A rare case in rheumatology clinical practice: Pachydermodactyly

2019 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Ayşe Ünal Enginar ◽  
Ali Nail Demir ◽  
İlhan Sezer ◽  
Can Çevikol
Keyword(s):  
2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Anika Toor ◽  
Amit Toor ◽  
Koroush Khalighi ◽  
Mahesh Krishnamurthy

We present a rare case of a 49-year-old female with very severe hypertriglyceridemia (HTG) having a total triglyceride (TG) count of > 10,000 mg/dL in the absence of pancreatitis. Based on literature review, this is one of the highest recorded TG counts in an adult without evidence of pancreatitis. HTG is a common occurrence in clinical practice, but rarely do numbers exceed 2000 mg/dl. It is crucial to evaluate and rapidly lower TG levels to prevent potentially life-threatening complications such as severe pancreatitis. Removal of potential predisposing medications, control of underlying diseases known to cause HTG, and maintenance therapies are essential to prevent reoccurrence.


2012 ◽  
Vol 10 (1) ◽  
pp. 37-39
Author(s):  
S Malla ◽  
SB Rawal ◽  
NK Giri

Gastrointestinal Stromal Tumor (GIST) is a rare soft tissue tumor and a GIST arising from the mesocolon is even rarer and sparsely reported in the world literature. Herein we report one such case that we encountered in our clinical practice and review the literature on the management of such a rare case. DOI: http://dx.doi.org/10.3126/mjsbh.v10i1.6448 Medical Journal of Shree Birendra Hospital Jan-June 2011 10(1) 37-39


2014 ◽  
Vol 5 (02) ◽  
pp. 189-190 ◽  
Author(s):  
Sadanandavalli Retnaswami Chandra ◽  
Thomas Gregor Issac

ABSTRACTPseudodystonia is the term used to define abnormal postures, which are not due to the disorders of the basal ganglia and is encountered very rarely in clinical practice and often difficult to distinguish from true dystonia syndromes. We report a rare case of a battered woman who was managed as restricted resistant dystonia with pharmacotherapy and intrathecal baclofen and referred for considering deep brain stimulation (DBS). The patient turned out to be a case of pseudodystonia due to bilateral hip dislocation. This was due to assault by a close relative and the history was masked by the patient for more than one and a half years. In a patient with late onset dystonia, who is resistant to the recommended treatment for dystonia along with atypical clinical features and electrophysiological parameters, pseudodystonia should always be considered as a possible diagnosis and evaluated for causes of the same.


2018 ◽  
Vol 5 (7) ◽  
Author(s):  
Lesley E Jackson ◽  
Mahmoud Shorman

Abstract Adrenal abscesses due to disseminated nocardiosis are exceedingly rare in clinical practice, and to date only 8 cases have been reported in the literature, most of which were confined to a single adrenal gland. These infections often occur in patients with underlying immune deficiency. We report a rare case of bilateral nocardial adrenal abscesses in an intravenous drug–using splenectomized patient that presumably originated from direct inoculation using intravenous opana, as his admission chest radiograph was normal.


2019 ◽  
Vol 20 (4) ◽  
pp. 360-362
Author(s):  
Ayşe Ünal Enginar ◽  
Ali Nail Demir ◽  
İlhan Sezer ◽  
Can Çevikol
Keyword(s):  

2012 ◽  
Vol 4 (2) ◽  
pp. 28-30
Author(s):  
B.S. Deepak ◽  
P. Benin ◽  
T. Sophia ◽  
K. Malikarjun Goud

Abstract Anatomical variations must be considered in clinical practice and proper radiographic evaluation must be done during endodontic treatment. Access cavity modifications may be required for proper assessment of complex root canal anatomy. Higher magnification and illumination can be useful to recognize and locate additjonal canals. This article describes the diagnosis and clinical management of a rare case with type VII root canal anatomy in maxillary second premolar.


2014 ◽  
Vol 86 (4) ◽  
Author(s):  
Justyna Zińczuk ◽  
Piotr Wojskowicz ◽  
Joanna Kiśluk ◽  
Wioletta Romaniuk ◽  
Dawid Fil ◽  
...  

2017 ◽  
Vol 05 (01) ◽  
pp. e62-e64 ◽  
Author(s):  
Chiman Thakral ◽  
Ganji Shivalingam ◽  
Faizan Dar ◽  
Nimish Thakral

An accessory lobe of the liver is a rare entity in clinical practice which is diagnosed incidentally. Infrequently, it may present as torsion with a clinical picture of an acute abdomen, a palpable mass, and may be associated with liver function abnormalities. Many of these patients have a history of previous surgery for congenital abdominal wall defects such as omphalocele. We present an extremely rare case of torsion of an accessory hepatic lobe in an 11-month-old male patient who presented in a state of shock. The infant underwent laparotomy and excision of the accessory lobe. Here, we aim to emphasize the importance of prompt management and early resection which is the cornerstone of a favorable outcome.


2016 ◽  
Vol 2 (2) ◽  
pp. 72-75
Author(s):  
Prakash B. Billakanti

Un caso raro de cabeza unilateral y adicional de músculo esternocleidomastoideo fue encontrado en un cadáver masculino adulto en el lado izquierdo. Esta cabeza se originó en el tercio medio de la clavícula y se unió al resto del músculo en su centro. Sin embargo, no había tal tropiezo adicional en el lado opuesto. No había variaciones en su suministro de  inserción y nervio. Esta observación puede ser de importancia para los cirujanos de cabeza y cuello y cirujanos de cirugía plástica durante su práctica clínica A rare case of unilateral, additional head of sternocleidomastoid muscle was found in an adult male cadaver on the left side. This head originated from the middle one third of the clavicle and joined the rest of the muscle in its middle. However, there was no such additional slip on the right side. There were no variations in its insertion and nerve supply. This observation may be of importance to head and neck surgeons and plastic surgeons during their clinical practice.


2013 ◽  
Vol 52 (189) ◽  
pp. 285-287 ◽  
Author(s):  
Ashis Pun ◽  
Roshan Khatri

The eponym ‘Amyand hernia’ coined in recognition of Claudius Amyand, the first surgeon to successfully perform appendectomy in a hernia sac containing appendix, refers to the vermiform appendix within inguinal hernia. Here, we present a rare case, of Amyand’s hernia in an 18 month-old boy who was brought with an inguino-scortal swelling which later on exploration was left sided Amyand’s hernia with sliding component. Amyand’s hernia is not very often seen in the clinical practice and its pre-operative diagnosis is very difficult hence awareness of this disease condition is essential for preoperative suspicion and even diagnosis of the condition. Keywords: Amyand’s hernia; acute appendicitis; hernial repair.


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