Priapism in childhood, although an uncommon event, generally is believed to be associated rarely with future impotence in adulthood. These beliefs may be a reflection of under-reporting or a lack of long-term followup. We present a case of a 23-year-old impotent man who had a history of priapism as an ...

Three of Freud's case histories are reviewed and reexamined from the perspective of modern psychodynamic thinking. The Dora case illuminates advances in our understanding of adolescent psychology and countertransference. The cases of the Rat Man and the Wolf-Man draw attention to our increased awareness since Freud of the importance of ...

We report the case of a 20-year-old man born with transposition of the great vessels who underwent emergency balloon septostomy and subsequently a Mustard procedure. When aged 20 years, he had several syncopal attacks due to sinoatrial disease for which he was simply and successfully paced transvenously in VVI mode.

A case of Pseudologia Fantastica is presented in a man charged with murder. Psychological assessment revealed him to be highly compliant and suggestible, consistent with early research (Healy and Healy, 1915) which showed pathological liars to be suggestible to misleading information. A specific dyslexic disorder is also demonstrated, and the ...

Achalasia secondary to malignancy is rare, with most cases associated with gastric adenocarcinoma of the gastroesophageal junction. This report describes the clinicopathologic features of a 64-year-old man found to have mesothelioma as the cause of secondary achalasia. To our knowledge, this is the first case of secondary achalasia produced by ...

A thirty year-old man with angio-immunoblastic lymphadenopathy (AILD) is presented. This is the first case recorded from Ethiopia, and few have been reported elsewhere in Africa. The patient presented with generalized lymphadenopathy, fever, weight loss, pruritus, skin rashes, anaemia, hepatomegaly and pulmonary infiltrates. Lymph node histology was typical of AILD. ...

Pterygium inversum unguis is a nail abnormality in which the distal aspect of the nail bed/hyponychium is adherent to the ventral surface of the nail plate, resulting in obliteration of the distal groove. We present a 50-year-old man who developed this abnormality on his right fingers and toes after a ...

Although hepatic involvement is common in all forms of amyloidosis, jaundice is infrequent and usually mild. We report a case of a 74-yr-old man with severe intrahepatic cholestasis and hepatic amyloid. The topography of amyloid deposition was unusual, in that deposits were confined predominantly to the portal tract. They appeared ...

A young man presented with swelling of his right arm and engorgement of the superficial veins over the shoulder. Bilateral upper limb venography was performed and confirmed the presence of thrombus in the right subclavian vein. Deep venous thrombosis (DVT) of the upper extremity is an unusual thrombotic event with ...

The case of a 33-year-old man with probable indomethacin retinopathy is presented. The relevant literature is reviewed and the differences between our case and those previously reported are noted. Our patient appears to have suffered severe and irreversible ocular damage due to the very high dose of indomethacin ingested over ...

Hyperactivity of muscarinic mechanisms may be involved in the patho-physiology of depressive disorders and stress. The literature emphasizes the impact of stress on aminergic networks and muscarinic mechanisms are generally not accorded a significant role in the neurobiology of stress. However, experiments in man and animals indicate that acute and ...

Pleomorphic xanthoastrocytoma has been described as a distinct clinicopathological entity with a relatively favourable prognosis. However, tumours closely resembling this entity have been shown to have the potential for aggressive behaviour, and to represent, on closer scrutiny, a number of disparate neoplasms. A case is described which, although otherwise typical ...

A nodule removed from the cecum of a 25-year-old Zairian man contained a degenerated adult nematode. The surrounding tissue contained larvae and eggs in various stages of cleavage. Eggs and larvae were indistinguishable from those of Angiostrongylus costaricensis. These morphological features are described. The diameter and cuticle, and the anatomic ...

A 19-year-old man was abruptly awakened during the night by the painful bite of a female sac spider, later identified as Chiracanthium mildei. An erythematous urticarial plaque formed immediately. Later, punctate macules appeared, and the bite site became indurated. The clinical response was similar to those reported following bites by ...

The clinical features of confirmed cases of black mamba snakebites in a 14-month-old child and a 34-year-old man are presented. The steps taken in management are described and reviewed. The importance of early aggressive treatment and general principles of mamba bite management are discussed. To date there has been no ...

Recent advances in orthopedic surgery have reawakened interest in the use of osteochondral allografts. A case is presented of a 32-year-old man who was spared a hemipelvectomy for a huge chondrosarcoma of the pelvis by receiving a massive pelvic allograft. This is apparently the first report of such a procedure ...

The case is described of a 68 year old man who was immunosuppressed as a result of receiving chemotherapy for small cell lung cancer and who presented with severe right thigh pain. This proved to be due to clostridial myonecrosis with none of the classical clinical features of clostridial infection. ...

A case is presented of a young man who complained of pain in the pectoral area secondary to empyema, which was not recognized. The patient subsequently died of Streptococcal sepsis. Empyema of the thorax is a well known suppurative disease of the chest. The incidence of empyema has declined dramatically ...

Two Japanese patients, a 29-year-old woman and a 21-year-old man, had typical eosinophilic pustular folliculitis characterized by pruritic, tiny, red, follicular papulopustules on the face and trunk and eosinophilia in the peripheral blood. The second patient also had palmoplantar pustular lesions. A review of the literature revealed that this folliculitis ...

A case is described of a mixed manually dominant man with a right parietal infarction who demonstrated reversals in object manipulation. Although mirror reversals in parietal lobe dysfunction and right-left spatial reversal in conjunction with mirror writing have been reported previously, object and spatial reversal to this extent has not ...

Derived from postmortem dissections, early descriptions of a muscle belly in the palm that served the index finger in the manner of the flexor digitorum superficialis were published by MacAlister (1868), Graper (1917), and Mainland (1927). In the English literature, we have found reports on only 15 clinical cases that ...

A 44-year-old man had mycosis fungoides and generalized plaque disease involving 80% of his skin surface with diffuse lymphadenopathy and alopecia of the scalp and groin. In addition, distal to the wrist, there were sclerodermatous changes involving the skin of the hands with associated sclerodactyly of all digits with loss ...

Man-bait catches of Phlebotomus perniciosus were carried out in a human and canine leishmaniasis focus in Central Italy (Monte Argentario, Grosseto) to evaluate the man-sandfly contact of this vector. P. perniciosus females were collected biting on man outside, during the first hours of the night, when the local people are ...

Viral lymphadenitis may lead to a histological appearance that can simulate malignancy. The histological features of herpes simplex lymphadenitis have not previously been described in detail. We report a case of proved herpes simplex lymphadenitis in a 30 year old man which was characterised by a pronounced proliferation of immunoblasts. ...

A 20-year-old Coloured man gave a history of atypical chest pain, palpitations after strenuous exercise and a single episode of post-exertional presyncope. The diagnosis of hypertrophic non-obstructive apical cardiomyopathy (HNOAC) was established by means of electrocardiography, echocardiography (both M-mode and two-dimensional) and left ventricular cineangiography. This variant of hypertrophic cardiomyopathy ...

Hypermasculine character styles are commonly encountered in clinical practice, popular media imagery and, indeed, in everyday life. Such "hypermasculinity" is readily recognized as an exaggeration and distortion of traditionally masculine traits, and has been studied by Adler (1923), Freud (1937), Reich (1949), Ovesey (1969), and Stoller and Herdt (1982), among ...

A 51-year-old man had excruciating pains in the left arm and chest approximately four weeks after ingestion of live loaches. Eosinophilia, eosinophilic pleocytosis in the CSF, and a high serum IgE level were noted. Skin tests and antigen-antibody reactions were positive for Gnathostoma infection. His clinical signs and symptoms ameliorated ...

It is not well recognized that a small but significant proportion of extracardiac adult rhabdomyomas have occurred multifocally. The present example of a 60-year-old man with adult rhabdomyomas of the larynx and submandibular region is the seventh multifocal case out of approximately sixty adult rhabdomyomas reported in the literature. Previously ...

Unilateral hemichorea-hemiballismus developed suddenly in a 60-year-old man. Computed tomography revealed a small area of low density in the region of the left anterior limb of the internal capsule and the head of the caudate nucleus which was consistent with a lacunar infarction. Haloperidol gradually abolished the symptoms within 7 ...

This paper seeks to present information on apotemnophilia. It points out the need of a man to have a healthy leg amputated, despite the fact that he cannot find a surgeon who will do so. By writing this paper, the author hopes to bring to light the characteristics underlying such ...

A new case of infection with Brugia sp. is recorded from Northern Ohio, increasing the geographical range of this zoonosis, known previously in New England, New York and New Jersey. The patient, a 53-year-old man, had a 7-year history of malignant fibrous histiocytoma of the spermatic cord, for which he ...

We present the case of a 28-year-old man being treated with Nardil for chronic depression who developed a hypertensive crisis and a severe occipital headache one hour after ingesting an over-the-counter appetite suppressant. The adverse reactions between MAO inhibitors and phenylpropanolamine and discussed, as are the dangers of using Demerol ...

Freud's case study of an obsessive young man, published in 1909, has provided the foundation for the psychoanalytic understanding of obsessive illness. Freud reported the case in Oedipal terms, viewing the patient's symptoms as arising from his fear of castration by his father as punishment for his sexual desires. Freud's ...

A 67-year-old man with persistent haemoptysis was found to have primary choriocarcinoma of the lung. Only previous cases were found in the international literature. Hyperprolanuria B would seem to be the most important factor for early diagnosis. The recommended treatment is surgery in accordance with the oncologic criteria for bronchopulmonary ...

The case of a very young man with Prinzmetal's variant angina and a normal coronary arteriogram is described. While in the hospital for diagnosis, he experienced severe chest pain accompanied by transient ST segment elevation. After intravenous administration of Ergonovine Maleate (0.4 mg), spastic obstruction of the right coronary artery ...

A case of a 56-year-old man who underwent gastrectomy and subsequent orchiectomy for extraskeletal plasmacytoma is reported. The recorded case is unique in that a plasmacytoma developed in two unusual sites and in contrast to the poor prognosis observed in most cases, the patient is well 4 years after initial ...

Sarcocystis was identified in biopsy specimens of skeletal muscle from two adults in Singapore and one in Bombay, and in muscle obtained at autopsy from an adult in Uganda, and in the heart of a child in Costa Rica. Review of case reports revealed that in seven reported cases, including ...

The potential for lead to cause neoplasm in animals and man is reviewed. A multitude of studies indicate that principally renal tumours may be produced by various forms of inorganic lead in small rodents. No human study either of an epidemiological form or of a case report in industrial, agricultural ...

Melanosis of the choroid plexus, ependyma, subependymal neuroglia of the fourth ventricle, and dentate and trigeminal motor nuclei was found in a 50-year-old man who died with cor pulmonale, hypertensive cardiovascular disease, and intracerebral hemorrhage. This case is the first known example of melanosis not associated with neurocutaneous melanosis to ...

Malignant degeneration in a juvenile nasopharyngeal angiofibroma has been reported in the literature in only four patients. All of these persons had been previously treated for cure with gamma irradiation. The case report of a 47-year-old man with a 31-year history of nasal obstruction is presented. A recurrence excised 18 ...

Described is the case of a 30-year-old black man with a history of acute pansinusitus, headaches, and intermittent right nasal stuffiness. The history, clinical signs and symptoms, and roentgenographic findings were consistent with the diagnosis of a transantral complex odontoma. Finding of this entity is extremely rare in this region.

A 62-year-old man had a long-standing fungal infection of the face. The eruption had been treated as a photosensitivity disorder for 22 years. A literature review revealed only 35 reported cases classified as tinea faciei, most of which also were misdiagnosed originally. Pertinent clinical findings include facila erythema, pruritus, and ...

In two out of three cases of idiopathic fibrosis of the mediastinum there was also retroperitoneal fibrosis, and in one of them extensive fibrosis of the lungs. One of these, a fit middle-aged man, died suddenly with severe coronary artery stenosis due to fibrosis. The third case was that of ...

This report describes the case of a patient with a supraventricular tachycardia with a ventricular rate of 109/min and no visible P waves in the electrocardiogram. The recording of the monophasic action potential of the right atrium disclosed an atrial tachycardia with a rate of 218/min. There was an alternans ...

Diseases of man and animals associated with foodstuffs contaminated by molds have been known for centuries, but only recently have mycotoxicoses been recognized as a significant hazard to man. A detailed review of the literature involving the major mycotoxin-producing fungi is presented. Because of their hazards to both human and ...

An adult worm was isolated from the left upper eyelid of a man, eight years after he had left an area in which L loa is endemic. We described his case in order to draw attention to some differences between reported features of the disease in areas in which the ...

Two case reports add to the rare recorded instances of infection of man and other animals by Phoma or Phoma-like molds. Phoma cava was consistently cultured from aural dermatitis of a white-tailed deer (Odocoileus virginianus), and tissue sections of the ear revealed fragments of apparent pycnidial walls, as well as ...

In Africa trichinosis is essentially a disease of wild carnivores. Once established in a suilline cycle it becomes a more important threat to man. The results of tests on 8,000 specimens of 20 wildlife species in the Kruger National Park are discussed and the epizootiology of trichinosis in South Africa ...

Although nasopharyngeal angiofibromas usually occur during puberty and adolescence, thus being considered as juvenile, very rare documented reports describe this condition in old persons. The case of a 62-year-old man with a nasopharyngeal angiofibroma successfully resected is presented. It was the only lesion found in an old individual among 283 ...

The case of a very young man with Prinzmetal's variant angina and a normal coronary arteriogram is described. While in the hospital for diagnosis, he experienced severe chest pain accompanied by transient ST segment elevation. After intravenous administration of Ergonovine Maleate (0.4 mg), spastic obstruction of the right coronary artery ...