Fatima Zohra El Ali, Salim Gallouj, Kaoutar Benchakroune, Imane Talhaoui, Ouiame El Jouari
{"title":"Lupus vulgaris with a pseudo tumoral presentation, case report.","authors":"Fatima Zohra El Ali, Salim Gallouj, Kaoutar Benchakroune, Imane Talhaoui, Ouiame El Jouari","doi":"10.1093/omcr/omaf154","DOIUrl":"10.1093/omcr/omaf154","url":null,"abstract":"<p><p>Lupus vulgaris (LV) is a chronic, paucibacillary form of cutaneous tuberculosis. These often-mutilating lesions present a significant diagnostic challenge. We report the case of a 61-year-old patient who presented with a voluminous telangiectatic and ulcerated pseudo-tumoral mass measuring 10 cm in diameter, with a mutilating aspect. Histopathology of the skin lesion revealed granulomatous dermo-hypo dermatitis. Lymph node biopsy showed granulomatous inflammation. QuantiFERON-TB assay was positive, and the established diagnosis was pseudo-tumoral lupus vulgaris. The patient was successfully treated with standard four-drug anti-tuberculosis therapy. This case highlights the importance of a multidisciplinary approach, integrating rigorous clinical, biological, and histopathological correlation for early diagnosis. Appropriate anti-tubercular treatment led to significant and rapid lesion improvement, preventing severe and mutilating complications.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 9","pages":"omaf154"},"PeriodicalIF":0.4,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114684","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}
{"title":"G-CSF-induced Aortitis in an elderly woman successfully managed with prednisolone: a case report and literature review.","authors":"Taeko Kurosawa, Masahiro Ohara, Ayako Nakame, Yuki Ichinose, Akihiro Fujimoto, Asami Nukui, Kei Yamaguchi, Aya Asano, Hiroko Shimada, Hideki Yokogawa, Kazuo Matsuura, Hiroshi Ishiguro, Takahiro Hasebe, Akihiko Osaki, Toshiaki Saeki","doi":"10.1093/omcr/omaf144","DOIUrl":"10.1093/omcr/omaf144","url":null,"abstract":"<p><p>Cancer incidence among old is increasing. Since age is important risk factor for febrile neutropenia (FN), use of granulocyte-colony stimulating factor (G-CSF) and its complication is clinically important. A 72-year old woman has completed definitive surgery for left breast cancer and was started on postoperative chemotherapy. After 12 doses of paclitaxel, she received 1st cycle of epirubicin and cyclophosphamide (day 1), and pegfilgrastim, a pegylated G-CSF to decrease the risk of FN (day 2). On day 13, she was admitted due to persistent fever since day 9. Laboratory tests revealed elevated neutrophil counts and C-reactive protein. Despite empirical antibiotics, her fever persisted and severe back pain developed (day 15). Contrast-enhanced computed tomography revealed wall thickening and increased density around the aortic arch and brachiocephalic artery. Diagnosis of pegfilgrastim-induced vasculitis was made after excluding autoimmune vasculitis. Prednisolone (60 mg/day) was administered and the fever and back pain subsided the following day.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 8","pages":"omaf144"},"PeriodicalIF":0.4,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12375805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973516","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}
Andrea Argueta, Q Carlos Diaz, Victor Hugo Argueta, Marian Vasquez
{"title":"Precocious puberty in a rural Guatemalan boy: Unraveling the role of malnutrition and psychosocial stress.","authors":"Andrea Argueta, Q Carlos Diaz, Victor Hugo Argueta, Marian Vasquez","doi":"10.1093/omcr/omaf150","DOIUrl":"10.1093/omcr/omaf150","url":null,"abstract":"<p><p>Precocious puberty is a rare condition, particularly in boys, characterized by the early development of secondary sexual characteristics. This case report presents a 5-year-old male from rural Guatemala who exhibited signs of accelerated sexual maturation, including Tanner stage IV genitalia, pubic and facial hair, and advanced bone age. After evaluation, the diagnosis was associated with environmental factors such as chronic malnutrition and psychosocial stress, which likely contributed to the premature activation of the hypothalamic-pituitary-gonadal axis. In low-resource settings, factors like poverty, limited access to healthcare, and nutritional deficiencies can significantly impact growth and development, leading to atypical presentations of conditions like precocious puberty. This case highlights the importance of considering environmental factors and social determinants of health when diagnosing and managing puberty, especially in underserved populations.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 8","pages":"omaf150"},"PeriodicalIF":0.4,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12375804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973535","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}
Richard Houeze, Mendinatou Agbetou Houessou, Alexandre D Faton, Salim Djaouga, Richmine Covi Zinsou, Eugénie Dansou, Martial Avoce, Constant K Adjien
{"title":"Pollakiuria: a rare and unique mode of revelation of silent dorsal syringomyelia in a young man-a case report.","authors":"Richard Houeze, Mendinatou Agbetou Houessou, Alexandre D Faton, Salim Djaouga, Richmine Covi Zinsou, Eugénie Dansou, Martial Avoce, Constant K Adjien","doi":"10.1093/omcr/omaf149","DOIUrl":"10.1093/omcr/omaf149","url":null,"abstract":"<p><strong>Introduction: </strong>Syringomyelia is a rare pathology which is rarely revealed by urinary urgency. We report the case of a 20-year-old man with persistent urinary urgency and pollakiuria for two years, with no identifiable organic cause despite a thorough urological work-up. A transient episode of lower limb atony prompted spinal MRI, which revealed an isolated syrinx at the T6-T7 level, without associated Chiari malformation or conus medullaris involvement. The final diagnosis was vesico-sphincter dyssynergia with overactive bladder syndrome secondary to idiopathic thoracic syringomyelia. Conservative management, including anticholinergic therapy and psychological support, led to significant clinical improvement.</p><p><strong>Conclusion: </strong>As illustrated by our case, syringomyelia may present exclusively with urinary symptoms. However, such presentation is uncommon. This case highlights the importance of considering spinal cord pathology in the differential diagnosis of unexplained urinary symptoms, even in the absence of overt neurological deficits.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 8","pages":"omaf149"},"PeriodicalIF":0.4,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12375810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973521","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}
{"title":"An unusual presentation of cutaneous sarcoidosis induced by Koebner's phenomenon.","authors":"Maryam Ghaleb, Ouiame El Jouari, Salim Gallouj","doi":"10.1093/omcr/omaf147","DOIUrl":"10.1093/omcr/omaf147","url":null,"abstract":"<p><p>We report an unusual case of cutaneous sarcoidosis presenting as papulonodular lesions strictly localized to the nasal bridge and medial canthus-corresponding to areas of pressure from eyeglass frames. This rare distribution suggests the involvement of Koebner's phenomenon, a form of reactive isomorphism rarely reported in sarcoidosis. The cutaneous lesions, present for four years, led to dermatological evaluation and subsequent histopathological confirmation of sarcoidosis. Biological and radiological investigations further revealed pulmonary involvement, establishing the diagnosis of systemic sarcoidosis. The patient was treated with hydroxychloroquine and intra-lesional corticosteroids, showing marked improvement after three months and no recurrence at six months. This case underscores the importance of recognizing atypical presentations of cutaneous sarcoidosis, which may serve as an early clinical gateway to the diagnosis of systemic disease.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 8","pages":"omaf147"},"PeriodicalIF":0.4,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12375809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973499","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}
Nasthia Quilismal, Mariana Risso, Patricia Agüero, Ramilo Lima, Francisco Garagorry, Dardo Centurion, Maria M Pineyro
{"title":"Isolated syndrome of inappropriate antidiuresis (SIAD) after Transphenoidal surgery of a non-functioning pituitary adenoma: clinical case report.","authors":"Nasthia Quilismal, Mariana Risso, Patricia Agüero, Ramilo Lima, Francisco Garagorry, Dardo Centurion, Maria M Pineyro","doi":"10.1093/omcr/omaf152","DOIUrl":"10.1093/omcr/omaf152","url":null,"abstract":"<p><strong>Introduction: </strong>Disorders of water balance, including arginine vasopressin deficiency (AVP-D) and syndrome of inappropriate antidiuresis (SIAD), are common postoperative complications following pituitary surgery. While AVP-D typically occurs as an isolated condition, SIAD may also present independently.</p><p><strong>Clinical case: </strong>We describe the case of a patient with a non-functioning pituitary adenoma who underwent transsphenoidal surgery. On postoperative day 7, she developed isolated SIAD, characterized by a plasma sodium level of 113 mmol/L, normovolemia, urine osmolality of 364 mOsm/kg, and urine sodium concentration of 50 mmol/L. A daily fluid restriction of 800 mL resulted in the resolution of hyponatremia within 48 h.</p><p><strong>Conclusions: </strong>Water balance disorders following pituitary surgery are often unpredictable. This case highlighs the importance of close postoperative clinical and biochemical monitoring. Vigilance is essential, even in the absence of AVP-D, to ensure early detection and management of potentially severe complications such as SIAD.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 8","pages":"omaf152"},"PeriodicalIF":0.4,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12375806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973467","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}
Qutaiba N Awad, Taha Z Makhlouf, Mohammad F Zhour, Sami Bannoura, Wesam Abu Hussein
{"title":"Pediatric Sneddon syndrome presenting with early-onset liver fibrosis: a rare case report.","authors":"Qutaiba N Awad, Taha Z Makhlouf, Mohammad F Zhour, Sami Bannoura, Wesam Abu Hussein","doi":"10.1093/omcr/omaf153","DOIUrl":"10.1093/omcr/omaf153","url":null,"abstract":"<p><p>Sneddon syndrome (SS) is a rare neurocutaneous disorder consisting of livedo racemosa (LR) and cerebrovascular disease with an incidence of 4 per 1 000 000 annually. It may be idiopathic or associated with autoimmune or genetic factors, including deficiency of adenosine deaminase 2 (DADA2). We describe a 17-month-old girl with recurrent fevers, hepatosplenomegaly, LR, and progressive liver fibrosis. A pathogenic ADA2 mutation and LDLR mutation associated with familial hypercholesterolemia (FH) were detected by genetic testing. Despite corticosteroids, etanercept, and immunosuppressants, she continued to deteriorate and developed portal vein thrombosis and increasing hepatic dysfunction. DADA2 is well described to cause systemic vasculopathy, but its association with liver fibrosis is still unclear. Our case highlights a potential association between DADA2 and LDLR mutation leading to hepatic injury, extending the broad spectrum of SS-related complications. Further research is needed to understand the role of these genes and their mutations in the systemic and hepatic manifestations of SS.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 8","pages":"omaf153"},"PeriodicalIF":0.4,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12375808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973527","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}
{"title":"Hirayama disease: a rare cause of cervical myelopathy.","authors":"Amin Khan, Aditya Duhan, Rajiv Mangla, Manisha Mangla, Sajjad Ghanim Al-Badri","doi":"10.1093/omcr/omaf151","DOIUrl":"10.1093/omcr/omaf151","url":null,"abstract":"<p><p>Hirayama disease (HD) is a rare cervical myelopathy involving lower cervical myotomes, causing asymmetric or unilateral distal upper extremity muscle atrophy. Diagnosis relies on clinical findings, nerve conduction studies, and cervical spine MRI in neutral and flexion positions. We present a 17-year-old male with painless, progressive weakness and atrophy of the left forearm and hand muscles, along with hyperhidrosis. Initial cervical spine MRI revealed loss of cervical lordosis, lower cervical hemicord atrophy, and increased T2 signal intensity in the anterior horn cells. Flexion MRI demonstrated anterior shifting of the posterior dura, cervical cord compression, venous plexus congestion, and posterior epidural space widening with enhancement, confirming Hirayama disease. In adolescent males with cervical cord atrophy and asymmetric flattening on routine MRI, Hirayama disease should be suspected. Flexion MRI is crucial for identifying anterior dural shifting and related changes, ensuring accurate diagnosis.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 8","pages":"omaf151"},"PeriodicalIF":0.4,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12375807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973472","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}
Mohammad Obada Alsadi, Mohammed Swileh, Fatmah Alshiajy, Fatima Abdelrahim, Hind Altag Alteraify Alsiddig, Lillian Mahfoud
{"title":"Immune thrombocytopenia as a rare initial manifestation and complication of Hodgkin lymphoma: a Pediatric case report.","authors":"Mohammad Obada Alsadi, Mohammed Swileh, Fatmah Alshiajy, Fatima Abdelrahim, Hind Altag Alteraify Alsiddig, Lillian Mahfoud","doi":"10.1093/omcr/omaf136","DOIUrl":"10.1093/omcr/omaf136","url":null,"abstract":"<p><p>Hodgkin lymphoma (HL) is a malignancy of the lymphatic system often associated with immune dysfunction. This case describes an 11-year-old boy presenting with epistaxis, petechiae, and thrombocytopenia (40 000/μl), initially diagnosed as immune thrombocytopenia (ITP). Further evaluation revealed lymphadenopathy and splenomegaly. A biopsy of an axillary lymph node confirmed HL, with immunohistochemical analysis identifying Reed-Sternberg cells positive for CD30 and CD15. The patient began treatment with the ABVD chemotherapy regimen, resulting in significant clinical and hematological improvement. While ITP is commonly associated with autoimmune and lymphoproliferative disorders, its occurrence as a secondary complication of HL is rare, reported in less than 1% of cases. This case emphasizes the importance of considering HL as an underlying cause in patients presenting with unexplained ITP, particularly when lymphadenopathy or systemic symptoms are observed. Prompt diagnosis and initiation of therapy are crucial for achieving positive outcomes in such cases.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 8","pages":"omaf136"},"PeriodicalIF":0.4,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12365971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973496","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}
Faiq I Gorial, Nabaa Ihsan Awadh, Sara S Khunda, Sajjad Ghanim Al-Badri, Ali Falah Alibrahimi
{"title":"Avascular necrosis as an uncommon manifestation in glycogen storage disease type III: diagnostic and therapeutic challenges.","authors":"Faiq I Gorial, Nabaa Ihsan Awadh, Sara S Khunda, Sajjad Ghanim Al-Badri, Ali Falah Alibrahimi","doi":"10.1093/omcr/omaf145","DOIUrl":"10.1093/omcr/omaf145","url":null,"abstract":"<p><p>Glycogen storage disease type III (GSD III), or Cori disease, is a rare autosomal recessive disorder caused by a debranching enzyme deficiency, leading to abnormal glycogen accumulation. Clinical features include hepatomegaly, hypoglycemia, myopathy, and cardiomyopathy. Avascular necrosis (AVN), the death of bone tissue due to poor blood supply, is an uncommon but severe complication of GSD III. This report discusses a 19-year-old female with a known diagnosis of GSD III who developed AVN, presenting with chronic right hip pain, muscle weakness, and hypoglycemic seizures. Diagnostic challenges were resolved using imaging studies. Management included dietary adjustments to stabilize blood glucose, symptomatic treatment, lipid-lowering agents, and osteoporosis therapy to address skeletal complications. This case highlights the importance of multidisciplinary care, regular monitoring, and individualized management to address rare complications and improve outcomes in GSD III.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 8","pages":"omaf145"},"PeriodicalIF":0.4,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12365979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973544","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}