scholarly journals Linear Atrophoderma of Moulin Localized to Face: An Exceedingly Rare Entity

2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Tasleem Arif
Keyword(s):  
Clinical Examination ◽  
Medical Literature ◽  
Rare Entity ◽  
Case Presentation ◽  
The Third ◽  
Pigmented Lesions ◽  
Blaschko Lines ◽  
The Face ◽  
History Of ◽  
Pattern Diagnosis

Introduction: Linear atrophoderma of Moulin (LAM) is a rare dermatologic disorder characterized by hyperpigmented atrophic plaques following the Blaschko lines (BL). The trunk and limbs are the usual sites affected. Isolated facial involvement is an exceedingly rare entity. Despite a comprehensive medical literature search, the author could find only two cases of LAM where the lesions are exclusively localized to the face. In this article, the author presents the third case of LAM localized to face only. Case Presentation: A 26-year-old male complained of multiple linear non-pruritic pigmented lesions over the left side of the nose and glabellar area of six months’ duration. There was no history of erythema, thickening/hardening of skin, or violaceous border surrounding the lesions. On clinical examination, there were multiple hyperpigmented brownish lesions, the majority of which were depressed, involving the left ala and bridge of nose laterally and glabellar area in a Blaschkoid pattern. Diagnosis of LAM was established based on suggestive history and clinical examination. Conclusions: LAM is a rare disorder, and the facial localization makes it exceedingly rare. It should be kept in the differential diagnosis when hyperpigmented depressed lesions are present in a Blaschkoid pattern on the face.

In iodine-induced thyrotoxicosis, steroid therapy today could keep the surgical knife at bay

2018 ◽  
Vol 31 (5) ◽  
pp. 585-588 ◽  
Author(s):  
Rohan K. Henry ◽  
Monika Chaudhari
Keyword(s):  
Steroid Therapy ◽  
Medical Literature ◽  
Urinary Iodine ◽  
Thyroid Stimulating Hormone ◽  
Thyroid Function Tests ◽  
Case Presentation ◽  
Total Triiodothyronine ◽  
History Of ◽  
Daily Allowance

Abstract Background: Amiodarone-induced thyrotoxicosis (AIT) type 2, characterized as a destructive thyroiditis, is well described in the medical literature; however, iodine-induced thyrotoxicosis (IIT) is not, though the latter has similar features and can be managed similarly. Case presentation: We present a 17-year-old female who presented with a history of an intermittent goiter with thyroid function tests (TFTs): thyroid-stimulating hormone (TSH)<0.015 (0.4–4 μU/mL), free thyroxine (T4)≥6 (0.7–2.1 ng/dL) and total triiodothyronine (T3) 651 (50–200 mg/dL). Thyroid antibodies were all negative. Despite methimazole therapy for 6 weeks, hyperthyroidism proved refractory to medical management. 123I scan uptake was suppressed. With hyperthyroidism being recalcitrant to therapy, a nutritional history revealed consumption of an iodine supplement containing at least 7 times the recommended daily allowance (RDA) for 5 years, contributing to the Jod-Basedow phenomenon. Urinary spot and 24-hour urinary iodine were both elevated. Though a surgical consult was obtained, surgery was cancelled once TFTs improved and then normalized with steroid therapy. The TFTs and urinary iodine levels remained normal post steroid therapy. Conclusions: We suggest that in addition to the need for a thorough nutritional history, a trial of corticosteroids should be utilized in the management of IIT which can present with findings similar to AIT type 2 which is recalcitrant to thionamide therapy. If successful, corticosteroids may delay or prevent surgical management thus avoiding possible complications with the latter approach.

scholarly journals Ectopic decidua of the appendix: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Manabu Kaneko ◽  
Hiroaki Nozawa ◽  
Hirofumi Rokutan ◽  
Koji Murono ◽  
Tetsuo Ushiku ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Acute Appendicitis ◽  
Rare Entity ◽  
Lower Quadrant ◽  
Case Presentation ◽  
Decidual Tissue ◽  
Abdominal Symptoms ◽  
History Of ◽  
Myxoid Degeneration ◽  
Right Lower Quadrant

Abstract Background Ectopic decidua is the presence of decidual tissue outside the uterus. Ectopic decidua of the appendix is a rare entity that can present with abdominal symptoms mimicking appendicitis. We report a case of a 39-year-old female patient at 27 weeks gestational age with a 2-day history of right lower quadrant abdominal pain. Case presentation The patient was referred to our hospital with suspicion of either acute appendicitis or threatened rupture of the uterus, the latter of which was considered unlikely following close examination. Therefore, she underwent emergency appendectomy via laparotomy. Microscopic examination revealed decidual tissue with myxoid degeneration in the subserosal layer of the tip side of the appendix, without endometriosis, which was compatible with ectopic decidua (deciduosis). Conclusions Because it is extremely difficult to distinguish ectopic decidua of the appendix from acute appendicitis, even with various imaging modalities, we should be aware that ectopic decidua of the appendix is a differential diagnosis for acute appendicitis in pregnant women.

scholarly journals Unusual case of classic testicular seminoma in a 90-year-old patient: a case report

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Ahmad Al-Mousa ◽  
Mohammad Nour Shashaa ◽  
Mohamad Shadi Alkarrash ◽  
Mohamad Alkhamis ◽  
Lina Ghabreau ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Elderly Patients ◽  
Unusual Case ◽  
Medical Literature ◽  
Testicular Tumor ◽  
Testicular Seminoma ◽  
Case Presentation ◽  
History Of ◽  
Pure Seminoma

Abstract Background Seminoma is the most common subtype of testicular cancer and occurs most commonly in patients aged 30–49 years, but decreases to a very low level in men in their 60s or older. Case presentation A 90-year-old Syrian man with a 6-year history of an increase in size of his right scrotum, presented to the urological clinic and, on clinical examination, the findings suggested testicular tumor. After orchiectomy and histology results based on microscopic and immunohistochemical examinations, a pure seminoma was diagnosed, so we describe in this case report the second-oldest patient with classical seminoma in the medical literature. Conclusion This case report has been written to focus on the probability of any type of testicular tumor occurring at any age or decade; urologists should consider seminoma as a differential diagnosis with any testicular swelling even in elderly patients.

scholarly journals Role of Radiology in Pica Syndrome: A Case Report

2020 ◽  
Author(s):  
Isil Yurdaisik
Keyword(s):  
Developmental Level ◽  
Severe Anemia ◽  
Case Presentation ◽  
Active Involvement ◽  
The Third ◽  
First Case ◽  
History Of ◽  
Laboratory Investigations ◽  
Intestinal Obstructions

Abstract Background: Pica syndrome is a mental disorder defined as eating non-food and not-nutritive substances at least for 1 month. The diagnosis of pica syndrome is based on severe anemia which is not compatible with the developmental level, intestinal obstructions, or several conditions depending on content of the substance intaken such as lead poisoning etc. The diagnosis of pica syndrome requires active involvement of pediatrics, psychiatrists, radiologists and patients/family members. Case Presentation: In this report, we present a 50-year-old female patient who presented to the emergency department with abdominal pain and radiologically diagnosed with pica syndrome. Patient’s physical and laboratory investigations were normal, while all abdominal tomography revealed hyper-density areas. It was found in the detailed history of the patient that she was receiving psychiatric therapy and had habit of eating cigarette ashes. Upon this, cigarette ashes soaked in water were radiologically examined, similar hyper-density areas were found, and the diagnosis of pica syndrome was established. Conclusion: This case is the third case of eating cigarette ashes pica presented in the literature, and the first case diagnosed radiologically.

scholarly journals Türk ve İslam Eserleri Müzesi

2021 ◽  
pp. 339-336
Author(s):  
Zeynep Atbaş
Keyword(s):  
Islamic Art ◽  
Book Illustration ◽  
The Third ◽  
The Arts ◽  
The World ◽  
The Face ◽  
History Of ◽  
The Subject ◽  
The Veil ◽  
The One

"Ottoman sultans showed a great interest in books; on the one hand, they had their palace workshops prepare manuscripts ornamented with unique illustrations and illuminations; on the other hand, they collected books created in other locations of the Islamic world through various means, such as, gifting, looting, and purchasing. The subject of this article involves the artistic manuscripts from the Ilkhanid era that entered the Topkapı Palace Treasury. Most manuscripts in the Topkapı Palace Library consist of copies and sections (juz’) of the Koran. With their illumination and binding, these large-format books designed by the skillful illuminators and bookbinders of the Ilkhanid era are early fourteenth-century masterpieces of Islamic art of the book. Among these are Koran sections prepared for the famous Ilkhanid ruler, Sultan Uljaytu Khodabanda, and the renowned vizier, Rashid al-Din. Some examples were written by the most illustrious Islamic calligraphers, Yaqut al-Musta’simi and Arghun Kamili, illuminated by the famous artist of the era who worked in Baghdad, Muhammad b. Aybak b. Abdallah, and bound by bookbinder Abd al-Rahman. The Ilkhanid era was also a time when fascinating and important manuscripts were prepared in terms of book illustration. Two of the three Mongol-era manuscripts in the Topkapı Palace collection are copies of the Jami’at-Tawarikh—a general history of the world prepared by a commission led by the vizier Rashid al-Din under the order of the Ilkhanid ruler Ghazan Khan— while the third is a copy of the Garshaspnama. In addition, some paintings that appear in one of the palace albums belong to a volume of the Jami’at-Tawarikh on the history of Mongol khans, which has not survived. The significant and unique paintings of the Ilkhanid era are the Miʿrajnama paintings made by Ahmed Musa featured in the album prepared for Bahram Mirza, the brother of the Safavid sultan, Shah Tahmasp. The preface of the album written by Dust Muhammad refers to the famous painter Ahmed Musa, who lived in the era of the Ilkhanid ruler Abu Said, to have “removed the veil from the face of painting and invented the painting that was popular in that era.” In addition, the author states that he illustrated a Miʿrajnama. However, only the eight album pages with miʿraj images have survived this work. Through their bindings, illuminations, calligraphy, and illustrations, Ilkhanid era manuscripts from the Topkapı Palace constitute a vital collection that demonstrates the advanced level reached by the arts of the book during this era. "

Joseph Kimhi's Sefer Ha-Berit: Pathbreaking Medieval Jewish Apologetics

1992 ◽  
Vol 85 (4) ◽  
pp. 417-432 ◽  
Author(s):  
Robert Chazan
Keyword(s):  
Twelfth Century ◽  
Spiritual Leadership ◽  
Third Century ◽  
The Third ◽  
Jewish Intellectual ◽  
The Face ◽  
History Of ◽  
Christian Literature ◽  
Anti Jewish ◽  
Rich History

Christian anti-Jewish polemics have a long and rich history, stretching all the way back to the early stages of the new faith community. Anti-Jewish treatises dot the history of Christian literature from the third century onward. By contrast, Jews seem to have been much less concerned with combatting Christianity. It has been widely noted that the earliest Jewish compositions devoted to anti-Christian polemics stem from the twelfth century. While the twelfth-century provenance of the earliest Jewish anti-Christian tracts has long been recognized, little attention has been focused on the significance of this dating. The fact that sometime toward the end of the twelfth century, perhaps in the 1160s or 1170s, two anti-Christian works, the forerunners of a substantial body of Jewish anti-Christian polemical-apologetic works, were composed almost simultaneously begs interpetation. What changes gave rise to a new Jewish sensitivity, to a need to present Jewish readers with formulation and rebuttal of Christian claims? The answer clearly lies in the enhanced agressiveness of western Christendom toward the Jews, as well as other non-Christians, a development that has been recognized and discussed extensively in modern scholarly literature. In the face of an increasingly aggressive Christendom, Jewish intellectual and spiritual leadership had to reassure the Jewish flock of the rectitude of the Jewish vision and the nullity of the Christian faith. This is precisely what the first two anti-Christian treatises, the Milhamot ha-Shem of Jacob ben Reuven and the Sefer ha-Berit of Joseph Kimhi, undertook to achieve. Given the pioneering nature of these works, it is striking that insufficient scholarly attention has been accorded to these two efforts. They surely have much to tell both of perceived Christian thrusts and of meaningful Jewish rebuttal of these challenges.

scholarly journals Sporadic Peutz–Jeghers syndrome: a rare cause of intussusception in a toddler with no medical history

2019 ◽  
Vol 2019 (6) ◽  
Author(s):  
Mhmmad Nassif ◽  
Bardisan Gawrieh ◽  
Aras Abdo ◽  
Zuheir Alshehabi ◽  
Wajih Ali
Keyword(s):  
Small Bowel ◽  
Medical History ◽  
Bowel Resection ◽  
Small Bowel Resection ◽  
Lead Point ◽  
Lower Lip ◽  
Pigmented Lesions ◽  
The Face ◽  
History Of ◽  
Peutz Jeghers Syndrome

AbstractPeutz–Jeghers syndrome (PJS) is an unusual hamartomatous polyposis of the gastrointestinal tract associated with melanocytic mucocutaneous hyperpigmentation. This research paper examines the case of an 18-month-old Syrian female who had been diagnosed with intussusception. The patient underwent laparotomy, and multiple small bowel polyps were found to act as the lead point. For this reason, small bowel resection (~15 cm), with end-to-end anastomosis, were performed. Although PJS diagnosis was histopathologically confirmed, the patient had no pigmented lesions on the face, the lower lip or the buccal mucosa and neither had any history of hospitalization or family history of the disease. This case was examined and is reported in the present study because PJS is rarely present at this early age when significant medical history is lacking.

scholarly journals Aerosol Science and Technology: History and Reviews

2011 ◽  
Keyword(s):  
New York ◽  
American Association ◽  
Science And Technology ◽  
The Third ◽  
Aerosol Measurement ◽  
Military Applications ◽  
The Face ◽  
History Of ◽  
Aerosol Science ◽  
Technology History

Aerosol Science and Technology: History and Reviews captures an exciting slice of history in the evolution of aerosol science. It presents in-depth biographies of four leading international aerosol researchers and highlights pivotal research institutions in New York, Minnesota, and Austria. One collection of chapters reflects on the legacy of the Pasadena smog experiment, while another presents a fascinating overview of military applications and nuclear aerosols. Finally, prominent researchers offer detailed reviews of aerosol measurement, processes, experiments, and technology that changed the face of aerosol science. This volume is the third in a series and is supported by the American Association for Aerosol Research (AAAR) History Working Group, whose goal is to produce archival books from its symposiums on the history of aerosol science to ensure a lasting record. It is based on papers presented at the Third Aerosol History Symposium on September 8 and 9, 2006, in St. Paul, Minnesota, USA.

scholarly journals Polish Sociology in the Face of Social and Political Changes of the 20th Century

2019 ◽  
Vol 63 (4) ◽  
pp. 193-201
Author(s):  
Piotr T. Kwiatkowski ◽  
Jonathan Weber
Keyword(s):  
20Th Century ◽  
Social Research ◽  
Historical Analysis ◽  
Evidence Based ◽  
The Third ◽  
The Face ◽  
History Of ◽  
Key Issues ◽  
High Road

The author of this essay deals with the specif‌icity of sociology in Poland, reaching for the book of Antoni Sułek A Mirror on the High Road. Chapters from the History of Social Research in Poland (2019). Chapters of this book taken as a set constitute a review of the key issues that Polish sociologists strived to tackle in the 20th century. For approximately half of the book (6 chapters) Sułek focuses on issues of Polish sociology from the mid-1950s to the turn of the 1990s: the f‌irst is the change of theoretical and methodological paradigms in Polish sociology in the second half of the 20th century; the second is the successes of Polish sociology, but also its weaknesses — the author devoted much space to the theoretical limitations that prevented sociologists from predicting the formation of Solidarity in 1980. The third topic is the historical analysis of surveys conducted in the last decade of communism — their reliability as well as social and political functions. Finally, Sułek’s vision of socially-involved sociology appears. The strength of such sociology lies in its methodology, with which specific phenomena can be correctly def‌ined, impartially analysed, and systematically investigated. And this in turn enables evidence-based debate and policy.

scholarly journals EP.FRI.749 Facial augmentation surgery: Perception vs. Reality

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Kashan Saber ◽  
Shadaab Mumtaz ◽  
Chrysavgi Oikonomou
Keyword(s):  
Subsequent Removal ◽  
Case Presentation ◽  
Facial Surgery ◽  
The United Kingdom ◽  
Patient Reported ◽  
The Face ◽  
History Of ◽  
Facial Augmentation ◽  
The Right ◽  
Caucasian Female

Abstract Background In recent years, aesthetic surgeries have gained significant momentum. A recent audit identified that more than 28,000 cosmetic surgeries were performed in the United Kingdom (UK) in 2018.1. We present an unfortunate case of morbid complications related to the use of malar implant for cosmesis. Case Presentation A 63-year-old Caucasian female presented to the Emergency department with sepsis related to a large painful, tender swelling of the right side of the face. There was discharge of pus from two cutaneous sinuses with additional ectropion/chemosis of the right eye. An orocutaneous communication due to infection/migration of the implant was also noted. The patient reported a history of bilateral malar implants placement three years ago. The patient initially required emergency drainage & subsequent removal of the infected malar implant. Discussion Malar implants provide suitable volume enhancement providing structural and aesthetic benefits including the ‘high cheek bone’ appearance. It is generally considered to be a safe surgical technique with multiple approaches possible to insert the implant. including transoral approach). Spadafora (1971) & Hinderer (1972) first described the use of malar implants for facial augmentation.2,3 Rayess et al.(2017) conducted a 10 year review of complications related to facial implants & noted that 75% of complications related to malar implants were due to infection with 38% of these implants needing removal.4 Conclusion There is a surge in presentations of complications related to cosmetic facial surgery and knowledge of these adverse effects is essential to appropriately manage these patients & their concerns.

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