Articles

Volume-4, 2023
Issue 11 (November)



Early oral functional therapy in Down syndrome: Need for evidence

Early oral functional therapy in toddlers with Down Syndrome was first described by Castillo Morales in the 1970s. Management of facial manifestations remains essential to gain social integration of these children. Oral functional therapy by palatal plates is a complement to the early multidisciplinary management by speech therapists

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Kurt Schwitters´ medical biography: Health problems and impact on creativity

Kurt Schwitters (born June 20, 1887 in Hannover, † January 8, 1948 in Kendal, Cumbria, England) was a multitalented German artist. Schwitters´ life was marked by various health problems that never have been discussed in all their biographical and medical aspects according to contemporary medical knowledge.

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Mycosis fungoides presenting as suspected allergic reaction

Mycosis Fungoides (MF) and Sezary Syndrome are the most common subtypes of cutaneous T cell lymphoma. MF is a mature T cell non-Hodgkin lymphoma with initial involvement of the skin, but as the disease progresses can involve lymph nodes.

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A case report of a rare mesenteric lesion

In a 82-year-old man with cardiovascular comorbidities underwent an abdominal CT scan, showing an incidental 9 centimeters cystic mesenteric lesion. An additional Magnetic Resonance Imaging (MRI) described a not-enhanced cystic lesion

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Colonic perforation caused by secondary systemic amyloidosis

Amyloidosis is a rare condition characterized by the accumulation of amyloids in various tissues. These amyloid proteins are usually misfolded and form insoluble fibrils that deposit in the extracellular spaces of tissues, disrupting their normal structure and function.

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Decorticate posturing in a 9-year-old boy: An interesting clinical image

In this case 8 year old boy presented with a complaint of fever for 4 days 8-10 episodes of seizure in 2 days, and semiconscious. The parents brought the patient in with these complaints, during the examination the physician noticed the flexion at the elbow and lower extremity in extension and hypotonia in all limbs.

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Novel grading system for rhinocerebral mucormycosis

Rhinocerebral Mucormycosis (RCM) has been challenging infection specially occurring in diabetic and immunocompromised patients. Its clinical manifestation varies from mild cases to very severe fatal infection with toxemia and septicemia.

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Sister Marie-Joseph’s nodule reveals gynaecological cancer

The Sister Mary Joseph nodule is a rare umbilical metastasis of abdominopelvic cancer, easily accessible on clinical examination, and often correlated with a poor prognosis. Its recognition as a secondary lesion allows early diagnosis and treatment.

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Davener’s dermatosis: A case report

Davener’s dermatosis is a variant of frictional hyperpigmentation first reported in 2000. It appears clinically as an elongated, vertical, midline, hyper pigmented patch with ill-defined borders, distributed along the skin over bony prominences

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Dendriform pulmonary ossification associated with severe SARS-CoV-2 pneumonia

Dendriform pulmonary ossification is an uncommon entity in which there is metaplastic bone formation in the lungs. Cicatricial organizing pneumonia has been described as one of its causes. We present the case of four patients who developed dendriform pulmonary ossification after having severe SARS-CoV-2 pneumonia.

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A rare clinical image: Papillomatosis cutis lymphostatica in a black patient

Patient is a 53 year-old black woman with a history of type 2 DM, HTN, R knee total arthroplasty, and significant obesity. She has been suffering with chronic lymphedema for several years and is presenting today with papillomatosis cutis lymphostatica with overlying cellulitis to the right lower extremity.

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Benign subcutaneous emphysema after insect bite

A 16-year-old girl presented to the emergency department with a several days history of insect bite to the dorsal aspect of the left hand. Initially the swelling was localized to the dorsal hand, over the following four days the swelling became more diffuse involving the whole left forearm.

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Antisynthetase antibody syndrome complicated by varicella-zoster virus infection in the nervous system: A case report

Patients with antisynthetase antibody syndrome require long-term oral corticosteroids combined with immunosuppressants, which are prone to immune abnormalities and secondary infections. Varicellazoster virus is a neurotropic virus that has long been latent in the posterior root of the spinal cord or the trigeminal ganglion.

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Placenta accreta spectrum in unscarred uterus: A case report in a tertiary facility

Placenta Accreta Spectrum (PAS) is a broad term that includes placenta accreta, placenta increta, and placenta percreta. The major risk factor is a scarred uterus commonly as a result of prior cesarean delivery, myomectomy, or uterine instrumentation. We report a case of placenta increta in the absence of identifiable risk factors.

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Cutaneous larva migrans

A 13-year-old female presented to our clinic with a pruritic, progressive, 5 centimeters long cutaneous linear erythema on the left foot. The patient informed us that the lesion appeared progressively 2 weeks before. She spent hours in contact with seawater and sand without protection due to beach holidays.

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Melanoacanthoma simulating malignant skin lesions

Cutaneous melanoacanthoma is a rare benign epithelial lesion that typically presents as a solitary black plaque or nodule in elderly people. We present a case in a 90-year-old man with a peculiar lesion on the back with conflicting clinical and dermoscopic characteristics simulating a malignant skin tumor.

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Acute myocarditis or apical balloon cardiomyopathy in a patient with systemic lupus erythematosus: The priority of common sense

Myocarditis can mimic takotsubo cardiomyopathy and via versa. We present a 70-year-old woman with known systemic lupus erythematous who presented to the emergency department twice during the last 2 years with chest pain, dyspnea and transient LV dysfunction. We also discuss the difficulties in differential diagnosis between lupus myocarditis and takotsubo cardiomyopathy.

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Overcoming adnexal torsion: Whirlpool sign

Ovarian torsion or adnexal torsion is an acute gynecologic disorder involving complete or partial rotation of the ovarian vascular pedicle. The majority occurs in young women and is mainly associated to an underlying ovarian mass.

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Partial ectopic posterior pituitary

Ectopic posterior pituitary is one of the leading causes of pituitary dwarfism related to a growth hormone deficiency. It can be either isolated or associated to other abnormalities, the most widely known being the pituitary stalk interruption syndrome [1].

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A rare case of capgras syndrome: The impersonation delusion

Capgras syndrome is a rare psychiatric disorder characterized by the delusional belief that a person or people close to the affected individual have been replaced by identical impostors. This case report presents the unique clinical presentation and management of a 52-year- old male patient who exhibited classic symptoms of capgras syndrome.

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Foreign body in rectum- aerosol can

A 53 year-old male with a history of schizophrenia and bipolar disorder presented to the emergency department with worsening abdominal pain. He reported inserting an aerosol can in his anus and was unable to remove the object.

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The role of botulinum toxin in management of infantile esotropia

To find out the effect of a single dose botulinum toxin injection. This study is an observational case series. Data of patients with infantile esotropia who received a single dose of botulinum toxin in 6th-9th month of their age were retrospectively reviewed during the period from February 2013 to January 2015.

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Epicardial lipomatosis; An unexpected finding

A 75-year-old female patient with hypertension, obesity, and dyslipidemia is being followed up in primary health care. She was referred to the hospital due to the finding on transthoracic echocardiography of a 55x30 mm dense, oval image at the level of the right atrium in relation to the interauricular septum.

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