Journal of Clinical Images and Medical Case Reports
(ISSN 2766-7820) Impact Factor: 2.6
NLM/PubMed ID: 9918266187306676
Indexed in ISI

A healthy 61-year-old man sought emergency care after experiencing neck swelling (Figure 1), throat discomfort, and hoarseness, which developed gradually over two days following a forceful and blocked sneeze. He reported a painful sensation of rupture in his anterior neck. Neck palpation revealed subcutaneous emphysema and clicking sounds over the larynx.

A Spindle Cell Lipoma (SCL) is a variant of lipoma that accounts for approximately 1.5% of all lipomas; its prevalence within the larynx is rare. We present the case of a female patient whose foreign body sensation was ultimately attributed to an SCL that was emanating from the supraglottic and we review the literature on the natural history of supraglottic SCLs as well as their histological features and options for excision.

89-year-old white woman referred pain in the left foot associated with a burning sensation of 1-month duration. The patient’s medical history indicated acute myocardial infarction at the age of 87 and a transient ischemic attack last year. Physical examination revealed erythema, mild oedema, and slight warm left foot (Figure 1) and both feet with skin changes resulting from chronic venous insufficiency.

A 21-year-old male with no prior medical history presented to the emergency department for epistaxis and bleeding ulcers in his mouth. In addition to small ulcers with dried blood in the oropharynx, physical exam also revealed a petechial rash and bruising on his extremities that the patient noted were new and atraumatic.

A previously healthy 50-year-old man was brought to the Emergency Department, after presenting from sleep, sudden generalized involuntary movements. After recovering conscience, he complained of severe pain and functional limitation in shoulders. He was diagnosed comminuted fracture of the metaphysis at the level of the surgical neck and lower-posterior dislocation of humerus bilaterally and was treated surgically.

A 33 years old female, without underlying medical comorbidity, presents with hypopigmentation over left lateral aspect of elbow for 3 weeks. She had a history of left lateral aspect elbow pain for 5 weeks duration and was diagnosed with tennis elbow. Patient was initially treated with oral Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) along with physiotherapy.

65-year-old male who presented with recurrent erythema and pruritic papules for one year, Initially, he developed numerous keratotic red papules, featuring central umbilication and necrosis with scab formation. He was previously diagnosed with “nodular prurigo and eczema” and treated with oral ebastine, cetirizine, prednisone, and topical steroid cream. While the rash initially subsided, it recurred intermittently.

Granulomatosis with Polyangiitis (GPA) is a granulomatous, necrotizing small-vessel vasculitis associated with the presence of Antineutrophil Cytoplasmic Antibodies (ANCA). In more than eighty percent of GPA patients ANCA have a Cytoplasmatic Pattern at the indirect immunofluorescence (c-ANCA) and recognize the autoantigen Proteinase 3 (PR3), while in few cases they have a perinuclear pattern (p-ANCA) and are directed toward the autoantigen Myeloperoxidase (MPO) [1].

Autoimmune Encephalitis (AE) is an emerging autoimmune inflammatory neurological disorder in which antibodies are directed against intracellular or cell surface neuronal antigens in Central Nervous System (CNS). Autoimmune Encephalitis (AE) can be subcategorized on the basis of presence of specific autoantibody.

Anaphylaxis is a serious systemic reaction by immediate hypersensitivity, secondary to the release of mediators active on vascular and bronchial muscles such as histamine, prostaglandins, leukotrienes etc. Exposure to an allergen in a sensitized patient is the simplest method of triggering anaphylaxis.