scholarly journals Case Reports of a New Method for Differential Diagnosis of Calcified Carotid Artery Atheroma

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Guilherme Augusto Alves de Oliveira ◽  
Cleiterson Rezende de Sá ◽  
Omar Ribeiro Santos Junior ◽  
Rafael Pereira da Mata Santos ◽  
Flávio Ricardo Manzi

Introduction. Early diagnosis of calcified atheromas may decrease morbidity and mortality caused by brain and cardiovascular diseases, in which atherosclerosis is the main etiological factor of these pathologies. Dental examinations with the aim of detecting this pathology have been in progress since 1981, such as panoramic radiography, considered the most widely studied method for this diagnosis. However, some limitations of this exam have been reported with reference to inability to visualize the cervical region and difficulty of establishing a precise diagnosis because of many structures and calcifications that have similar radiographic characteristics. Case Report. The present study to describe a dental radiographic technique for establishing the differential diagnosis of calcified atheromas regarding other calcifications and reporting 3 clinical cases that demonstrate its effectiveness in different clinical situations. Discussion. Manzi Projection can promote a differential diagnosis of calcified atheromas in dental practice and consequently subsidize the clinician for referring the patient to the physician.

Author(s):  
Leonardo Bonini Fischetti ◽  
Julia Zaccarelli Magalhães ◽  
André Rinaldi Fukushima ◽  
Paula Waziry ◽  
Esther Lopes Ricci

Kabuki Syndrome is rare and poorly documented, initially mentioned by Niikawa and Kuroki in 1981. The prevalence of the syndrome among live births is 1:32,000. Case reports are now available, which correlates to improved techniques for accurate diagnosis. This study focused on a systematic comparative review of the phenotypes of individuals with Kabuki Syndrome, with the purpose to facilitate diagnosis. The systematic review was done with a bibliographic survey of case studies using the following databases: Pubmed, Science Direct and Google Scholar, in conjunction with the following key-words: Kabuki syndrome, phenotype, KMT2D and case report. The literature shows that patients with this syndrome present five main characteristics, besides several types of secondary phenotypes. These characteristics present variations in permeability as well as expressivity of some genes in individuals, therefore, a characterization through phenotype alone becomes limited, making it necessary to perform genetic analysis for differential diagnosis. In order to increase the knowledge and elucidate mechanisms of Kabuki syndrome, we suggest further studies that utilize animal models.


Author(s):  
Nadeem Jimidar ◽  
Patrick Lauwers ◽  
Emmanuela Govaerts ◽  
Marc Claeys

Abstract Background Hamman’s sign is a rare phenomenon. Louis Hamman described this pathognomonic clicking chest noise in association with pneumomediastinum in 1937. This typical noise can also be present in left-sided pneumothorax. Clinical cases already mention this pericardial knock in 1918 in gunshot wounds of the left chest and in 1928 in cases of spontaneous left-sided pneumothorax. However, the sound itself has only rarely been recorded. Case summary We describe a case of a young man with no significant medical history who was referred to the hospital with chest pain and audible clicks, documented with his smartphone. Imaging studies including chest radiograph and computed tomography scan revealed a left-sided pneumothorax. The patient underwent semi-urgent insertion of a thorax drain. His clinical outcome was excellent. Discussion In recent years only a few case reports describe Hamman’s sign, as it is rare and happens only transiently. This case report includes the audible clicks recorded by the patient with his smartphone. We stress the importance of thoracic clicking sounds as key symptom in the differential diagnosis of left-sided pneumothorax, pneumomediastinum, and valvular pathology such as mitral valve prolapse.


Author(s):  
Maria M. Suarez-Cunqueiro ◽  
Jürgen Duker ◽  
Niels Liebehenschel ◽  
Ralf Schön ◽  
Rainer Schmelzeisen

2017 ◽  
Vol 20 (1) ◽  
pp. 110
Author(s):  
Nattália Di Lanaro ◽  
Khawana Faker ◽  
Viviane Andrade Cancio Paula ◽  
Mônica Almeida Tostes

<p><strong>Objective: </strong>The aim of this study is<strong> </strong>to report a case of aesthetic and prosthetic rehabilitation of a male 6-year-old patient diagnosed with Hipohidrotic Ectodermal Dysplasia, attended at the clinic of special patients held in the extension project of the Federal Fluminense University. <strong>Methods: </strong>This is a clinical, observational and descriptive study where the restorative and rehabilitative treatment was conducted and reported corresponding to the functional and aesthetic needs of the patient. <strong>Results: </strong>It was  realized the reconstruction of the anatomical shape of the teeth 51 and 61 and also was made a partial removable prosthesis to cover the absence of the teeth 71, 72, 74, 81 and 82, offering function, aesthetics and satisfaction reported by the patient. <strong>Conclusion: </strong>This case reports contributed to the increase of knowledge about the forms of Ectodermal Dysplasia on the importance of the differential diagnosis of the same, as well as to the teaching of the extension project of undergraduate students.</p>


2018 ◽  
Vol 26 (1) ◽  
pp. 76-78
Author(s):  
Soumyajit Das ◽  
Subhasish Mukherjee ◽  
Barun Sharma ◽  
Subash Tamang

Introduction Nuchal fibroma or collagenosis nuchae is a rare benign tumour. It is a slow growing neoplasia of unknown etiogenesis, asymptomatic and of variegated histology. They are more common in males but our case was a female patient. The presentation may mimic sarcoma at times. Case Report An unusual case of a very large neck mass in a 62 years old female patient is reported. The growth involved the dorso-cervical region over a period of approximately 8  years but remained asymptomatic. The mass was excised and post excision histopathology was reported as nuchal fibroma. Discussion The case reported is large compared to the usual size of nuchal fibroma. Association with diabetes mellitus and Gardner’s syndrome has been reported in literature. MRI is the imaging of choice to establish the differential diagnosis.


1970 ◽  
Vol 11 (2) ◽  
Author(s):  
Aasha Gill MBBS ◽  
Naeem Dean MBBS ◽  
Rany Al-Agha MD

Dilated cardiomyopathy(DC) is a rare complication of Cushing ’s syndrome. Hypertension and coronary artery disease tend to persist even after treatment of source of hypercortisolism as evidenced by previous studies. Based on a few case reports, Dilated Cardiomyopathy appears to be completely reversible with treatment of Cushing’s. We suggest that, in patients with idiopathic dilated cardiomyopathy, Cushing’s syndrome should be considered in the differential diagnosis. In patients with clinical features of Cushing’s, appropriate screening tests for Cushing’s should be carried out, which are inexpensive, non-invasive and readily available.


F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 509
Author(s):  
Maria Qadri ◽  
Qurban Hussain Sheikh ◽  
Mir Tahir Hussain Talpur ◽  
Uzair Yaqoob ◽  
Khalil Ullah Shabbir

Cutaneous tuberculosis (TB) can present in a number of ways, making it difficult to diagnose. It most commonly presents as scrofuloderma, which commonly affects the supra-clavicular region, axilla and the cervical region. All the different presentations of cutaneous TB should be known to clinicians, in order to diagnose it early. The objective of this article is to describe a case of scrofuloderma presenting with different cutaneous lesions at the same time, which were culture negative. We present a 23-year-old male with no known co-morbidities, presenting to us with fever and multiple swellings on the body. Cultures of pus and blood were negative for TB; GeneXpert detected the microorganism. Cutaneous TB, although a rare disease with wide spectrum of cutaneous lesions, should be considered in differential diagnosis of cold abscesses and nodules, especially of the head and neck region.


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