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Gonçalves Joana J Radiotherapy Department, Instituto Português de Oncologia do Porto de Francisco Gentil, E.P.E, - - 2014
Granulocytic sarcomas are rare tumors that can present in innumerous locations; thus there is very little clinical experience with these cases. Therefore there is no consensus on which is the best treatment for patients with this malignancy. The authors present a case of a female with a granulocytic sarcoma of ...
Sekiguchi Yasunobu Y Department of Hematology, Juntendo University Urayasu Hospital, 1-1, 2-chome, Tomioka, Urayasu, Chiba - - 2014
A 78-year-old man was diagnosed as having advanced symptomatic IgG multiple myeloma in June 2008. Melphalan-prednisolone therapy was effective, however, relapse occurred in January 2011 after 21 courses of melphalan-prednisolone therapy. Addition of bortezomib and dexamethasone led to partial remission, but the treatment needed to be discontinued due to autonomic ...
Bonares Michael J MJ The Keenan Research Centre for Biomedical Science, Li Ka Shing Knowledge Institute, St. Michael's Hospital Toronto, Ontario, - - 2014
To systematically review the literature on the neuropsychological, psychosocial, and functional profiles of patients with unruptured intracranial aneurysms. This review was limited to peer-reviewed research articles that reported cognitive, psychosocial, and/or functional profiles of patients with unruptured intracranial aneurysms. Studies were identified through Medline and PsychINFO by searching "(unruptured [intracranial ...
Sendur Mehmet A N MA Department of Medical Oncology, Ankara Numune Education and Research Hospital, Ankara, - - 2014
Bevacizumab is a recombinant humanized monoclonal antibody that selectively blocks the activity of vascular endothelial growth factor (VEGF) receptor and it is used in metastatic colorectal patients. We present here a case of fatal necrotizing fasciitis in a patient during bevacizumab treatment for colorectal cancer. In our review of the ...
Bakhsh Wajeeh R WR Department of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, - - 2014
Mycobacterium kansasii is an acid-fast bacillus most commonly associated with pulmonary pathology. Infection of the spine is exceedingly rare, with just three reported cases, two of which were in human immunodeficiency virus and acquired immunodeficiency syndrome patients. This case report presents a case of vertebral osteomyelitis secondary to M. kansasii ...
Wilson Clare M CM Department of Visual Neuroscience, UCL Institute of Ophthalmology, London, UK Department of Ophthalmology, Whipps Cross University Hospital, Barts Health, London, - - 2014
Concurrent bilateral keratoconus and granular dystrophy is reported in a 32-year-old patient with decreased vision. Initially contact lenses were attempted unsuccessfully to treat the conditions. There are a handful of other reports of these combined pathologies in the literature, and the likelihood of a chance cause or possible genetic linkage ...
Abdi Amin A Department of Emergency Medicine, Los Angeles County + University of Southern California Medical Center, 1200 N. State Street, Suite 1011, Los Angeles, CA 90033, - - 2014
A vascular pseudoaneurysm can present similarly to an abscess; yet incision and drainage of a pseudoaneurysm can lead to uncontrolled bleeding and expose the patient to further morbidity. This is a case of a patient with a forehead pseudoaneurysm who presented to our emergency room after blunt head trauma. Here ...
Cudziło Dorota D Poradnia Ortodontyczna dla Dzieci, ul. M. Kasprzaka 17a, 01-211 Warszawa, - - 2014
This paper presents the case of a patient with a visible scar indicating the occurrence of a cleft lip in the past. Anamnestic examination ruled out any facial surgery having been performed on the child and the parents confirmed the existence of the scar from birth. Intraoral examination revealed hypodontia ...
Zoia Cesare C 0000-0001-7304-6120 Department of Neurosurgery, IRCCS Fondazione Policlinico San Matteo, Viale Golgi 19, 27100 Pavia, - - 2014
Objective. Craniopharyngioma is a rare tumour, and, consequently, acute clinical presentation and diagnosis, during pregnancy, of this pathology are quite difficult to find. Only few cases are reported in the literature, and no one describes these two conditions in association. Methods. We report a particular case of craniopharyngioma presenting both ...
Neagoe Radu Mircea RM Second Department of General Surgery, Mures Emergency County Hospital, Tirgu Mures, Romania; - - 2014
In the last decade, the clinical picture of primary hyperparathyroidism has changed, with the majority of patients being diagnosed while asymptomatic and the "classical" clinical pattern characterized by bone disease, recurrent nephrolithiasis, peptic ulcer disease, neurological or psychiatric disorders being rarely encountered. In this context, most patients have minimal hypercalcemia ...
Hogendorf Anna A Department of Pediatrics, Oncology, Hematology and Diabetology, Medical university of Lodz, 36/50 Sporna St. 91-738 Lodz, Poland, phone +48 505-979-152, +48 42 617-77-50, fax: +48 42 617 77 98, e-mail: - - 2014
Factor XIII (FXIII) deficiency is a rare, inherited or acquired coagulation disorder that potentially precipitates fatal haemorrhage. We report two consecutive pediatric patients with Henoch-Schönlein purpura (HSP) and symptomatic decrease in FXIII. The possible FXIII deficiency should be kept in mind by every doctor taking care of patients with HSP, ...
Koç Nagihan N Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Hacettepe University, Sihhiye, 06100 Ankara, - - 2014
Congenital absence of maxillary permanent canines is an extremely rare condition, which may appear as part of a syndrome or as a nonsyndromic form. Nonsyndromic canine agenesis combined with other types of tooth agenesis has occasionally been described in the literature but isolated cases are rarely observed. This report presents ...
Bunch Kristen K 0000-0003-4203-9491 Department of Gynecologic Oncology, Walter Reed National Military Medical Center, Bethesda, MD 20889, - - 2014
Peroneal nerve palsy is an infrequent but potential complication of childbirth. Bilateral peroneal palsy is particularly rare following delivery with few reported cases. A 38-year-old gravida 1, para 0 underwent a prolonged second stage of labor, was diagnosed with an arrest of descent, and subsequently underwent an uncomplicated primary cesarean ...
Fuentes Pastor Javier J Service of Urology, Marqués de Valdecilla University Hospital, Faculty of Medicine, University of Cantabria, Santander, - - 2014
Urinary tract endometriosis and endocervicosis are an uncommon pathologic finding, with a common embryological origin. We present 2 cases of female patients with bladder mass. The first one was a finding of a nodular formation in the bladder during study of a nonviable foetus and the second was an incidental ...
Zhang Chao C Xuanwu Hospital, and Institute of Vascular Surgery, Capital Medical University, Beijing, China. - - 2014
Tuberculous pseudoaneurysm of the aorta is rare and exposes patients to a very high risk of unpredictable rupture. To our best knowledge, only 32 cases have been reported related to all arterial systems from 1993 to 2013 in the literature. We report a 44-year-old male who presented with an aortic ...
Kökoğlu Kerem K Department of Otolaryngology, Faculty of Medicine, Erciyes University, 38039 Kayseri, - - 2014
Laryngeal chondrosarcoma (CS) is a very rare entity. It is usually seen in 50-80-year olds. It is developed from cricoid cartilage largely. Patients have laryngeal CS complaint of respiratuvar distress, dysphonia, and dysphagia generally. A submucous mass is usually seen in physical examination with an intact mucosa. Distant metastasis is ...
Henry Christopher R CR Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, - - 2014
A case of Staphylococcus caprae endophthalmitis in a young patient following pars plana vitrectomy for symptomatic vitreous floaters is reported here. Recent literature suggests that there is an increasing trend of performing pars plana vitrectomy for symptomatic floaters. Although rare, the potential risk of endophthalmitis should be explicitly discussed with ...
Wu Chou Ana Isabel AI Department of Psychiatry, Wan-Fang Hospital, Taipei Medical University, Taipei, - - 2014
Clozapine is an effective antipsychotic drug but is associated with serious side effects. Most treatment guidelines give no clear recommendations on regular monitoring of liver function tests, even though up to 60% of patients experience elevations in hepatic transaminases, with 15% to 30% experiencing an elevation two to three times ...
Jalalat Sheila Z - - 2014
Alopecia areata is thought to be a T-cell mediated and cytokine mediated autoimmune disease that results in non-scarring hair loss. Poliosis has been described as a localized depigmentation of hair caused by a deficiency of melanin in hair follicles. A 57-year-old man with a history of alopecia areata developed white ...
Matzaroglou Charalampos C Department of Orthopaedic Surgery, University of Patras, - - 2014
The three major causes of vertebral body collapse include infection, malignant neoplasia, and trauma and it may be difficult to distinguish between them, particularly in the presence of severe osteoporosis. In 1891, however, Dr Hermann Kümmell, further added another possibility of vertebral body crush; the delayed posttraumatic collapse. As originally ...
Huerter Mary E ME Department of Surgery, University of Illinois at Chicago, Chicago, - - 2014
Angiomatoid fibrous histiocytoma (AFH) is a rare soft-tissue tumor with intermediate malignant potential. It most commonly occurs in children and young adults. We report a case of a recurrent AFH of the back, locally recurring within 14 months of the original operation. We also review the literature for this uncommon ...
Fiengo Leslie L Department of Surgical Sciences, Policlinico Umberto I, Sapienza University of Rome, Rome, - - 2014
Cardiac echinococcus is a rare affliction of the heart caused by the tapeworm Echinococcus granulosus. Primary echinococcosis of the heart represents 0.5-2% of all hydatid disease cases in endemic regions. It evolves slowly, explaining its rarity in children. We report the case of a 11-year-old child affected by a giant ...
Zielinska Patrycja P 0000-0003-2356-5090 Department of Hematology and Bone Marrow Transplantation, Medical University of Silesia, Dabrowskiego 25, 40-032 Katowice, - - 2014
Chronic lymphocytic leukemia (CLL) is the most common adult leukemia in the Western world. Host immune surveillance caused mainly by the disease itself is speculated to be responsible for high incidence of secondary neoplasms. However, the simultaneous occurrence of CLL and myeloproliferative disorder in the same patient is extremely rare. ...
Souiki Tarik T School of medicine and pharmacy of Fez, Sidi Mohammed Ben Abdellah University, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 Morocco ; Department of surgery, University Hospital Hassan II, BP: 1893, km 2.200, route de Sidi Hrazem, Fez, 30000 - - 2014
We describe here the case of a 62-year-old man with acute abdominal syndrome and severe hemorrhagic shock following successful thrombolysis for acute cardiac infarction. Emergency surgical exploration revealed extensive intraperitoneal and retroperitoneal hemorrhage resulting from the rupture of a large adrenal tumor. The diagnosis of pheochromocytoma was confirmed by histological ...
Naprawa Grzegorz G Department of Internal Medicine, Specialist Hospital, Szczecin-Zdunowo, - - 2014
Zenker's diverticulum (ZD), an acquired false pharyngoesophageal diverticulum, is a rare pathology. The prevalence of ZD among the general population is believed to be between 0.01% and 0.11%. Most patients are elderly men with symptoms of dysphagia. The most common treatments are open surgical diverticulectomy with or without cricopharyngeal myotomy ...
Kaneko Shunta S Division of Rheumatic Diseases, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku, Tokyo, 162-8655 - - 2014
Rheumatoid arthritis (RA) is a systemic autoimmune inflammatory disorder that primarily affects the synovial joints. Rheumatoid vasculitis (RV) is an extra-articular manifestation of RA, and its association with aortitis is rare and not widely recognised. Here, we report the case of a 69-year-old woman with RA-associated aortitis and review the ...
Sabir Numaera N Department of Trauma and Orthopaedics, Blackpool Victoria Hospital, Blackpool, UK , Institute of Inflammation and Repair, The University of Manchester, Manchester, - - 2014
We present an unusual case of tardy posterior interosseous nerve palsy in a female patient following total elbow arthroplasty for rheumatoid arthritis. The patient was neurologically intact immediately following surgery but developed loss of active finger and thumb extension within 12 hours following surgery. Expectant management was adapted. The palsy ...
Madabhavi Irappa I Department of Medical and Pediatric Oncology, GCRI, Ahmedabad, Gujarat, - - 2014
Esophageal lymphoma is a rare condition, accounting for less than 1% of all gastrointestinal lymphomas. Primary extra nodal esophageal lymphoma constitutes less than 0.2% cases of the total esophageal lymphomas. The definition of primary GI lymphoma has differed among authors. The etiology of the disease is unknown, with the role ...
Elbalal Moawia M Gezira Centre for GIT endoscopy & laparoscopic surgery, Wad Medani, - - 2014
The pharyngeal pouch (Zenker's diverticulum) is a diverticulum of the mucosa of the pharynx, just above the cricopharyngeal muscle (i.e. above the upper sphincter of the oesophagus). It occurs commonly in elderly patients (over 70 year) and the typical symptoms include dysphagia, regurgitation, chronic cough, aspiration and weight loss. We ...
Mosholt Karina Sif Søndergaard KS Urological Department, Roskilde Hospital, Roskilde, - - 2014
Eosinophilic cystitis (EC) is a rare disease. We describe three cases, where presentations of the disease are similar. To highlight probable causes of the disease, symptoms, clinical findings and treatment modalities, we reviewed 56 cases over a 10-year period. The most common symptoms were frequency, dysuria, urgency, pain and haematuria. ...
Kurahara David D Department of Pediatrics, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI, - - 2014
We describe a possible association between pulmonary hemosiderosis (PH) and a history of bronchopulmonary dysplasia (BPD). Both patients were born at 28-week gestation and presented with PH at ages 22 months and 6 years, respectively. Both initially presented with cough and tachypnea, and bronchoalveolar lavage showed evidence of hemosiderin-laden macrophages. ...
Gera Kamal K Department of Respiratory Medicine, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, - - 2014
Cavitation in pulmonary sarcoidosis is rather unusual and even rarer in the alveolar form of the disease. A review of the literature revealed only 13 documented patients with cavitating alveolar sarcoidosis. Of the 13 patients, clinical information was available in only eight cases. Aspergilloma complicating cavitary alveolar sarcoidosis has been ...
Jazaerly Tarek T Address: Department of Pathology, University of Texas MD Anderson Cancer Center, TX, - - 2014
Sebaceous lymphadenoma (SLA) is a rare benign tumor of the salivary gland that commonly arises in the parotid gland in adults. It is rarely diagnosed correctly preoperatively. In addition, to the best of our knowledge, SLA has not been described yet in the literature in association with Cowden's syndrome (CS). ...
Visnjevac Ognjen O Departments of Anesthesiology, Critical Care, and Surgery, University at Buffalo, Buffalo, New York, - - 2014
Massive thrombotic intraoperative pulmonary emboli (IOPE) is rare but carries a great degree of morbidity and mortality. This is the first study to formally assess the utility of various tools for the diagnosis of these events and the impact of each tool on mortality. Due to both the infrequent occurrence ...
Garg Bhavna - - 2014
A solid pseudopapillary tumour of the pancreas (SPT) is a rare neoplasm accounting for less than 2% of exocrine pancreatic neoplasms. SPT occurs in adolescent young females and is mostly benign. It is a low-grade malignant tumour that may evolve years before symptoms start and has a favourable prognosis. In ...
Yang Yu-Qiong YQ Department of Hematology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital Nanjing 210029, - - 2014
Hydroa vacciniforme-like lymphoma (HVLL) is an extremely rare lymphoma described in children that occurs mainly in Asia and Latin American countries. It is an Epstein-Barr virus (EBV)-positive lymphoproliferative disease (LPD) characterized by a monoclonal proliferation of T or NK cells. In this study, we report the clinical and pathological features ...
Barritt Andrew W AW Hurstwood Park Neurosciences Centre, Haywards Heath, West Sussex RH16 4EX, - - 2014
We present the case of a 16-year-old girl who suffered from repeated episodes of collapse and loss of consciousness which could be provoked by undertaking a stretching manoeuvre comprising a combined breath hold and neck torsion. A review of the literature is provided on other cases of so-called "stretch syncope" ...
Bozkurt Aliseydi A Urology Department, Erzincan University, Mengücek Gazi Training and Research Hospital, Basbaglar Mahallesi, 1430 Sokak, 24000 Erzincan, - - 2014
Clean intermittent self-catheterization is the standard method for bladder evacuation in these patients today. The patient was diagnosed with urethrogluteal fistula and gluteal-perineal abscess by radiological evaluation. Gluteal drainage decreased after cystostomy. In our paper, a case of urethrogluteal fistula and pelvic urinoma that developed as a result of the ...
Singh Rishi P RP *Department of Ophthalmology, Cole Eye Institute, Cleveland Clinic, Cleveland, Ohio; and †California Retina Consultants, Santa Barbara, - - 2014
This report presents a case of metastatic carcinoma to the retina. Retrospective chart review and systematic literature review. The patient was a 78-year-old man with history of small-cell lung cancer and with the development of metastatic carcinoma to the retina. The review of this case and previous literature reveals that ...
Randhawa Sandeep S Kaiser Permanente Medical Center, Roseville, - - 2014
To report a case of bilateral multifocal serous detachments as the presenting sign of thrombotic thrombocytopenic purpura. Observational case report. A 59-year-old woman presented with decreased vision and was found to have bilateral multifocal serous detachments. Her review of symptoms prompted further investigations that revealed evidence of acute intravascular hemolysis, ...
Ozel Coskun Banu Demet BD Department of Gastroenterology, Kayseri Training and Research Hospital, Kayseri, - - 2014
Background Terlipressin is a synthetic vasopressin analogue that is used in the treatment of bleeding esophageal varices and hepatorenal syndrome in patients with cirrhosis. Serious ischemic adverse events, such as skin necrosis involving the extremities, scrotum, trunk, and abdominal skin, are rarely observed. In the literature to date, 20 cases ...
Liu Jia J Neurologische Klinik, Klinikum der Universität München, 81377 München, - - 2014
Neuroacanthocytosis (NA) syndromes are a group of rare diseases characterized by the presence of acanthocytes and neuronal multisystem pathology, including chorea-acanthocytosis (ChAc), McLeod syndrome (MLS), Huntington's disease-like 2 (HDL-2), and pantothenate kinase-associated neurodegeneration (PKAN). China has the largest population in the world, which makes it a good location for investigating ...
Smith Howard S HS Department of Anesthesiology, Albany Medical College, Albany, NY, - - 2014
Patients requiring chronic opioid therapy may not respond to or tolerate the first opioid prescribed to them, necessitating rotation to another opioid. They may also require dose increases for a number of reasons, including worsening disease and increased pain. Dose escalation to restore analgesia using the primary opioid may lead ...
St Louis Erik K EK Mayo Center for Sleep Medicine, Division of Pulmonary and Critical Care Medicine, Mayo Clinic , Rochester, MN , USA ; Section of Sleep Neurology, Mayo Clinic , Rochester, MN , USA ; Department of Neurology, Mayo Clinic , Rochester, MN , USA ; Department of Medicine, Mayo Clinic , Rochester, MN , USA ; Sleep Clinical Research Unit Laboratory, Mayo Clinic Hospital, Mayo Clinic , Rochester, MN , - - 2014
Chiari malformation (CM) type-1 frequently causes obstructive or central sleep-disordered breathing (SDB) in both adults and children, although SDB is relatively rare as a presenting manifestation in the absence of other neurological symptoms. The definitive treatment of symptomatic CM is surgical decompression. We report a case that is, to our ...
Mantas D D 2nd Department of Propedeutic Surgery, Medical School, Athens University, Laiko General Hospital, Athens, Greece - - 2014
Paragangliomas are rare neuroendocrine neoplasms originating from the embryological neural crest. In most cases, they exhibit a benign behavior. Here we report a case of a small symptomatic para-aortic paraganglioma, which was completely removed surgically and a review of the available literature regarding the optimal follow-up of a benign paraganglioma, ...
Prasad Kajal K Department of Medicine, PGIMER and Dr RML Hospital, New Delhi, - - 2014
Incidental discovery or diagnosis of Rheumatoid Arthritis where the patient remains blissfully unaware of his affection is a rare occurrence. We present the case of a telephone wireman in whom Rheumatoid Arthritis neither affected his activities of daily living nor caused any deformity to develop. It remained asymptomatic till its ...
Tung Chen Y Y Department of Internal Medicine , University and Polytechnic Hospital of la Fe , Valencia , - - 2014
Necrotising fasciitis (NF) is a rare infection of the subcutaneous tissue, known to be rapidly progressive and potentially fatal. Patients with systemic lupus erythematosus (SLE) may be predisposed to this condition, and early clinical recognition can be difficult. We report a case of necrotising fasciitis in a 26-year-old woman with ...
Gonzalez Andres A 0000-0003-4389-8271 College of Medicine, University of Florida, 1600 SW Archer Road, Gainesville, FL 32610-0284, - - 2014
Purpose. To describe a case of postoperative scleritis caused by a novel strain of Nocardia resistant to linezolid and trimethoprim-sulfamethoxazole (TMP-SMX). Methods. Case report of a patient with microbiologically proven scleritis due to Nocardia asteroides. Results. The patient presented with pain, redness, and nodules on the sclera three months following ...
Wang Qinying Q Department of Otolaryngology, The First Affiliated Hospital, College of Medicine, Zhejiang University Hangzhou, Zhejiang, P. R. - - 2014
Amyloidosis is a spectrum of diseases characterized by abnormal extracellular accumulation of proteinaceous material; its precise etiology still remains unclear. It may affect multiple organs, of which the commonest sites are larynx, bronchus and kidney. Laryngeal amyloidosis is usually a localized phenomenon rarely associated with systemic involvement, here we report ...
Kathrotia Amit A Department of Cardiology, Heartland Regional Medical Center, Saint Joseph, - - 2014
Background Although pericardial effusion with afib is not rare, the combination of purulent pericardial effusion presenting as afib is not a common occurrence particularly in the developing world.The more common symptoms associated with purulent pericardial effusion are fever, dyspenia, and tachycardia. Without prompt recognition followed by antibiotics and surgical drainage, ...
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