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.
Volume-5, 2024
Issue 9 (September)
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.
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.
Electromagnetic spectrum infrastructures and 5G biomedical robots are design to work in line with the national healthcare policy to advance the society well-being and improve human life expectancy as they are adopted to fight against hospital acquired infection. In order to increase public healthcare safety, the current study investigated the biomedical technology application of Ultraviolet Light Emitting Diodes (UV-LEDs).
Acute Esophageal Necrosis (AEN) is a rare condition characterized by circumferential black discoloration and necrosis of the esophageal mucosa. This report presents a case of a 79-year-old female with metastatic cancer diagnosed with black esophagus and literature reviews of 68 cases. Our literature search highlighted common presenting symptoms were hematemesis (55%), gastrointestinal symptoms (54%), and melena (19%).
Myclobutanil is a fungicide commonly used in agriculture and horticulture. While it is generally considered safe, ingestion of myclobutanil can result in severe toxicity. This case report presents the clinical features, diagnosis, and management of a 45-year-old male with myclobutanil poisoning.
Alcoholism not only harm to the person who consumes it but also one’s family. Spouses are mostly affected because of the intimate nature of the relationship, studies on the impact on spouses have been very limited in psychiatric literature.
A 4-year-old girl presenting with chyluria is very rare, especially with the initial presentation of nephrotic range proteinuria, presenting to a nephrologist. The final diagnosis was parasitic chyluria and there are only 6 reported cases of chyluria in children.
Neuritis Ossificans, known as intraneural heterotopic ossification, is a rare condition impacting peripheral nerves. Symptoms typically include pain and paraesthesia along the affected nerve’s distribution. The cause of this condition remains unknown. This unusual case managed in a tertiary referral centre for peripheral nerve injury, highlights the successful conservative management of a patient with neuritis ossificans affecting the sciatic nerve, showing both clinical and radiological resolution within 12 months.
Heterotopic Ossification (HO) is not a rare finding and is associated with many conditions particularly when there has been tissue damage. HO may be an incidental, asymptomatic finding or be severe requiring mechanical intervention for symptoms or function improvement. A very dramatic case of HO of uncertain etiology is presented.
Visual impairments can be caused by various conditions affecting the visual pathway, including stroke, migraine, and multiple sclerosis. However, when diagnosing patients presenting with visual impairments, the presence of white matter lesions adds a layer of complexity, particularly in differentiating between Patent Foramen Ovale (PFO) related strokes and Multiple Sclerosis (MS).
An 11-year-old adolescent with a personal and family history of depression presented to the Emergency Department (ED) five times within one month. She reported pain, swelling, erythema, and itching in the left breast (Figure 1). Bloody nipple discharge was noted during the initial episode.
Scleritis is a painful, sight-threatening, inflammatory condition of the sclera often presenting with an acute red and painful eye and potential decreased visual acuity. Inflammation of the periorbital soft tissues and ophthalmoplegia are not typically associated with posterior scleritis. We present a comprehensive visual documentation of a diagnostically challenging case of panscleritis.
Management of acute onset stridor caused by thyroid lymphoma: A case report and review of literature
Thyroid lymphoma is a rare malignancy that can present with acute airway compromise, posing a diagnostic and therapeutic challenge. Though it usually presents as a rapidly enlarging neck mass, patients can also manifest with pressure symptoms like stridor, dysphagia or hoarseness.
We describe the case of a 54-year-old female presenting with a large pedunculated mass arising from the labia minora. Initially suspected to be a papilloma, histopathology confirmed the mass to be benign in nature secondary to chronic lymphedema, likely a massive localised lymphedema (MLL).