SAGE Open Medical Case Reports最新文献_第9页

Myoepithelioma of the upper lip: A rare case report with a literature review of diagnostic approaches. 上唇肌上皮瘤：一例罕见病例报告及诊断方法的文献回顾。

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2025-03-17 eCollection Date: 2025-01-01 DOI: 10.1177/2050313X241305185

Farid Ghadyani, Samira Behrad

{"title":"Myoepithelioma of the upper lip: A rare case report with a literature review of diagnostic approaches.","authors":"Farid Ghadyani, Samira Behrad","doi":"10.1177/2050313X241305185","DOIUrl":"10.1177/2050313X241305185","url":null,"abstract":"Myoepithelioma is an extremely rare salivary gland neoplasm with diverse histological variants. Understanding myoepithelioma's clinical, radiological, and molecular features is crucial for accurate diagnosis and management. We present a case of a 40-year-old Iranian male with a painless, firm, solitary exophytic mass on the upper lip. Surgical excision was curative, with no recurrence at 36 months. Histopathological analysis confirmed myoepithelioma with spindle and plasmacytoid cell variants. Myoepithelioma's rarity is reflected in epidemiologic studies and its features are mainly recognized by the information in the case reports. Majorly it appears at the site of major salivary glands and occasionally the palate. The occurrence at the site of the upper lip is extremely rare and only appeared in a few case reports. Seeking the history of previous exposures to possible etiologic factors might not be a facilitator. Differential diagnosis includes pleomorphic adenoma, myoepithelial carcinoma, and basal cell adenoma. The main diagnostic approach is histopathological analysis. Following that, the tumor's nature, cell variants, and possible transformation could be evaluated. While molecular studies supplement diagnosis, their routine clinical use is limited and their necessity is debated. The application of artificial intelligence could be helpful when uncertainty arises, or for analyzing microscopic images. Surgical excision with healthy margins is curative, and follow-up is essential.","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X241305185"},"PeriodicalIF":0.6,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Management of inhalational injury secondary to prolonged anhydrous ammonia exposure with venovenous ECMO: A case report. 静脉-静脉ECMO治疗长期无水氨暴露后继发性吸入性损伤1例报告。

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2025-03-17 eCollection Date: 2025-01-01 DOI: 10.1177/2050313X251327670

Paul J Fletcher, Brent Kidd, James T Zorn, John Costello

引用次数: 0

Beyond "buzzwords"-updated recommendations for evaluating patients presenting without la belle indifference and diagnosing functional neurological symptom disorder: A case report. 超越“流行语”-评估无美女冷漠和诊断功能性神经症状障碍患者的最新建议：一个病例报告。

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2025-03-12 eCollection Date: 2025-01-01 DOI: 10.1177/2050313X251325367

Jessica L Bennett, Elizabeth A Keene, Anisha Chinthalapally

{"title":"Beyond \"buzzwords\"-updated recommendations for evaluating patients presenting without la belle indifference and diagnosing functional neurological symptom disorder: A case report.","authors":"Jessica L Bennett, Elizabeth A Keene, Anisha Chinthalapally","doi":"10.1177/2050313X251325367","DOIUrl":"10.1177/2050313X251325367","url":null,"abstract":"La belle indifference-absence of psychological distress despite presence of significant neurological symptoms-is often highlighted in current literature as a key diagnostic criterion for functional neurological symptom disorder. However, as exemplified with this case, functional neurological symptom disorder may present without la belle indifference more commonly than previously believed. A distressed 60-year-old female presented with abdominal pain, then suddenly lost ability to speak and developed rapid, rhythmic mandible movements. Multidisciplinary examination including diagnostic evaluation of the heart, head, and neck was largely unremarkable. Following her extensive evaluation, it was revealed that she had experienced similar symptoms previously, during times of high psychological stress. A diagnosis of functional neurological symptom disorder was established, and her symptoms resolved with minimal intervention. To best serve our patients, clinicians are encouraged to perform thorough history collection and physical examination prior to obtaining costly and time-consuming diagnostic studies whenever possible. By asking about risk factors of functional neurological symptom disorder early in the patient encounter, clinicians may be able to reduce unnecessary diagnostic testing, thus minimizing patient exposure to potential risks associated with extensive diagnostic evaluation and decreasing healthcare costs.","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251325367"},"PeriodicalIF":0.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Uncomplicated full-term birth after laparoscopical salpingotomy as organ-preserving therapy of naturally conceived heterotopic pregnancy: A case report. 腹腔镜输卵管切开术保器官治疗自然异位妊娠无并发症足月分娩1例。

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2025-03-12 eCollection Date: 2025-01-01 DOI: 10.1177/2050313X251325121

Roland Csorba, Antonella Iannaccone, Panagiotis Tsikouras, Saed Almasarweh

{"title":"Uncomplicated full-term birth after laparoscopical salpingotomy as organ-preserving therapy of naturally conceived heterotopic pregnancy: A case report.","authors":"Roland Csorba, Antonella Iannaccone, Panagiotis Tsikouras, Saed Almasarweh","doi":"10.1177/2050313X251325121","DOIUrl":"10.1177/2050313X251325121","url":null,"abstract":"Heterotopic pregnancy, the simultaneous occurrence of intrauterine and extrauterine gestations, is a rare phenomenon, especially without a history of assisted reproduction. This case report describes a 33-year-old woman presenting with severe abdominal pain at 7 weeks of pregnancy. Transvaginal ultrasound revealed an intrauterine singleton pregnancy and an adnexal mass, highly suspicious of an ectopic pregnancy, along with significant intraperitoneal fluid. Emergency laparoscopy confirmed intra-abdominal hemorrhage and a near rupture of the left fallopian tube. A laparoscopic salpingotomy successfully resolved the ectopic pregnancy while preserving the intrauterine pregnancy. Postoperative course was uneventful. The patient later delivered a healthy infant at term. This case highlights the importance of considering heterotopic pregnancy in patients with confirmed intrauterine pregnancy, even in the absence of assisted reproductive technologies and other risk factors.","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251325121"},"PeriodicalIF":0.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Melano-erythrodermic folliculotropic mycosis fungoides misdiagnosed as a case of recalcitrant atopic dermatitis: A case report. 误诊为顽固性特应性皮炎的黑红皮病嗜滤泡性真菌病1例。

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2025-03-12 eCollection Date: 2025-01-01 DOI: 10.1177/2050313X251320468

Nada Alghamdi, Haya Alzammami, Maryam Mohammed Alfaraj

引用次数: 0

Combined autologous hematopoietic stem cell transplantation and CD19 CAR T-cell therapy for relapsed/refractory diffuse large B-cell lymphoma with TP53 mutation: A case report. 自体造血干细胞联合CD19 CAR - t细胞治疗复发/难治性弥漫性大b细胞淋巴瘤伴TP53突变1例

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2025-03-11 eCollection Date: 2025-01-01 DOI: 10.1177/2050313X241306236

Ziyi Cai, Dongmei Zou, Qiang Ma, Wanling Sun, Yixian Guo

引用次数: 0

Atypical giant proliferating cystic pilomatrixoma: A case review. 非典型巨大增生性囊性皮瘤：病例回顾

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2025-02-27 eCollection Date: 2025-01-01 DOI: 10.1177/2050313X251320195

Kerman Sekhon, Yvette Miller-Monthrope, Christian Murray, Michael Weinberg

{"title":"Atypical giant proliferating cystic pilomatrixoma: A case review.","authors":"Kerman Sekhon, Yvette Miller-Monthrope, Christian Murray, Michael Weinberg","doi":"10.1177/2050313X251320195","DOIUrl":"10.1177/2050313X251320195","url":null,"abstract":"Pilomatrixoma, or calcifying epithelioma of Malherbe, is a rare and benign tumour. Typical presentation of pilomatrixoma is solitary, firm lesions found in the head and neck regions. Pilomatrixoma are often misdiagnosed due to their clinical presentation, which is synonymous with other cutaneous pathology. The reported and true incidence of pilomatrixoma are 1% and 16%, respectively. Cystic pilomatrixoma is a unique variant that presents without the pathognomonic feature of a firm lesion. This study presents the case of a 52-year-old man with a post-auricular pilomatrixoma. It is erythematous, soft, mobile, and 4 cm in diameter. Its size categorizes the lesion as a giant pilomatrixoma. These pilomatrixoma pose a diagnostic challenge as they mimic malignant lesions. It was highly erythematous and mimicked Merkel cell carcinoma in on initial presentation. It was a sebum-filled lesion, which is quite atypical for pilomatrixoma. A previous study finds that only three cases of cystic pilomatrixoma have been reported in the literature previously. This case study presents the case of an atypical variant of a rare tumour. There is a paucity in the literature on cystic pilomatrixoma. Giant proliferating cystic pilomatrixoma has not previously been described in a case report in the literature, as to our knowledge. This study highlights the diversity in the clinical presentations of pilomatrixoma to improve our clinical sensitivity to pilomatrixoma.","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251320195"},"PeriodicalIF":0.6,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Successful treatment of pediatric patient with Dravet syndrome with cenobamate: Case report. 用cenobamate成功治疗儿童Dravet综合征1例报告。

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2025-02-27 eCollection Date: 2025-01-01 DOI: 10.1177/2050313X251324079

Oleg V Lobanov, Mary Bertrand

{"title":"Successful treatment of pediatric patient with Dravet syndrome with cenobamate: Case report.","authors":"Oleg V Lobanov, Mary Bertrand","doi":"10.1177/2050313X251324079","DOIUrl":"https://doi.org/10.1177/2050313X251324079","url":null,"abstract":"Dravet syndrome, also known as severe myoclonic epilepsy of infancy, is an epileptic encephalopathy characterized by severe epilepsy accompanied by impaired psychomotor and neurologic development. Onset is in the first year of life in apparently healthy infants. Seizures in Dravet syndrome are highly pharmacoresistant, and the SUDEP mortality rate is high. Here, we present the first case of the successful use of cenobamate in a pediatric patient (9-year-old female) with Dravet syndrome and pharmacoresistant epilepsy despite the prior use and failure of typical medications for Dravet syndrome, including fenfluramine, valproate, and clobazam, among others. At 6-month follow-up, the frequency of generalized tonic-clonic seizures decreased from 8 per month to 1 per month upon reaching a daily dose of 50 mg (1.9 mg/kg/day), which represents an 87.5% reduction. No side effects were reported. Given the single-patient case report nature of this study, further investigations are needed to extrapolate the usefulness of cenobamate across different age groups and genetic variants.","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251324079"},"PeriodicalIF":0.6,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A case of altruistic suicide by severe carbon monoxide poisoning. 一例严重一氧化碳中毒的利他自杀。

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2025-02-27 eCollection Date: 2025-01-01 DOI: 10.1177/2050313X251321064

Aanchal Amit Shah, Jorge Salazar, Prabhava Bagla, Aparna Das

引用次数: 0

Neck cellulitis complicating spectacle frames' contact dermatitis: A case report. 颈蜂窝织炎并发眼镜架接触性皮炎1例。

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2025-02-26 eCollection Date: 2025-01-01 DOI: 10.1177/2050313X251324310

Rémy Hamdan, Cyrielle Chea, Maxime Brisson, Jules Coeur, Carmen Cortes Espejo, Camille Leleu

{"title":"Neck cellulitis complicating spectacle frames' contact dermatitis: A case report.","authors":"Rémy Hamdan, Cyrielle Chea, Maxime Brisson, Jules Coeur, Carmen Cortes Espejo, Camille Leleu","doi":"10.1177/2050313X251324310","DOIUrl":"10.1177/2050313X251324310","url":null,"abstract":"Neck cellulitis occurs as a result of dental, pharyngeal or ear infections or following trauma, but rarely via a cutaneous entry point. A 34-year-old female patient consulted with a left-sided, painful cervical swelling with limited head rotation and trismus, accompanied by a painful, oozing, retroauricular contact dermatitis (CD). Clinical examination confirmed the left cervical cellulitis with superinfected retroauricular CD. A computed tomography scan of the neck revealed no abscess. Systemic antibiotic therapy against streptococci and staphylococci for 8 days, combined with hygiene care for the CD lesions and the avoidance of glasses with metal frames, resulted in complete recovery without recurrence. Patch tests revealed sensitization to several metals, particularly nickel. Eyeglasses may cause allergic CD, an inflammatory skin disease caused by a delayed-type hypersensitivity reaction. Metal spectacle frames are particularly prone to causing CD, mainly due to the presence of nickel. Because of the skin breakdown it entails, spectacle frames' CD may lead to skin infections and neck cellulitis. Spectacle frame CD should be investigated in patients presenting with retroauricular eczema. To our knowledge, the case of neck cellulitis induced by spectacle frame-allergic CD has never been reported.","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251324310"},"PeriodicalIF":0.6,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0