scholarly journals Androgenetic alopecia in women. Trichoscopy as a diagnostic method to simplify the proper diagnosis — case report

2019 ◽  
Vol 2 (2) ◽  
pp. 111-117
Author(s):  
Dominik Mikiel

Hair loss is a common problem seen in dermatology. Both women and men are affected. Androgenetic alopecia is one of the most frequent type of hair loss observed in women. The diagnostic process is complex and includes different noninvasive procedures, laboratory tests and sometimes requires scalp biopsy. Trichoscopy is fairly new and useful diagnostic method that enables making the right diagnosis. Treatment of hair loss is often complicated and long‑lasting but in some cases it may be helpful to follow recommendations of various scientific boards. Here, we present a case of a woman with diffuse hair loss whose trichoscopic examination allowed to diagnose androgenetic alopecia.

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
M. Ryan Smith ◽  
Virginie A. Wurlod

A 3-year-old female spayed rat terrier presented for hyperactivity and repetitive circling to the right of less than one-hour duration. On examination, the patient was dehydrated, hyperactive, and dysphoric. Laboratory tests initially revealed elevations in creatine kinase (CK) and aspartate aminotransferase (AST). Serial chemistries indicated significant progression of CK elevation to a maximum of 181,900 U/L on day 3 along with the development of profuse myoglobinuria. A urine drug screening test was positive for amphetamine metabolites. This patient was treated with sedatives, aggressive fluid diuresis, and antioxidants. The dog recovered uneventfully with no indicators of renal dysfunction based on serial blood chemistries and was discharged five days after presentation. Follow-up blood chemistries taken four days after discharge revealed near normalization of CK and resolution of myoglobinuria. This case report describes a particularly severe case of rhabdomyolysis associated with amphetamine toxicity and its successful treatment.


Case reports ◽  
2020 ◽  
Vol 6 (1) ◽  
pp. 63-69
Author(s):  
María Fernanda Ochoa-Ariza ◽  
Jorge Luis Trejos-Caballero ◽  
Cristian Mauricio Parra-Gelves ◽  
Marly Esperanza Camargo-Lozada ◽  
Marlon Adrián Laguado-Nieto

Introduction: Pneumomediastinum is defined as the presence of air in the mediastinal cavity. This is a rare disease caused by surgical procedures, trauma or spontaneous scape of air from the lungs; asthma is a frequently associated factor. It has extensive differential diagnoses due to its symptoms and clinical signs.Case presentation: A 17-year-old female patient presented with respiratory symptoms for 2 days, dyspnea, chest pain radiated to the neck and shoulders, right supraclavicular subcutaneous emphysema, wheezing in both lung fields, tachycardia and tachypnea. On admission, laboratory tests revealed leukocytosis and neutrophilia, and chest X-ray showed subcutaneous emphysema in the right supraclavicular region. Diagnosis of pneumomediastinum was confirmed through a CT scan of the chest. The patient was admitted for treatment with satisfactory evolution.Discussion: Pneumomediastinum occurs mainly in young patients with asthma, and is associated with its exacerbation. This condition can cause other complications such as pneumopericardium, as in this case. The course of the disease is usually benign and has a good prognosis.Conclusion: Because of its presentation, pneumomediastinum requires clinical suspicion to guide the diagnosis and treatment. In this context, imaging is fundamental.


2020 ◽  
Vol 3 (1) ◽  
pp. 27-33
Author(s):  
Patrycja Przybylska ◽  
Teresa Matthews‑Brzozowska

Androgenetic alopecia is a common condition, accounting for about 95% of all male hair loss. Standard therapeutic solutions recommend the use of minoxidil, finasteride, spironolactone, nutritional supplementation, phototherapy and hair transplant surgery. An increasingly popular alternative method that has been used in the case report is platelet rich plasma (PRP) mesotherapy characterized by autologous character, minimal invasiveness and no serious side effects. A series of 3 treatments was performed at 3-week intervals. The effects of using medical photographic documentation after completing a series of treatments.


2011 ◽  
Vol 15 (3) ◽  
pp. 177-179 ◽  
Author(s):  
Assaf Monselise ◽  
Lisa J.Y. Chan ◽  
Jerry Shapiro

Background: We report on a first case of lichen planopilaris (LPP) mimicking androgenetic alopecia (AGA) in an individual who has been break-dancing on his head for many years. LPP is an autoimmune inflammatory scalp condition that when left untreated can result in scarring and irreversible hair loss. The etiology of LPP is unknown. Different treatment modalities are used for LPP and AGA. Objective: To increase the awareness of physicians to the possibility of scarring hair loss (LPP) presenting like AGA. Results: Scalp examination showed scarring patches of hair loss. A scalp biopsy confirmed the diagnosis of LPP. Conclusion: Chronic scalp trauma due to break dancing may be a trigger for LPP. A meticulous scalp examination should be performed before making a diagnosis of nonscarring conditions of hair loss such as AGA. Early recognition of LPP and appropriate treatment are important before scarring and irreversible hair loss ensue.


2021 ◽  
Vol 15 (2) ◽  
pp. 1-5
Author(s):  
Monika Ciechanowska ◽  
Jan Stachurski

Background: The symptoms of stroke in the pediatric population are less evaluated than in adults. Although certain indicators are characteristic of stroke – acute drooping of the mouth corners, hemiparesis, and headache – they are not pathognomonic. Other diseases may manifest with similar symptoms, such as the first episode of hemiplegic migraine, and should be differentiated from stroke at an emergency department. Aim of the study: We present the differential diagnosis between stroke, transient ischemic attack, and first episode of hemiplegic migraine in a teenager with alarming focal symptoms. Case report: We present a case of 15-year-old patient with acute headache, drooping of the right mouth corners, and hemiparesis of the right upper and lower limb. He was brought by ambulance to the emergency department under suspicion of a stroke. A series of diagnostic tests performed at the Emergency Department did not reveal any vascular incident. Further diagnosis was performed at the Neurology Department. The patient was discharged from the hospital with a suspicion of first attack of hemiplegic migraine or transient ischemic attack. Conclusions: Differentiating stroke from other conditions in young patients is a significant challenge. The stroke diagnostic process in children requires further research to support accurate diagnosis and, if necessary, treatment as rapidly as possible.


2012 ◽  
Vol 36 (2) ◽  
pp. 105-107 ◽  
Author(s):  
Tarek Azad ◽  
Rabiul Hasan ◽  
Achira Bhattacherjee ◽  
Tahmina Jahan Choudhury

Kasabach Merritt syndrome (KMS) is an uncommon complication of large haemangioma in which there is thrombocytopenia and coagulopathy. We report a case of a new born male baby presented with a large haemangioma on the right upper extremity and his initial laboratory tests were consistent with consumptive coagulopathy. He was diagnosed as a case of KMS and treated with oral prednisolone. DOI: http://dx.doi.org/10.3329/bjch.v36i2.13091 Bangladesh J Child Health 2012; Vol 36 (2): 105-107


Author(s):  
Sharanbasappa Japatti ◽  
Bhavesh Dhoke ◽  
Georgina Dhalwale ◽  
Priyanka Taneja

<p>Aplasia of mandibular condyle is one of the several facial manifestations of many syndromes. It is considered as an extremely exceptional stipulation, if it is not seen as a part of any syndrome. The incidence expected 1 in 5600. It occurs due to the growth instability in development of condyle in the intrauterine life, late in the first trimester. It is not discernible at birth and seems to be steadily acquired during the growth. We report a case of condylar aplasia on the right side in an 18-year-old female. The patient reported to the department of Oral and Maxillofacial Surgery at ACPM dental College, Dhule, with a chief complaint of underdeveloped lower jaw. The etiology of this condition was unknown, clinical examination and conventional radiographs revealed complete absence of condyle on the right side. A proper diagnosis along with the differentiation from the syndromic cases is of importance. The aim of this article is to present a case with peculiar type of non-syndromic condylar aplasia. <strong></strong></p>


Author(s):  
Ashish Dalal ◽  
Ajay Kumar ◽  
Ritambhara Lohan ◽  
Muskaan Ahlawat

<p class="abstract">A proportion of cases of diffuse hair loss over the scalp mimicking telogen effluvium or androgenetic alopecia are found to have alopecia areata incognita (AAI) on dermascopic examination and histopathology. AAI has commonly been reported in middle aged women who present with a sudden increase in hair shedding with diffuse alopecia developing after several months. Though the typical glabrous patches of hair loss observed in classical alopecia areata are absent, the abrupt and intense hair loss with a positive hair pull test is suggestive of AAI. There are few reports of AAI occurring in children. We are reporting a case of AAI in a 6-year old child. </p>


Author(s):  
Barsha Bajracharya ◽  
Pratibha Poudel ◽  
Dipshikha Bajracharya ◽  
Subrata Bhattacharyya

The unilocular radiolucencies, with its wide range of possible diagnosis, remain the topic of much debate and interest for clinicians. These lesions cannot be diagnosed solely based on radiographic appearance, but should be based on clinical, radiological and histopathological features. Due to high probability of misdiagnosis of this entity, a sound knowledge of various unilocular radiolucencies, adequate use of diagnostic aids and careful observation is important to provide proper diagnosis and treatment. Here, we present a case of a unilocular lesion in the right anterior maxilla with two impacted teeth.


VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.


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