scholarly journals The evolving clinical picture of seronegative spondyloarthropathy based on the example of ankylosing spondylitis in a patient with primary diagnosis of the SAPHO syndrome – case presentation

Author(s):  
Zbigniew Paweł Guzera ◽  
Tomasz Koasakowski ◽  
Sławomir Jeka
Author(s):  
Zahra Tavoli ◽  
Ali Montazeri

Introduction: Uterus didelphys with obstructed hemivagina associated with ipsilateral renal agenesis (OHVIRA syndrome) is a rare female urogenital malformation and delay in its diagnosis could lead to several complications. Case presentation: A 21-year-old virgin woman was admitted to the emergency department (ED) with severe abdominal pain, without fever and vaginal discharge. She reported a history of cyclic abdominopelvic pain and dysmenorrhea for 5 years. The primary diagnosis (OHVIRA syndrome) was made using ultrasonography, spiral computed tomography (CT) and magnetic resonance imaging (MRI). In addition, laparoscopy was performed to confirm diagnosis and drain hematosalpinx. Then, hysteroscopy was carried out for septum resection and catheter insertion. At one-month follow-up the ultrasonography showed normal left hemicavity of uterus associated with significant decrease in dysmenorrhea. Conclusion: Being aware of OHVIRA syndrome and clinical suspicion of this rare anomaly are essential for making a timely diagnosis, preventing complications, relieving symptoms, and preserving future fertility.


1904 ◽  
Vol 4 (5-6) ◽  
pp. 318-319
Author(s):  
V. P. Osipov

Abstracts. Nervous diseases.Priv.-Assoc. VP Osipov Ankylosing spondylitis (spine stiffness). Anniversary collection of works on psychiatry and neuropathology, dedicated to. V.M.Bekhterev T. I. 1903 St. Petersburg.As a special form of the disease, under the name of the stiffness of the spine, the last one was first described by Professor Academician V.M. Bekhterev in 1892 in five cases. Then in 1896 and 1899, two more cases of this disease were published. Isolating this painful form, prof. VM Bekhterev, on the basis of a kind of clinical picture, characterized by certain symptoms, isolated it into a separate nosological unit.


2018 ◽  
Vol 3 (1) ◽  
pp. 43
Author(s):  
Mohammad Ali Raza Qizalbash ◽  
Rida Zahra ◽  
Adnan Adil Mithwani ◽  
Anwar Adil Mithwani ◽  
Muaaz Adil Mithwani

Background: Acute hepatitis caused by viral organisms which are typically implicated in the cases of encephalitis are rarely reported in literature. The presentation of enteroviral meningoencephalitis predominated with the clinical picture of hepatitis has rarely been recorded in populations other than neonates. Case Presentation: A male 2-year-old, presenting with a fever of 38 to 40 °C with chills and rigors, lethargy and drowsiness for 6 days. Along with the nausea, vomiting and watery diarrhea, he developed mouth ulcers (peri-oral vesicles) during the stay at the hospital. After extensive workup he was later diagnosed with meningoencephalitis and acute hepatitis due to Coxsackie virus A. After a stay of more than a month he was successfully treated and discharge. Conclusion: A more thorough evaluation should be carried out for atypical viral infections presenting with clinical presentation of hepatitis and meningoencephalitis.


2012 ◽  
Vol 101 (7) ◽  
pp. 685-686 ◽  
Author(s):  
Maren Wittig ◽  
Michal Fischer ◽  
Marc-Oliver Baur ◽  
A Kristina Kilian ◽  
Tobias Tenenbaum

2021 ◽  
Vol 5 (4) ◽  
pp. 476-478
Author(s):  
Megan Hoffer ◽  
Michaela Salvo ◽  
Sonal Batra

Case Presentation: This case describes a 51-year-old male who presented to the emergency department with a complaint of two weeks of progressively worsening dysphagia as well as the emergence of superficial fluid collections on the anterior chest and leg during the same period. Computed tomography showed retropharyngeal and paratracheal fluid collections with adjacent vertebral osteitis; however, biopsies were negative for any infectious or mycobacterial source, and instead showed chronic inflammatory changes. Discussion: Synovitis, acne, pustulosis, hyperostosis, osteitis (SAPHO) syndrome is a rare rheumatic disorder that presents with multifocal osteitis and sterile neutrophilia. SAPHO syndrome may be easily mistaken for a diffuse infectious process on initial evaluation and imaging; however, it is treated with anti-inflammatory medications, including non-steroidal anti-inflammatory drugs and corticosteroids. Although most patients achieve remission of symptoms with treatment, the location of the fluid collections and resultant bony destruction may be life-threatening if undiagnosed.


2007 ◽  
Vol 3 (6) ◽  
pp. 280-281
Author(s):  
Marta Díez Rodríguez ◽  
Carlos González Maldonado ◽  
Marta Abollado Rego ◽  
Aida López Laguna

2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Tahereh Sabaghian ◽  
Minoo Heidari Almasi

Introduction: Chronic kidney disease (CKD) rarely occurs at the same time as endocrine diseases such as adrenal failure. There are some reports of cases with acute kidney failure accompanied by Addison’s disease and adrenal crisis. The studied case was a patient with Addison’s disease referring with manifestations of AKI on CKD and hyperkalemia without hypotension. Case Presentation: This report describes a 34-year-old man with the primary diagnosis of CKD and the subsequent diagnosis of Addison’s disease. Conclusions: Since renal failure is accompanied by hyperkalemia, the diagnosis of adrenal failure will be difficult in the case of no obvious hyponatremia and hypotension. Thus, it is necessary to carefully check the clinical and laboratory symptoms and high clinical suspicions in CKD patients.


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