidal antiinflammatory drugs, led to complete symptom relief within 6 months. Follow-up imaging demonstrated that the calcification had nearly resolved. Acute calcific discitis should be managed conservatively; the prognosis for a complete recovery is excellent. The pathophysiology of the disorder is yet to be elucidated, and the disorder is not exclusive to the pediatric population.

scholarly journals Erythema nodosum

2016 ◽  
Vol 19 (1) ◽  
pp. 5-9
Author(s):  
Vasile Valeriu Lupu ◽  
◽  
Ancuţa Ignat ◽  
Gabriela Stoleriu ◽  
Angelica Cristina Marin ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Erythema Nodosum ◽  
Bed Rest ◽  
Nonsteroidal Antiinflammatory Drugs ◽  
Sudden Onset ◽  
Lower Limbs ◽  
Antiinflammatory Drugs ◽  
Rheumatologic Diseases ◽  
Systemic Corticosteroids ◽  
Inflammatory Bowel

Erythema nodosum is the most frequent clinicopathologic variant of panniculitis. Triggers are represented by infections, sarcoidosis, rheumatologic diseases, inflammatory bowel disease, medications, autoimmune disorders, pregnancy and malignancy. Erythema nodosum typically manifests by the sudden onset of symmetrical, erythematous, warm nodules, usually located on the lower limbs. Often the lesions are bilaterally distributed. Treatment of erythema nodosum should be directed to the underlying associated condition, if identified. Usually, nodules of erythema nodosum regress spontaneously within a few weeks, and bed rest is often sufficient treatment. Nonsteroidal antiinflammatory drugs and potassium iodide may be helpful drugs to enhance analgesia and resolution. Systemic corticosteroids are rarely indicated in erythema nodosum and before these drugs are administered, an underlying infection should be ruled out.

scholarly journals A rare cause of pediatric respiratory distress: pulmonary embolism

2020 ◽  
Vol 7 (4) ◽  
pp. 952
Author(s):  
Vinayaka H. S. ◽  
Dhananjaya Sarji Rudrappa ◽  
Shivashankara T. H.
Keyword(s):  
Pulmonary Embolism ◽  
Respiratory Distress ◽  
Pediatric Population ◽  
Rare Condition ◽  
Female Child ◽  
Sudden Onset ◽  
Acute Onset ◽  
Heparin Infusion ◽  
Chest X Ray ◽  
High Index Of Suspicion

Pediatric Pulmonary Embolism (PE) is a very rare condition as compared to adults. However, the incidence of pulmonary embolism in children is increasing as a result of accurate and timely diagnosis. Authors hereby reporting a 7-year-old female child who presented to us with acute onset respiratory distress and hypotensive shock, with no other significant illness in the past. The diagnosis of pulmonary embolism was made based on chest x ray, electrocardiogram and echocardiography. After ascertaining the diagnosis of PE, child was started on unfractionated heparin infusion along with other supportive measures. But the child went into refractory shock followed by asystole, could not be revived. Pulmonary embolism is a rare and potentially fatal, condition that often goes unrecognized among the pediatric population. There should be high index of suspicion on PE in a child who presented with sudden onset respiratory distress with other supportive radiological, 2d echo and lab findings.

scholarly journals Anterior approach to the subaxial cervical spine in children: a brief review

2006 ◽  
Vol 20 (2) ◽  
pp. 1-6 ◽  
Author(s):  
Eli M. Baron ◽  
Christopher M. Loftus ◽  
Alexander R. Vaccaro ◽  
Devanand A. Dominique
Keyword(s):  
Cervical Spine ◽  
Bone Grafting ◽  
Cervical Spondylotic Myelopathy ◽  
Anterior Approach ◽  
Pediatric Population ◽  
Adult Population ◽  
Indications For Surgery ◽  
Subaxial Cervical Spine ◽  
Disc Herniations

✓ Although it was originally developed to address degenerative problems, including disc herniations and cervical spondylotic myelopathy in the adult population, the anterior approach to the subaxial spine has proven to be useful for select indications in the pediatric population. The authors review indications for surgery, bone grafting, and instrumentation as they pertain to children.

scholarly journals Adrenal Rests in the Uro-genital Tract of an Adult Population

2021 ◽  
Author(s):  
Enrico Costantino Falco ◽  
Lorenzo Daniele ◽  
Jasna Metovic ◽  
Enrico Bollito ◽  
Giovanni De Rosa ◽  
...  
Keyword(s):  
Pediatric Population ◽  
Adult Population ◽  
Rare Condition ◽  
Clinicopathological Features ◽  
Urogenital Tract ◽  
Clinical Implications ◽  
Hormone Production ◽  
Hormonal Imbalance ◽  
Adrenocortical Hormone ◽  
Leydig Cell Tumors

AbstractEctopic adrenal rests are a rare condition which can be found in various sites, generally in the retroperitoneum or pelvis along the path of gonadal descent. Their real prevalence is unknown. Males are more commonly affected, at least in the pediatric age. Adrenal rests are usually clinically silent and incidentally found in surgical samples, mostly in the pediatric population, and rarely in adults. With the aim of increasing knowledge and estimating the prevalence of ectopic adrenocortical tissue in the adult population, 44 adrenal rests in the urogenital tract of 40 adults are described. These represent approximately 0.07% of the total number of urogenital and gynecological surgeries performed in the 22 considered years. Adrenal rests were identified in the spermatic cord (10 males) and in paraovarian, parasalpingeal, or infundibulopelvic ligament locations (30 females). All but one was incidental findings. One case regarded an adrenocortical carcinoma arisen in adrenal rests. A literature review of adrenal ectopia in the urogenital tract of adults identified 57 reported cases from 53 patients, with similar clinicopathological features as those of our series, with the exception of a lower incidence of parasalpingeal locations. Despite their limited clinical implications, awareness of ectopic adrenal rests is essential also in adults for at least two reasons: (a) to correctly identify sources of adrenocortical hormone production in case of adrenal insufficiency or hormonal imbalance and (b) to avoid misinterpretations in the diagnostic workup of renal cell carcinoma, adrenocortical tumors, and rare gonadal neoplasms, including Sertoli/Leydig cell tumors.

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