Insidious Onset of Tightening of the Skin Over the Limbs

2011 ◽  
pp. 73-74
Author(s):  
Rachael Morris-Jones ◽  
Ann-Marie Powell ◽  
Emma Benton
Keyword(s):  
Insidious Onset

scholarly journals SOFT TISSUE CAM IMPINGEMENT IN ADOLESCENTS: MRI REVEALS IMPINGEMENT LESIONS UNDERAPPRECIATED ON X-RAY

2021 ◽  
Vol 9 (7_suppl3) ◽  
pp. 2325967121S0006
Author(s):  
Benjamin L. Johnson ◽  
Hamza Alizai ◽  
Montanez Ben ◽  
K. John Wagner ◽  
Tyler Youngman ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Femoral Head ◽  
Plain Radiograph ◽  
Alpha Angle ◽  
Duration Of Symptoms ◽  
X Ray ◽  
Insidious Onset ◽  
Adolescent Patients ◽  
Cam Impingement ◽  
Soft Impingement

Background: The presence of femoroacetabular impingement (FAI) in adolescents has been established. However, the existence of a non-ossified CAM lesion in adolescent femoracetabular impingement (FAI) is not well described. Hypthesis/Purpose: The purpose of this study is to evaluate the presence of a non-ossified or soft CAM lesion in adolescent patients with FAI. Methods: A review of a prospective cohort of patients with symptomatic FAI in an institutional registry was performed. Subjects were included if they had an MRI and lateral x-ray of the hip (45o Dunn, Cross Table, or frog) at a baseline visit. On MRI, evaluation of the anterolateral femoral head was evaluated using radial, coronal, sagittal, or axial oblique sequences. When a soft CAM lesion was identified (all found between 2-5 o’clock), an alpha angle was performed on MRI and plain radiograph. The cohort of soft CAM lesions was reviewed and differences between radiographic and MRI alpha angles were assessed using a paired T-Test. Results: Thirty-one (9.3%) of 332 hips (mean age 16.4 yrs, range 13.66-19.59 yrs; 83.9% F) were identified with a soft impinging lesion at the femoral head-neck junction on MRI. The most common primary sport was track & field (4), the average duration of symptoms was 92.4 weeks and a majority with insidious onset (77.4%). The average alpha angle on MRI was greater than on x-ray [63.53 ± 7.94o vs 51.25 ± 7.92o; p<0.05]. All subjects with soft CAM lesions demonstrated soft tissue consistent with extension of the physis (n=1),thickening of the peri-chondral ring (n=22), or thickening of the periosteum (n=8). Twenty-two of these patients (71%) with soft impingement underwent hip preservation surgery (n=13 labral repairs) with improvements in clinical outcome. Conclusion: In adolescent patients with symptomatic hip impingement, MRI may be useful to identify soft CAM lesions (non-ossified) that are under-represented on x-ray.

scholarly journals Insidious onset of headache, diplopia and Horner’s syndrome: a rare case of petrous bone osteomyelitis

2019 ◽  
Vol 12 (9) ◽  
pp. e231062
Author(s):  
Simon Biart ◽  
Janki Panicker
Keyword(s):  
Skull Base ◽  
Inflammatory Markers ◽  
Unusual Case ◽  
Petrous Bone ◽  
Skull Base Osteomyelitis ◽  
Unilateral Headache ◽  
Gradual Onset ◽  
Insidious Onset ◽  
Signal Change ◽  
Sixth Nerve

We present an unusual case of skull base osteomyelitis in an 88-year-old woman. She presented with gradual onset unilateral headache and diplopia. On examination, there was evidence of a left-sided Horner’s and ipsilateral sixth nerve palsy. In addition to persistent raised inflammatory markers, an MRI neck identified signal change in the petrous bone confirming a diagnosis of skull base osteomyelitis. Skull base osteomyelitis should be considered in presentations of subacute raised inflammatory markers in the context of ipsilateral cranial nerve signs.

The Insidious Onset of Dyspnea and Right Lung Collapse in a 35-Year-Old Man

CHEST Journal ◽  
2005 ◽  
Vol 127 (5) ◽  
pp. 1844-1847 ◽  
Author(s):  
Syed F. Hussain ◽  
Nawal Salahuddin ◽  
Aslam Khan ◽  
Shafia S.J. Memon ◽  
Saulat H. Fatimi ◽  
...  
Keyword(s):  
Lung Collapse ◽  
Insidious Onset

Primary Progressive Aphasia Presenting With Neuropsychiatric Symptoms

2021 ◽  
pp. 089198872110361
Author(s):  
Mirjam M. P. Mulder-Heijstra ◽  
Regina R. Jokel ◽  
Howard H. Chertkow ◽  
David D. K. Conn ◽  
Linda L. Mah
Keyword(s):  
Language Impairment ◽  
Neurodegenerative Disorder ◽  
Psychiatric Symptoms ◽  
Neuropsychiatric Symptoms ◽  
Primary Progressive Aphasia ◽  
Motor Disorder ◽  
Progressive Aphasia ◽  
Primary Progressive ◽  
Speech Language Pathologist ◽  
Insidious Onset

We describe a case of primary progressive aphasia (PPA) with an underlying neurodegenerative motor disorder (possible ALS or PSP), presenting with symptoms of irritability and frustration, that were misdiagnosed and treated as a primary psychiatric disorder, i.e. depression. PPA is a rare neurodegenerative disorder characterized by insidious onset and gradual progression of speech and language impairment. We emphasize that PPA can initially masquerade as or be accompanied by neuropsychiatric symptoms potentially leading to misdiagnosis. Most prevalent neuropsychiatric symptoms reported in the PPA literature are agitation, depression, anxiety, apathy, irritability, abnormal appetite and disinhibition. To ensure early diagnosis of PPA, if a patient presents with new psychiatric symptoms accompanied by new onset speech and/or language impairment, referral to a specialist (i.e., neurologist and/or speech-language pathologist) is recommended.

Insidious Onset Compartment Syndrome of the Forearm in a Teenager: A Case Report and Review of the Literature

2021 ◽  
Vol 26 (03) ◽  
pp. 481-484
Author(s):  
Hidetoshi Iwata ◽  
Hideki Okamoto ◽  
Yohei Kawaguchi ◽  
Kojiro Endo ◽  
Yuji Joyo ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Single Case ◽  
Case Reports ◽  
Upper Extremities ◽  
Review Of The Literature ◽  
Right Hand ◽  
Insidious Onset ◽  
Forearm Compartment Syndrome ◽  
Cash Register ◽  
Proximal Forearm

Compartment syndrome affecting the upper extremities is a relatively underreported event compared with compartment syndrome affecting the lower extremities. Moreover, insidious onset forearm compartment syndrome has been rarely reported and is usually limited to single case reports. We report a compartment syndrome of the forearm in a teenager. She hit her right proximal forearm lightly on the cash register, but there was no pain. However, the next day, she had difficulty in moving her right hand. Although she underwent electrotherapy, her right forearm gradually became swollen, and she felt numbness in the ring and little fingers of her right hand. Six day after the onset, she came to our hospital and underwent fasciotomy. There was no aftereffect, and very good functional recovery was obtained. All clinicians need to keep the case of forearm compartment syndrome in a young individual with a diffuse course, such as in this case in mind.

scholarly journals Criminal Behaviour Associated with a Novel Mutation in the VPS13A-Gene Causing Chorea-Acanthocytosis

2019 ◽  
Vol 2019 ◽  
pp. 1-3 ◽  
Author(s):  
Søren Bruno Elmgreen
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Novel Mutation ◽  
Criminal Behaviour ◽  
Oromandibular Dystonia ◽  
Obsessive Compulsive ◽  
Involuntary Movements ◽  
Compulsive Disorder ◽  
Blocking Agents ◽  
Psychiatric Setting ◽  
Insidious Onset

Heralded by obsessive-compulsive disorder and anxiety, chorea-acanthocytosis may initially present in a psychiatric setting. As insidious onset of involuntary movements is commonly precipitated by dopamine blocking agents, this may not prompt further neurological investigation until symptoms progress after withdrawal of the suspected offending drug. Oromandibular dystonia and frontal disinhibition should call for early neurologic evaluation.

Injuries in Short Track Speed Skating

2003 ◽  
Vol 31 (4) ◽  
pp. 507-510 ◽  
Author(s):  
Andrew Quinn ◽  
Victor Lun ◽  
John McCall ◽  
Tom Overend
Keyword(s):  
Acute Onset ◽  
Time Loss ◽  
Pattern Of Injury ◽  
Speed Skating ◽  
Competitive Season ◽  
Insidious Onset ◽  
High Incidence ◽  
Elite Level ◽  
Location Type ◽  
Type Of Injury

Background Little is known about the pattern of injury in short track speed skating. Purpose To investigate the incidence and characteristics of injuries in short track speed skating. Study Design Retrospective study. Methods Ninety-five of 150 elite-level skaters (63.3%) were surveyed to collect information on training and competition load as well as on injuries sustained during the 1999—2000 competitive season. Injuries were characterized in terms of anatomic location, type of injury, time loss from training and competition, and circumstance of injury (acute onset during competition, on-ice practice, off-ice training, or insidious onset). Results Sixty-one of the 95 skaters (64.2%) reported sustaining at least one injury. The knee, ankle, spine, leg, and groin were the most commonly reported sites of injury. Skaters were also asked to list previous on-ice injuries. The two most common injuries occurring on-ice before the 1999—2000 season were lacerations from the knee down (11.1%) and ankle fractures (10.2%). Conclusion The results of this study suggest that there is a high incidence of injury in competitive short track speed skating.

scholarly journals Melioidosis in Bihar, India: unearthing the first of many?

2021 ◽  
Vol 3 (9) ◽  
Author(s):  
Isra Halim ◽  
Prathyusha Kokkayil ◽  
Ravi Kirti ◽  
Rajeev Nayan Priyadarshi ◽  
Asim Sarfraz ◽  
...  
Keyword(s):  
Clinical Manifestations ◽  
Clinical Suspicion ◽  
Radiological Features ◽  
First Case ◽  
Insidious Onset ◽  
Ankle Joints ◽  
The World ◽  
Resource Poor ◽  
Empirical Antibiotics ◽  
The Right

Melioidosis, a disease with protean clinical manifestations, is prevalent in many parts of India, with established endemic hotspots on the southern coast of the country. However, it is still underdiagnosed in many resource-poor regions of the country. We report what is, to the best of our knowledge, the first case of melioidosis diagnosed and treated in Bihar, an economically underdeveloped state in East India. The patient, a 52-year-old diabetic male, presented to the outpatient department with a fever of insidious onset along with pain and restriction of movement in the right shoulder joint and right knee joint, and swelling and tenderness of bilateral ankle joints. Radiological features were suggestive of multiple joint and organ abscesses. A diagnosis of disseminated septicaemic melioidosis was confirmed microbiologically. The patient improved clinically following aggressive treatment with meropenem and cotrimoxazole. The case highlights the need for increased clinical suspicion of melioidosis and adequate diagnostic facilities, as well as the need for early institution of appropriate empirical antibiotics in suspected cases of melioidosis in this region of the world.

scholarly journals Frontoethmoidal Mucocele with Unilateral Proptosis

2011 ◽  
Vol 3 (2) ◽  
pp. 125-128
Author(s):  
Jyoti Singh ◽  
Haritosh Velankar ◽  
Yogesh Dabholkar ◽  
Sharad Bhalekar
Keyword(s):  
Clinical Presentation ◽  
Insidious Onset ◽  
Unilateral Proptosis

ABSTRACT Frontoethmoidal mucocele can present with a multitude of different symptoms including ophthalmic disturbances. Though benign, they have a tendency to expand by thinning the bony walls. They displace and invade surrounding structures by pressure and bony resorption. If it invades the orbit and continues to expand, the mass may mimic the behavior of many benign growths arising primarily in the orbit. We report a case of a frontoethmoidal mucocele extending into the orbit. Clinically, the patient had an insidious onset of clinical presentation with no intracranial symptoms.

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