Articles

Palmoplantar psoriasis is an infrequent variant of psoriasis which has been associated with varied clinical presentations. It is historically difficult to treat and is known for its significant burden on the patient’s daily life activities. This case describes a patient with palmoplantar psoriasis whose symptoms

A 54-year-old male developed bilateral vision loss and choroidal folds one year following COVID-19 vaccination. Initially diagnosed with thyroid-associated ophthalmopathy, he underwent an adequate course of steroid pulse therapy with no visual improvement. Further assessment revealed bilateral cataracts and lens dislocation.

Female, 27 years old patient, healthy. During a laparoscopic cholecystectomy, a wide cystic duct (>1 cm) was found (Figure 1A). Cholangiography was performed and showed an extra hepatic bile duct dilation (>4 cm), without finding common bile duct stones inside (Figure 1B); the cholecystectomy was completed.

Leprosy is a chronic infectious granulomatous disease caused by Mycobacterium leprae. Histoid leprosy is an uncommon variant of multibacillary leprosy with characteristic clinical and histopathological findings. A 20-years-old sexually active unmarried male presented with multiple asymptomatic skin-colored lesions since past six months.

Mirizzi syndrome is known as extrinsic bile duct compression syndrome. A longstanding impacted gallstone in the Hartmann’s pouch can cause a compression to the adjacent bile duct and due to this compression, a pressure ulceration and inflammation occurred consecutively.

Airway obstruction during the use of Laryngeal Mask Airway (LMA) devices is not uncommon. The most frequent causes are typically related to a superficial plane of anesthesia or misposition of the LMA. However, uncommon causes such as vocal fold polyps must also be considered, as they can significantly impact ventilation and complicate airway management.

In many tropical areas, dengue fever and enteric fever are prevalent and can exhibit similar clinical manifestations. They rarely occur together, though, and complications such as pleural effusion and severe pancreatitis make treatment and prognosis even more difficult. We describe the case of a 25-years-old male patient

Pulmonary Embolism (PE) is an important clinical event, frequently underdiagnosed and often a terminal event with a high mortality, therefore it must be well-known and possibly suspected to start the adequate therapy. Venous Thromboembolism (VTE) including Deep Venous Thrombosis (DVT)

Systemic Lupus Erythematosus (SLE) is an autoimmune disease with multiple system damage, mostly in women and relatively rare in men. The disorder of immune function caused by systemic lupus erythematosus increases the risk of atherosclerosis. Coronary artery lesions in SLE patients are usually single-vessel atherosclerotic stenosis, while three-vessel lesions are rare.

Colonic pseudo-obstruction is a rare yet concerning pathology, that falls within the surgeon´s scope when complications arise, making surgical intervention paramount to control the damage. The present case report aims to describe a refractory case of colonic pseudo-obstruction and its surgical management

Language dysfunction is an objective clinical marker of brain dysfunction in psychosis which encompasses conditions like schizophrenia, schizoaffective disorder and bipolar affective disorder with psychotic symptoms.

The discovery of Optic Disc Pit (ODP) during fundus examination is extremely rare. We report two cases of ODP complicated by maculopathy, diagnosed at the Ophthalmology Center of Abass Ndao Hospital, in order to highlight the specific characteristics of this condition.

Gold salts of monovalent gold with a gold-sulfur ligand (aurothiolates) are the conventional form of gold in use for the management of Rheumatoid Arthritis (RA). Colloid gold induces the pair annihilation of the Cooper electron pair (massive or massless fermion). We had identified the dissolution the spondylosis by colloid gold which is non-toxic.

Worldwide, congenital anomalies affect 2-3% live born and 20% stillborn infants [1]. While a quarter of global neonatal deaths occur in India, congenital anomalies constitute the fifth largest cause of neonatal mortality [2,3]. The prevalence of congenital anomalies in the country is 6-7% which translates to about 1.7 million cases annually [4].

39 years male, soldier by profession, hailing from Bihar pre- sented with chief complaints of smell disturbance within two weeks of an occipital blow on head due to fall from 10-feet height during his house construction work. The fall had happened two months back with no loss of consciousness.

Melioidosis is a severe infectious disease caused by Burkholderia pseudomallei, a Gram-negative bacterium endemic to tropical regions. While it most commonly affects the lungs, melioidosis can present as a multisystemic infection, impacting various organ systems, including the liver, spleen, kidneys, skin, and central nervous system.

Thyrotoxic periodic paralysis is an uncommon clinical entity which may present with dramatic, sudden onset of neuromuscular weakness in the absence of any previous known neurological, musculoskeletal, or metabolic disease. This report presents a case of rapid onset paraplegia, found to be due to severe thyrotoxicosis

Sertraline, an antidepressant belonging to the Selective Serotonin Reuptake Inhibitor (SSRI) class, is widely used to treat various mental health conditions, including depression, anxiety disorders, panic disorder, Obsessive-Compulsive Disorder (OCD), and Post- Traumatic Stress Disorder (PTSD). While it is highly effective, it can also cause certain side effects, one of which is pupil dilation.

Severe uncontrolled atopic dermatitis in adult is very troublesome which impacts negatively over social and personal life significantly. I’m presenting a case where an adult patient completely lost hope due to his chronicity and severity of disease despite being on conventional treatment, taking intermittently since his childhood.

Systemic Drug-Related Intertriginous and Flexural Exanthema (SDRIFE) is a rare cutaneous manifestation of systemic contact dermatitis caused by drugs both in children and adults. We report a case of an 8-year-old girl with the underlying of intraosseous malignant fibrous histiocytoma

Myxoid Glioneuronal Tumor (MGNT) is a newly described tumor with a prominent PDGFRA p.K385 mutation typically located in the septum pellucidum or periventricular white matter of the lateral ventricle. Presently, there are less than 100 observations of MGNT in the current body of literature. We present the first case of PDGFRA p.K385‐ mutant MGNT localized to the right frontal lobe.

Neonatal Necrotizing Enterocolitis (NEC) is a common disease in newborns with a relatively high clinical incidence. Premature infants with NEC are mainly associated with prematurity, low birth weight, immature development, and non-breastfeeding.

We report a case of an uncommon complication of Crohn’s disease characterized by an enterovesical fistula responsible of fecaluria. our patient had a history of bladder tumor, which was initially considered as the cause of his fecaluria.

Adult-Onset Still’s Disease (AOSD) is a rare systemic inflammatory disorder characterized by spiking fevers, arthritis, and a salmon-colored rash. Its diagnosis is mainly clinical which mainly depends on excluding all the other potential causes.

A 47-year-old female patient, elderly caregiver, with no previous medical history was admitted at ICU with hypoxemic acute respiratory failure in the context of bilateral pneumonia, with an arterial blood gas at admission revealing a paO2 52 mmHg (reference value >60 mmHg) and paCO2 32 mmHg (reference value 35-45 mmHg) in FiO2 of 60% by venturi mask.

We present a case report of a fourth gravida, severely anemic at 22 weeks of gestation with large placental mass disproportionate of her gestational age misdiagnosed as partial placental abruption. A degenerating fibroid was also considered in the differential diagnosis. Moreover, severe oligohydramnios was there

Diaphragmatic fistula is a rare complication of intra-abdominal infections, such as subhepatic abscesses, often resulting in significant morbidity. Timely diagnosis and management are crucial, to prevent the development of empyema or other serious complications.

Swyer syndrome is a rare disorder of sexual development (DSD) characterized by a female phenotype, either normal or tall stature, bilateral gonadal dysgenesis, and primary amenorrhea. Given the risk of malignancy, gonadectomy is strongly recommended post-diagnosis. Pregnancy can be achieved through assisted reproduction technology.

To develop a predictive model for Postpartum Hemorrhage (PPH) in a minority region of China (Qiandongnan Miao and Dong Autonomous Prefecture). A retrospective study was conducted using data from 23,490 hospitalized patients. Employing machine learning techniques, a multilayer perceptron neural network model was built to identify significant risk factors affecting PPH.

We report a clinical case of a 68 years old patient planning for endoscopic mucosal dissection of stenotic lesion with thread pull with needle technique. Patient was known for an undifferentiated upper 1/3 carcinoma treated with exclusive targeted radiotherapy curative (50.4 Gy) with radiosensitizing chemotherapy with paclitaxel and carboplatin four cycles.

Internal acoustic canal osteaomas are uncommon noncancerous bony growth and they have no aggressive behavior. Patient’s complaints secondary to these lesions are variable but usually related to balance problems and hearing issues [1]. Management should be tailored based on patient’s symptomatology [2-4].

Management of phthisis bulbi is challenging for ophthalmologists, and often results in evisceration. Foldable capsular vitreous bodies have been developed as an alternative to evisceration in eyes with chronic retinal detachment.

Tubular carcinoid tumor of the appendix is a rare pathology, diagnosed incidentally during histopathological examination of the appendectomy specimen. In the literature, a few cases have been reported. We presented here 28 years of age female, who was admitted in the emergency department with symptoms of acute appendicitis.

May-Thurner Syndrome (MTS) is characterized by the compression of the left iliac vein when it passes between the right common iliac artery and the spine. Complications of MTS include deep vein thrombus formation and even life-threatening pulmonary embolism.

Pulmonary Arteriovenous Fistula (PAVF) is a rare vascular malformation that directly connects the pulmonary and systemic circulations. This case reports the case of a middle-aged female who was admitted for ureteral stones and experienced sudden onset of consciousness disturbance, respiratory distress, and cardiac arrest during hospitalization.

Cystadenomas are among the most common benign ovarian neoplasms. They are generally incidental findings, but as the mass grows, they can cause pressure, pain, swelling, urinary symptoms, and even ovarian torsion.

A 57 year-old man with a history of alcoholic-dilated cardiomyopathy was admitted in the Intensive Care Unit (ICU) with a cardiogenic shock due to eletrical instability. During the ICU stay the patient condition’s got worse and the team decided to use a Swan-Ganz catheter in order to monitor blood flow and pressures around the heart.

IgG4-related disease is a systemic immune-mediated disease characterized by chronic fibrotic inflammation and IgG4-positive plasma cell tissue infiltration that can involve different organ systems. We report the case of a patient who presented with obstructive jaundice as well as cholecystitis and biliary tree dilatation on imaging.

57 years, male, businessman by profession diagnosed with IgA kappa Multiple Myeloma 1 year back, on treatment under haematologist [VRD regimen {Bortezomib (Velcade), Lenalidomide (Revlimid) and Dexamethasone}] presented with complaints of painful (L) preauricular mass from past 12 days associated with deviation of angle of mouth to (R) side (Figure 1A) and inability to close the (L) eye (Figure 1B).

Visual dysfunction caused by optic neuritis represent the most common ocular manifestation in the multiple sclerosis. Other ocular findings in multiple sclerosis include vasculitis, retinitis and ocular motility dysfunction. An increased interest in the use of non-invasive retinal imaging modalities has been seen in neurodegenerative diseases.

We present a Review with the final results of our original approach in thirty years of research in medical biophysics, for the first time taking into account microwave emission in the physics of solar-biospheric connections, including in the earth’s ionosphere using very highly excited Rydberg levels.