Therapeutic Challenge
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2022 ◽  
Wojciech Adamski ◽  
Kinga Adamska

The eyelid area poses a diagnostic and therapeutic challenge due to its specific anatomy. The eyelid is composed of skin, orbicularis muscle, tarsus, and the eyelid margin is continuous with palpebral conjunctiva. Among pigmented tumors, benign lesions such as epidermal or intradermal nevi, freckles, lentigo, or seborrheic keratosis are the most common. Melanoma is relatively rare in this location. A suspicious lesion may be biopsied or excised. Surgery in the eyelid area requires special considerations to maintain a safe surgical margin, vital function of the eyelid, and acceptable cosmetic effect due to the exposure of the eyelid region of the face.

2021 ◽  
Vol 92 ◽  
pp. 102623
Amel Kime ◽  
Claire Bréal ◽  
Anne-Ségolène Cottereau ◽  
Chloe Friedrich ◽  
Justine Decroocq ◽  

Brahim Nassour A. ◽  
Hissein Hagguir ◽  
Noel Mahoungou ◽  
Harouna Seydou ◽  
Fadoul Adam ◽  

Spontaneous psoas haematoma in patients on anti-coagulant therapy is a rare phenomenon. It poses a real diagnostic problem and a real therapeutic challenge. We report the case of a 51 year old patient, under anti-vitamin K (acenocoumarone) following a stenosante and tricuspid mitral plasty who presented with right lumbar pain radiating to the lower limb leading to functional impotence. Clinically, he was hemodynamically stable with a hematoma measuring 88x29 mm and extending to 161 mm. The ultrasound scan showed a large collection at the expense of the lumbar psoas muscle and the CT scan showed a swollen appearance of the right psoas muscle in its iliac portion. Management was conservative: discontinuation of anti-vitamin K, bed rest, antibiotic therapy, and monitoring (clinical, biological and radiological). The ultimate outcome was favourable.

Dennis Nurjadi ◽  
Quan Chanthalangsy ◽  
Elfi Zizmann ◽  
Vanessa Stuermer ◽  
Maximilian Moll ◽  

Staphylococcus aureus is one of most important pathogens in clinical medicine. Besides its virulence, the acquisition or emergence of resistance toward antibiotic agents, in particular to beta-lactam antibiotics (methicillin-resistant S. aureus [MRSA]), poses a major therapeutic challenge.

2021 ◽  
Vol 79 (3) ◽  
pp. 269-272
Gustavo Moreira Amorim ◽  
Ariel Córdova Rosa ◽  
Joana Buratto ◽  
Solange Emanuelle Volpato Steckert ◽  
Roberto Moreira Amorim Filho ◽  

Cutaneous plasmacytosis is a rare dermatosis that is classically characterized by the presence of multiple papules and reddish- -brown nodules mainly in the trunk. It most commonly affects elderly Asians, with few reports in Caucasians and young patients. On histopathology there is a polyclonal proliferation of mature plasm cells. The objective of this report is to present a case of atypical manifestation of this rare disease, both due to clinical and epidemiological aspects.

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