scholarly journals Sarcoidosis - A Case Report

2019 ◽  
Vol 10 (1) ◽  
pp. 92-95
Author(s):  
Md Safiqul Islam ◽  
Md Mahmudur Rahman Siddiqui
Keyword(s):  
Cervical Lymphadenopathy ◽  
Symptomatic Treatment ◽  
Lymph Node Biopsy ◽  
Unknown Etiology ◽  
Healthy Life ◽  
X Ray ◽  
Medical College ◽  
Node Biopsy ◽  
Chest X Ray ◽  
Granulomatous Disorder

Sarcoidosis is a chronic granulomatous disorder of unknown etiology, commonly affecting the lungs, skin and eyes. Although lungs and lymph nodes are involved in more than 90% of patients, virtually any organ can be involved. We describe a 36 years old lady presented with fever, skin rashes, cough, polyarthralgia, bodyache, wt. loss for 3 months. Examination revealed Fever, Erythema Nodosum, Cervical Lymphadenopathy. Investigations revealed high ESR (80 mm in 1st hour), high CRP, Hilar Lymphadenopathy on Chest X ray, Non-caseous Granuloma, Giant cell and Asteroid body on Lymph node Biopsy. All of her history, clinical examinations and Investigations are suggestive of Sarcoidosis. With symptomatic treatment and watchful observation, now she is completely symptoms free and leaving a healthy life. Anwer Khan Modern Medical College Journal Vol. 10, No. 1: Jan 2019, P 92-95

scholarly journals Kikuchi-Fujimoto Disease: A Study Of 67 Cases From Coastal South India 

2020 ◽  
Author(s):  
Basavaprabhu Achappa ◽  
Nipuni Chamathka Herath ◽  
Jyoti Ramanath Kini ◽  
Ramesh Holla ◽  
Bodhi Sebastian ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Histopathological Examination ◽  
Cervical Lymphadenopathy ◽  
Symptomatic Treatment ◽  
Lymph Node Biopsy ◽  
Unknown Etiology ◽  
Extensive Literature ◽  
Cervical Lymphadenitis ◽  
Benign Condition ◽  
The Mean

Abstract Background Kikuchi-Fujimoto disease is a rare, benign condition, of unknown etiology, presenting as cervical lymphadenitis, usually tender and maybe associated with systemic symptoms. Despite the extensive literature on this disease, it continues to be misdiagnosed owing to its misleading clinical presentation. Results The mean age in our study was 26.9 (±11.3) years with a female majority of 65.7%. The clinical presentation of most cases was, tender swelling over the side of the neck ( n =50, 74.6%). On local examination, the mean length and width were 2.3 (±1.0) cm and 2.2 (±0.7) cm respectively. Histopathological examination revealed that most patients presented in the proliferative stage ( n =40, 59.7%). In 83.6% of the patients lymphadenopathy resolved in less than 2 months. Follow up of these patients over 9 months revealed that a vast majority of the patients underwent full recovery with symptomatic treatment ( n =42, 62.7%). Conclusions The disease is prevalent in young, female patients of Asian descent and often presents as cervical lymphadenopathy. Early diagnosis with excisional lymph node biopsy is crucial to avoid unnecessary investigations and treatment. Treatment is only symptomatic unless complicated, where steroid therapy is considered. Kikuchi’s disease has an excellent prognosis with almost no risk of fatality.

Baffled with fever and lymphadenopathy: neither infection nor malignancy, think Kikuchi disease

2021 ◽  
Vol 14 (1) ◽  
pp. e238914
Author(s):  
Ali Hussain ◽  
Mohsin Gondal ◽  
Hira Yousuf ◽  
Mubashar Iqbal
Keyword(s):  
Young Women ◽  
Cervical Lymphadenopathy ◽  
Complete Recovery ◽  
Symptomatic Treatment ◽  
Lymph Node Biopsy ◽  
Asian Woman ◽  
Unknown Aetiology ◽  
Benign Condition ◽  
Node Biopsy ◽  
Clinical Investigations

Kikuchi disease is a rare, benign condition of unknown aetiology, which usually involves young women and is characterised by cervical lymphadenopathy and fever. Herein, we are reporting a case of a young Asian woman, who presented with fever and lymphadenopathy raising possibility of either infection or malignancy but after appropriate clinical investigations including lymph node biopsy, it turned out to be Kikuchi disease. She made an uneventful complete recovery with only symptomatic treatment.

scholarly journals Disseminated cat-scratch disease: a case report

2015 ◽  
Vol 22 (2) ◽  
pp. 229-231
Author(s):  
Faizul Islam Chowdhury ◽  
MA Kashem ◽  
Md Anwar Hossain ◽  
Imran Munadil Ahsan ◽  
Avijit Pandit ◽  
...  
Keyword(s):  
Bartonella Henselae ◽  
Cervical Lymphadenopathy ◽  
Lymph Node Biopsy ◽  
Cat Scratch Disease ◽  
Gram Negative ◽  
Systemic Involvement ◽  
Medical College ◽  
Negative Bacillus ◽  
Node Biopsy ◽  
Gram Negative Bacillus

Cat-scratch disease is an infectious disease caused by Bartonella henselae, a gram-negative bacillus. The disease is usually transmitted to the human being by cat scratches. Cat-scratch disease typically presents with painful regional lymphadenopathy. Systemic involvement is unusual. A 35 years old lady, came with the complaints of fever, abdominal pain along with nausea, anorexia & difficulties of swallowing for 6 months. She has painful cervical lymphadenopathy. Histopathology of her lymph node biopsy shows features of cat-scratch disease. DOI: http://dx.doi.org/10.3329/jdmc.v22i2.21550 J Dhaka Medical College, Vol. 22, No.2, October, 2013, Page 229-231

scholarly journals Isolated myeloid sarcoma

2015 ◽  
Vol 4 (3) ◽  
pp. 46-48
Author(s):  
B P Rauniyar ◽  
X Liu ◽  
J Shrestha ◽  
K R Devkota ◽  
S Poudel ◽  
...  
Keyword(s):  
Lymph Node ◽  
Case Reports ◽  
Cervical Lymphadenopathy ◽  
Lymph Node Biopsy ◽  
Myeloid Sarcoma ◽  
Tumour Mass ◽  
Medical College ◽  
Node Biopsy ◽  
Immature Myeloid Cells ◽  
Prospective Trials

Myeloid Sarcoma (MS) is a tumour mass of myeloblasts or immature myeloid cells in an extra-medullary site. Isolated MS is a red disease found only seen in case reports. Here, we present the case of a 25years old man with bilateral cervical lymphadenopathy who was diagnosed as MS on the basis of lymph node biopsy and immunohistochemistry. There is no definite consensus on management of MS and needs prospective trials. DOI: http://dx.doi.org/10.3126/jcmc.v4i3.11941Journal of Chitwan Medical College 2014; 4(3):46-48 

scholarly journals Dermatomyositis and Granulomatous Myopathy Associated with Sarcoidosis

1988 ◽  
Vol 15 (4) ◽  
pp. 426-429 ◽  
Author(s):  
Jeffrey H. Lipton ◽  
B. Daniel McLeod ◽  
A. Keith W. Brownell
Keyword(s):  
Lymph Node ◽  
Mediastinal Lymph Node ◽  
Lymph Node Biopsy ◽  
X Ray ◽  
Node Biopsy ◽  
Hilar Adenopathy ◽  
Chest X Ray

ABSTRACT:A previously healthy, 21-year-old female presented with acute dermatomyositis. Chest X-ray revealed bilateral hilar adenopathy, and mediastinal lymph node biopsy demonstrated noncaseating granulomata compatible with sarcoidosis. The patient improved spontaneously. The significance of bilateral hilar adenopathy in association with dermatomyositis and implications for management are discussed.

scholarly journals Kikuchi-Fujimoto Disease: A Diagnostic Dilema

2014 ◽  
Vol 5 (2) ◽  
pp. 51-53
Author(s):  
SMK Nahar Begum ◽  
MMR Siddiqui ◽  
AS Arif ◽  
MA Kahhar
Keyword(s):  
Cervical Lymphadenopathy ◽  
Needle Aspiration ◽  
Lymph Node Biopsy ◽  
Unknown Etiology ◽  
Cervical Lymphadenitis ◽  
Tropical Country ◽  
Medical College ◽  
Recommended Treatment ◽  
Granulomatous Lymphadenitis ◽  
Anti Tubercular Therapy

Fujimoto (KD) disease or histiocytic necrotizing lymphadenitis is a rare, benign, self limiting cervical lymphadenitis of unknown etiology. Since Tubercular lymphadenopathy is the commonest cause for chronic cervical lymphadenopathy in developing and tropical country like Bangladesh. Occasionally it is misdiagnosed as TB and subsequently shows unresponsiveness to ATT. As a result the morbidity increases and cost of antitubercular treatment (ATT) in wrong diagnosed case is enormous. We report a similar case of misdiagnosis. We report a 26 year old lady who reported with history of right sided neck pain and fever since last 2 months. Clinical examination revealed enlared right sided lymph nodes in the neck. Fine needle aspiration cytology revealed features suggestive of granulomatous lymphadenitis. The case was suspected to be tuberculosis and anti-tubercular therapy (ATT) was started immediately. Since the patient did not respond, lymph node biopsy was done and the histological features suggested the diagnosis of Kikuchi's disease. She did well after recommended treatment. DOI: http://dx.doi.org/10.3329/akmmcj.v5i2.21134 Anwer Khan Modern Medical College Journal Vol. 5, No. 2: July 2014, Pages 51-53

scholarly journals Varied presentation of tuberculosis adenopathy: an immunological and diagnostic contemplation

2021 ◽  
Vol 8 (10) ◽  
pp. 1598
Author(s):  
Natesh Ganesan ◽  
Sachin Vidyasagar ◽  
Anbumaran Parivakkam Mani ◽  
Gangadharan Vadivelu
Keyword(s):  
Case Report ◽  
Case Reports ◽  
Cervical Lymphadenopathy ◽  
Lymph Node Biopsy ◽  
Tuberculous Lymphadenitis ◽  
Extra Pulmonary Tuberculosis ◽  
X Ray ◽  
Hypochondriac Region ◽  
Chest X Ray ◽  
Traumatic Splenic Rupture

Tuberculous lymphadenitis is the most common presentation of extra pulmonary tuberculosis EPTB. Clinical and radiological presentation of disease may vary and differential diagnosis includes both benign and malignant conditions such as lymphomas and sarcoidosis. We present two case reports of tuberculous lymphadenitis with varied presentation. In case report Ⅰ, patient had undergone splenectomy due to traumatic splenic rupture had classical symptoms of tuberculosis, chest X-ray, CT thorax showed mediastinal and cervical lymphadenopathy. FNAC showed a picture of granulomatous lesion. In case report ⅠⅠ patient came with complaints of abdominal pain in hypochondriac region. CT and USG abdomen showed multiple enlarged retroperitoneal lymph nodes which led to a provisional diagnosis of lymphoma after which lymph node biopsy showed a granulomatous picture. This case report stresses the importance of early and quick diagnosis of tuberculosis in immunocompromised patients and highlights the risk of misdiagnosis of tuberculous lymphadenitis with other benign and malignant causes of lymphadenopathy and the importance of humoral mediated immunity in tuberculosis.

Lingual Dystonia Treated with Botulinum Toxin - A Case Report

1970 ◽  
Vol 24 (2) ◽  
pp. 75-78
Author(s):  
MA Hayee ◽  
QD Mohammad ◽  
H Rahman ◽  
M Hakim ◽  
SM Kibria
Keyword(s):  
Botulinum Toxin ◽  
Botulinum Toxin A ◽  
Botulinum Toxin Type A ◽  
Botulinum Toxin Type ◽  
X Ray ◽  
Medical College ◽  
Lingual Dystonia ◽  
History Of ◽  
Chest X Ray

A 42-year-old female presented in Neurology Department of Sir Salimullah Medical College with gradually worsening difficulty in talking and eating for the last four months. Examination revealed dystonic tongue, macerated lips due to continuous drooling of saliva and aspirated lungs. She had no history of taking antiparkinsonian, neuroleptics or any other drugs causing dystonia. Chest X-ray revealed aspiration pneumonia corrected later by antibiotics. She was treated with botulinum toxin type-A. Twenty units of toxin was injected in six sites of the tongue. The dystonic tongue became normal by 24 hours. Subsequent 16 weeks follow up showed very good result and the patient now can talk and eat normally. (J Bangladesh Coll Phys Surg 2006; 24: 75-78)

scholarly journals Negative-pressure-related diffuse alveolar hemorrhage after monitored anesthesia care for vertebroplasty: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Yumin Jo ◽  
Jagyung Hwang ◽  
Jieun Lee ◽  
Hansol Kang ◽  
Boohwi Hong
Keyword(s):  
Case Report ◽  
Airway Obstruction ◽  
Negative Pressure ◽  
Diffuse Alveolar Hemorrhage ◽  
Alveolar Hemorrhage ◽  
Unknown Etiology ◽  
Anesthesia Care ◽  
Monitored Anesthesia Care ◽  
X Ray ◽  
Chest X Ray

Abstract Background Diffuse alveolar hemorrhage (DAH) is a rare, life-threatening condition that can present as a spectrum of nonspecific symptoms, ranging from cough, dyspnea, and hemoptysis to severe hypoxemic respiratory failure. Perioperative DAH is frequently caused by negative pressure pulmonary edema resulting from acute airway obstruction, such as laryngospasm, although hemorrhage itself is rare. Case presentation This case report describes an unexpected hemoptysis following monitored anesthesia care for vertebroplasty. A 68-year-old Asian woman, with a compression fracture of the third lumbar vertebra was admitted for vertebroplasty. There were no noticeable events during the procedure. After the procedure, the patient was transferred to the postanesthesia care unit (PACU), at which sudden hemoptysis occurred. The suspected airway obstruction may have developed during transfer or immediate arrive in PACU. In postoperative chest x-ray, newly formed perihilar consolidation observed in both lung fields. The patients was transferred to a tertiary medical institution for further evaluation. She diagnosed with DAH for hemoptysis, new pulmonary infiltrates on chest x-ray and anemia. The patient received supportive care and discharged without further events. Conclusions Short duration of airway obstruction may cause DAH, it should be considered in the differential diagnosis of postoperative hemoptysis of unknown etiology.

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