scholarly journals Atypical Presentation of Congenital Triangular Alopecia: A Case Series in Italy

2020 ◽  
pp. e2020122
Author(s):  
Michela Starace ◽  
Miriam Anna Carpanese ◽  
Diego Abbenante ◽  
Francesca Bruni ◽  
Bianca Maria Piraccini ◽  
...  

Background: Congenital triangular alopecia (CTA) is a benign, asymptomatic, nonprogressive, localized and noncicatricial type of alopecia that is usually first noted during infancy or childhood. The pattern of hair loss is traditionally described as triangular, oval or lancet shaped with apex toward the vertex. Objectives: We present a case series of CTA located in unusual sites. Patients and Methods: We performed trichoscopy in 78 patients with CTA. From this group, we selected 10 individuals (4 males and 6 females) whose disease was not localized on the typical scalp area. Results: The alopecic area was located on the occipital region in 5 patients, the parietal region in 4 patients, at the vertex in 1. With trichoscopy, vellus hairs were detected in all patients, and evidence of empty follicles was noticed only in 3 patients. Conclusions: In contrast with the preconceived notion that all CTAs are frontotemporal, our case series points out that this disease could be localized in other scalp sites.


Author(s):  
Fauzia Musbah

Neonate’s temporal triangular alopecia, transient neonatal hair loss (TNHL) or neonatal occipital alopecia (NOA) is observed in the occipital of infants at the second to third months after birth in a band–like shape or oval alopecia patch. We present two infants with hypotrichosis over the occipital region and fronto-temporo-parietal region in triangular form bilaterally, based on the clinical hypotrichosis distribution pattern and trichoscopic features, with the exclusion of other alopecias. The diagnosis of occipito-linear and triangular fronto-temporo-parietal marginal alopecia was made accordingly. We also discussed the two different lesions in the presented case as a combined form of neonatal occipital alopecia.



2016 ◽  
Vol 5 (10) ◽  
pp. 4982
Author(s):  
Archana Aher* ◽  
Satish Gore

This study was conducted to determine the clinical evaluation and various etiological factors of secondary seizures in patients admitted to Government Medical College, Nagpur. We evaluated 58 patients of secondary seizures from Dec 2011 to Oct 2013. Secondary seizures were defined as case of seizure with CT (brain) or MRI (brain) abnormality1. Out of 58 cases 35 were males and 23 were females. Mean age of study subjects was 34.85. The commonest presenting feature was generalized tonic clonic convulsions (42 patients) followed by focal seizures (16 patients).  Todd’s palsy was observed in 4 cases. Aura was present in 24 cases. According to CT brain scan the aetiology was – neurocysticercosis (34.48%), post stroke (27.59%), tuberculoma (24.14%). Space occupying lesions(SOLs) were present in 8 patients, out of whom 4 had brain tumour, 2 patients had brain abscess, 1 had hydatid cyst and 1 had metastasis. Majority of lesions were located in frontal region (58.62%), followed by in parietal region (44.83%), in temporal region (25.86%) and in occipital region (13.79 % patients). In our study neurocysticercosis was found to be the commonest cause of secondary seizures. As in a meta-analysis it was found that cysticidal drugs result in better outcome in patients of neurocysticecosis, we recommend that the patients of secondary seizures should be identified for the aetiology and treated at the earliest2.





2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Uzodimma Ejike Onwuasoanya

Abstract Background Testicular torsion is a urological emergency and needs urgent intervention to prevent testicular loss and impaired future fertility. It is commonly seen in the neonatal and adolescent age groups. Testicular torsion can also present outside these common age groups with uncommon symptoms and signs. We report case series of patients managed at Lily Hospitals Limited, Warri, Delta State, Nigeria with atypical presentation of testicular torsion. Case Presentation The first patient was a 35-year-old male that presented with recurrent right testicular pain of 1-year duration, described as dull aching with no constitutional symptoms, physical examination findings were not pathognomonic of testicular torsion, he had scrotal exploration with right orchidectomy and left orchidopexy. The second patient was a 39-year-old male who presented with recurrent right testicular pain of 4-days duration, described as dull aching with no constitutional symptoms. Physical examination findings were not classical for testicular torsion, he had scrotal exploration with bilateral orchidopexy. Conclusion Testicular torsion although common in neonatal and adolescent age groups can also present outside these age groups with uncommon symptoms and signs, a high index of suspicion is thus invaluable in any patient presenting with testicular pain despite the age and severity to avoid missing the diagnosis as this can lead to testicular loss.





2003 ◽  
Vol 15 (4) ◽  
pp. 144 ◽  
Author(s):  
Seong Sin Hong ◽  
Chull Wan Ihm ◽  
Moo Sam Lee


2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Emma Cole ◽  
Naomi Rahman ◽  
Roger Webb

This paper describes two cases of oral granular cell tumours with an atypical clinical presentation; both are in females aged between 45 and 63 years of age. Granular cell tumours are unusual soft tissue neoplasm of neural or Schwann cell origin. Oral GCTs usually present clinically as pink or yellow small sessile lesions. GCTs are usually benign in nature; however they can present in a malignant form in fewer than 2% of cases. In benign cases treatment is surgical and usually curative with extremely low recurrence rates.



Author(s):  
PH Lee ◽  
S Sutjipto ◽  
HF Lui ◽  
K Marimuthu ◽  
M Monghani ◽  
...  


Rheumatology ◽  
2019 ◽  
Vol 58 (Supplement_2) ◽  
Author(s):  
Sam Kant ◽  
Eric Gapud ◽  
Philip Seo ◽  
Rebecca Manno ◽  
Brendan Antiochos ◽  
...  




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