scholarly journals Atypical Presentation of Vulval Tuberculosis

1970 ◽  
Vol 38 (2) ◽  
pp. 65-67
Author(s):  
Rabeya Akther ◽  
Md Golam Mohiuddin ◽  
Hasina Afroj
Keyword(s):  
Medical Journal ◽  
Differential Diagnosis ◽  
Atypical Presentation ◽  
Lactating Women ◽  
Painful Ulceration

A 25yrs old lactating women present with membranous lesion of the tongue, painful ulceration of mouth and vulva. The differential diagnosis of vulval ulcer includes various causes of acute vulval lesion usually associated with STD, malignancy and immunosuppressive disease. Later it is diagnosed as a case of vulval tuberculosis. This common lesion is often misdiagnosed, leading unnecessary investigations and treatment.   DOI: 10.3329/bmj.v38i2.3577 Bangladesh Medical Journal 38(2) 2009 65-67

scholarly journals Brugada Syndrome: Presentation and Management of the Atypical Patient in the Emergent Setting

2020 ◽  
Vol 4 (2) ◽  
pp. 251-254
Author(s):  
Alexander Nguyen ◽  
Mario Flores ◽  
Vilmogil Tano
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Sudden Cardiac Death ◽  
Brugada Syndrome ◽  
Cardiac Death ◽  
Genetic Disorder ◽  
Atypical Presentation ◽  
Electrical System ◽  
Southeast Asians ◽  
Hispanic Male

Introduction: Brugada syndrome is a genetic disorder of the heart’s electrical system that increases a patient’s risk of sudden cardiac death. It is a syndrome most prevalent in Southeast Asians and is found 36 times more commonly in Asians than in Hispanics. Case Report: We report and discuss a case of a 68-year-old Hispanic male who presented with clinical and electrocardiogram abnormalities consistent with Brugada syndrome. Discussion: The patient’s age and ethnicity represents an atypical presentation of this rare syndrome and the lack of reported studies in the literature pertaining to these demographics reflect this. Conclusion: Further studies and characterizations are necessary as manifestations continue to be unearthed. As such, Brugada Syndrome should be considered in the differential diagnosis for a myriad of patient populations.

scholarly journals Mesenteroaxial Gastric Volvulus: A Case Report

2021 ◽  
Vol 59 (237) ◽  
Author(s):  
Sampanna Pandey ◽  
Madhav Paudel ◽  
Anuj Parajuli ◽  
Roshan Ghimire ◽  
Asmita Neupane
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Primary Repair ◽  
Wedge Resection ◽  
Gastric Volvulus ◽  
Exploratory Laparotomy ◽  
Uneventful Recovery ◽  
Atypical Presentation ◽  
Surgical Exploration ◽  
Low Threshold

Gastric volvulus is defined as an abnormal rotation of the stomach. Classical textbook presentation may not always be present. Meticulous assessment and broadened differential diagnosis are thus crucial. Various types have been described in literature. Low threshold for detection with aggressive resuscitation and immediate surgical exploration on suspected incarceration or perforation are mandatory. We report a case of 16-years-female who had atypical presentation of mesenteroaxial gastric volvulus. Emergency exploratory laparotomy with wedge resection and primary repair of stomach with anterolateral gastropexy was performed. She had uneventful recovery with discharge on fifth postoperative day.

scholarly journals Gradinego’s syndrome: atypical presentation

2018 ◽  
Vol 4 (2) ◽  
pp. 604
Author(s):  
Sumana C. V. ◽  
Suhel Hasan
Keyword(s):  
Differential Diagnosis ◽  
Physical Examination ◽  
Otitis Media ◽  
Nerve Palsy ◽  
Surgical Intervention ◽  
Clinical History ◽  
Atypical Presentation ◽  
Sixth Cranial Nerve ◽  
Gradenigo’S Syndrome ◽  
Periorbital Pain

Gradenigo’s syndrome was first described by Giuseppe Gradenigo in 1907 when he reported a triad of symptoms consisting of unilateral periorbital pain related to trigeminal nerve involvement, diplopia due to sixth cranial nerve palsy and persistent otorrhoea, associated with otitis media with petrositis. The classical syndrome related to otitis media has become very rare after the antibiotic era. Incomplete and atypical clinical features of Gradenigo’s syndrome have been described and non infectious causes may mimic this condition. We report a case of acute petrositis in a 19 year old boy with unilateral periorbital pain, diplopia (lateral rectus palsy) in the absence of ear discharge. Careful clinical history, physical examination, including neuroimaging, is necessary to make a differential diagnosis. Appropriate management requires antibiotic treatment and possible surgical intervention.

AN ANOMALOUS MUSCLE MIMICKING A DORSO-RADIAL GANGLION AS A CAUSE OF RADIAL WRIST PAIN

Hand Surgery ◽  
2006 ◽  
Vol 11 (01n02) ◽  
pp. 47-49
Author(s):  
D. Imran ◽  
M. Avarmidis ◽  
K. H. Attar
Keyword(s):  
Differential Diagnosis ◽  
Wrist Pain ◽  
Atypical Presentation ◽  
Anomalous Muscle ◽  
Radial Wrist Pain

We report an abnormal muscle on the radial aspect of the wrist, which presented clinically as a ganglion and radial wrist pain. Existence of muscles in the first compartment has been accounted earlier, however its atypical presentation advocates its inclusion in the differential diagnosis of a dorso-radial ganglion and wrist pain.

Primary Cutaneous Peripheral T-Cell Lymphoma in a Sporotrichoid Pattern: A Case Report

2017 ◽  
Vol 21 (6) ◽  
pp. 568-571
Author(s):  
Daniel J. Lewis ◽  
Harina Vin ◽  
Tiffany Hinojosa ◽  
Michael T. Tetzlaff ◽  
Bouthaina S. Dabaja ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Radiation Therapy ◽  
T Cell ◽  
Cell Lymphoma ◽  
T Cell Lymphoma ◽  
Cutaneous Lymphoma ◽  
Atypical Presentation ◽  
Peripheral T Cell Lymphoma ◽  
Not Otherwise Specified ◽  
History Of

We present the extraordinary case of a 72-year-old man with a history of primary cutaneous peripheral T-cell lymphoma not otherwise specified (pcPTCL-NOS) previously controlled with topical agents who developed tumours in a sporotrichoid pattern. Culture of the tumours was negative, and histopathology showed findings consistent with recurrent pcPTCL. The tumours were successfully treated with localised radiation therapy. Sporotrichoid lesions are an extremely rare and atypical presentation of cutaneous lymphoma, with only 2 other cases reported in the literature. Our case reinforces the need to include cutaneous lymphoma in the differential diagnosis of nodules on the extremities spreading in a sporotrichoid pattern. Clinical recognition of this atypical presentation of cutaneous lymphoma allows for prompt, effective treatment, which might include localised radiation therapy.

scholarly journals Atypical Presentation of Periodic Paralysis: A Case Report

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Aysun Isiklar
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Comprehensive Evaluation ◽  
Periodic Paralysis ◽  
Atypical Presentation ◽  
Hypokalemic Periodic Paralysis ◽  
Low Potassium ◽  
Carbohydrate Load ◽  
Timely Treatment ◽  
Rule Out

Hypokalemic periodic paralysis (HPP) is a kind of periodic paralysis, which is a heterogeneous group of muscle diseases. It is characterized by episodes of flaccid and sudden muscle weakness.Here, we present a case of HPP. The patient was referred to our department because of severe dizziness and fall. After a comprehensive evaluation, a markedly low potassium was detected. The patient’s symptoms resolved after replacement of potassium and he was discharged without deficits. Even though the literature reports an association with exercise, carbohydrate load, and stress, further workup in our patient revealed no association with these precipitants. A proper differential diagnosis should rule out other causes of weakness and paralysis, thus allowing a timely treatment.

scholarly journals An Unusual Case of Genital Lesion: A Vulvar Syringoma

2021 ◽  
Author(s):  
Paola Algeri ◽  
Rosita Rodella ◽  
Cinzia Manfredini ◽  
Maurizio Algeri
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Unusual Case ◽  
Gastrointestinal Stromal Tumour ◽  
Surgical Excision ◽  
Atypical Presentation ◽  
Vulvar Neoplasms ◽  
Previous Diagnosis ◽  
Vulvar Neoplasm ◽  
Local Surgical Excision

Objective: Syringoma is a benign adnexal neoplasm of sweat gland, usually presenting as extra-genital lesions, while vulvar localization is rare. Moreover, syringoma is an uncommon vulvar neoplasms. Case report: A 44-year-old woman with previous diagnosis of duodenal gastrointestinal stromal tumour, underwent a local surgical excision for an isolated, painful, vulvar lesion. The specimen was submitted for histological examination. A vulvar syringoma was diagnosed. Conclusion: We describe this case according on its rarity and atypical presentation as well; therefore, vulvar neoplasms encompass many differential diagnoses, among which the incidence rate of syringoma is very low. Although its rarity, syringoma should be included among the differential diagnosis for vulvar neoplasm.

Pediatric Gastrointestinal Emergencies

2020 ◽  
pp. 501-524
Author(s):  
Joshua Easter
Keyword(s):  
Differential Diagnosis ◽  
Gastrointestinal Disease ◽  
Signs And Symptoms ◽  
Diagnostic Information ◽  
Atypical Presentation ◽  
Significant Morbidity ◽  
Diagnostic Features ◽  
Gastrointestinal Problems ◽  
Pediatric Presentation ◽  
Delays In Diagnosis

Many conditions affect the gastrointestinal tract in children. Compared with adult gastrointestinal problems, gastrointestinal problems in children present with unique signs and symptoms. In younger children, it can be particularly difficult to elicit reliable diagnostic information from the history and physical examination. Pediatric gastrointestinal disease often requires surgical intervention, and delays in diagnosis may lead to significant morbidity and mortality. The differential diagnosis depends on age. Presentation also varies with age, and many conditions are unique to children. This chapter discusses important gastrointestinal emergencies. The classic pediatric presentation, atypical presentation, diagnostic features, treatment, and potential complications for these emergencies are also detailed.

scholarly journals Tubercular Osteomyelitis of Talus with Staphylococcal Co infection

2015 ◽  
Vol 12 (4) ◽  
pp. 298-300
Author(s):  
P Soraganvi ◽  
R Ramakanth
Keyword(s):  
Medical Journal ◽  
Clinical Picture ◽  
Chronic Osteomyelitis ◽  
Clinical Suspicion ◽  
Atypical Presentation ◽  
Foot Bones ◽  
Long Time ◽  
Laboratory Investigations ◽  
Histological Confirmation

Tuberculosis osteomyelitis of foot bones is uncommon and may evade the diagnosis for long time because of atypical presentation, paucibacillary nature and relatively normal picture on laboratory investigations. As tuberculosis of bone mimic like chronic osteomyelitis, clinical picture with confection by other organism lead to misdiagnosis. A case of tubercular osteomyelitis of talus reported here for its rarity and atypical presentation. Clinical suspicion and histological confirmation of diagnosis is recommended avoiding undue delay and for early chemotherapy.Kathmandu University Medical Journal Vol.12(4) 2014; 298-300

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