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Full-term pregnancy despite severe hypophosphatemia caused by tumor-induced osteomalacia. 肿瘤引起的骨软化症导致严重低磷血症，但仍能足月妊娠。
IF 0.5
Oxford Medical Case Reports Pub Date : 2024-10-26 eCollection Date: 2024-10-01 DOI: 10.1093/omcr/omae125
Thien Binh Nu Truong, Anh Trong Nguyen, Luong Dai Ly
{"title":"Full-term pregnancy despite severe hypophosphatemia caused by tumor-induced osteomalacia.","authors":"Thien Binh Nu Truong, Anh Trong Nguyen, Luong Dai Ly","doi":"10.1093/omcr/omae125","DOIUrl":"10.1093/omcr/omae125","url":null,"abstract":"<p><p>A woman in her 30s with a history of multiple bone fractures unexpectedly became pregnant and delivered a full-term baby through cesarean section, despite suffering from excruciating pain without any apparent cause or specific treatment. The patient was referred to our endocrine clinic following childbirth. Blood tests revealed a life-threatening low level of serum phosphate, normal 25-hydroxy vitamin D concentration, low TmP/GFR ratio, and elevated FGF23 levels. A PET/CT scan with Gallium-68 Dotatate identified an abnormal tumor in the right calcaneus. Her FGF23 level returned to normal soon after surgical removal of the tumor, which was confirmed to be chondroblastoma. Her child's cognitive and motor skills typically developed from the newborn to preschool age. He exhibited excellent long-term growth, without any signs of rickets.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 10","pages":"omae125"},"PeriodicalIF":0.5,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11512694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510117","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
Ischemic stroke in a 4-year child resulting from scorpion envenomation: a case report from Nepal. 尼泊尔一例蝎子中毒导致 4 岁儿童缺血性中风的报告。
IF 0.5
Oxford Medical Case Reports Pub Date : 2024-10-26 eCollection Date: 2024-10-01 DOI: 10.1093/omcr/omae121
Bhatta Sunil, Awasthi Pusp Raj, Pandit Sukriti
{"title":"Ischemic stroke in a 4-year child resulting from scorpion envenomation: a case report from Nepal.","authors":"Bhatta Sunil, Awasthi Pusp Raj, Pandit Sukriti","doi":"10.1093/omcr/omae121","DOIUrl":"10.1093/omcr/omae121","url":null,"abstract":"<p><p>In the warmer lowlands, scorpion stings frequently result in emergencies and are a serious public health issue. Early in the spree, scorpion envenomation is particularly deadly because of respiratory and/or cardiovascular collapse. We report a 4-year-old boy with left middle cerebral arterial territory ischemic infarct within 24 h following scorpionism. He was managed conservatively with prazosin, aspirin, enoxaparin, levetriacetam and other supportive measures.</p><p><p></p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 10","pages":"omae121"},"PeriodicalIF":0.5,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11512697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510118","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
Axillary pilonidal sinus: an unusual presentation: a case report with literature review. 腋窝朝天鼻窦：一种不寻常的表现：病例报告与文献综述。
IF 0.5
Oxford Medical Case Reports Pub Date : 2024-10-26 eCollection Date: 2024-10-01 DOI: 10.1093/omcr/omae123
Abdulwahid M Salih, Ronak S Ahmed, Hardi M Zahir, Yadgar A Saeed, Halkawt O Ali, Aso S Muhialdeen, Saeed H Ali, Kayhan A Najar, Fakher Abdullah, Fahmi H Kakamad
{"title":"Axillary pilonidal sinus: an unusual presentation: a case report with literature review.","authors":"Abdulwahid M Salih, Ronak S Ahmed, Hardi M Zahir, Yadgar A Saeed, Halkawt O Ali, Aso S Muhialdeen, Saeed H Ali, Kayhan A Najar, Fakher Abdullah, Fahmi H Kakamad","doi":"10.1093/omcr/omae123","DOIUrl":"10.1093/omcr/omae123","url":null,"abstract":"<p><p>Despite its rarity, pilonidal sinus (PNS) in atypical locations poses significant diagnostic challenges, underscoring the need for early identification and appropriate treatment strategies. This case highlights a rare occurrence of a PNS in the axilla, emphasizing the importance of recognizing uncommon presentations of common ailments. A 27-year-old male presented with a 13-year history of painless axillary discharge, diagnosed with PNS based on clinical evaluation. Surgical excision under local anesthesia successfully treated the condition, showcasing the effectiveness of tailored management in addressing rare presentations of PNS. Surgical therapy for axillary pilonidal sinus enables complete resection and provides precise histopathological diagnoses, making it a suitable treatment option, particularly for cases involving atypical locations.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 10","pages":"omae123"},"PeriodicalIF":0.5,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11512695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510114","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
Cases of consecutive ductal adenocarcinoma of the prostate carrying HRR mutation: case series and literature review. 携带 HRR 突变的连续性前列腺导管腺癌病例：病例系列和文献综述。
IF 0.5
Oxford Medical Case Reports Pub Date : 2024-10-26 eCollection Date: 2024-10-01 DOI: 10.1093/omcr/omae124
Weizhe Han, Nihati Rexiati, Yongzhi Wang, Tao Liu, Yongwen Luo, Zhonghua Yang
{"title":"Cases of consecutive ductal adenocarcinoma of the prostate carrying HRR mutation: case series and literature review.","authors":"Weizhe Han, Nihati Rexiati, Yongzhi Wang, Tao Liu, Yongwen Luo, Zhonghua Yang","doi":"10.1093/omcr/omae124","DOIUrl":"10.1093/omcr/omae124","url":null,"abstract":"","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 10","pages":"omae124"},"PeriodicalIF":0.5,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11512693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510115","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
The 41st documented case of the oral angiokeratoma globally, review of literature and case report. 全球有据可查的第 41 例口腔血管角化瘤病例、文献综述和病例报告。
IF 0.5
Oxford Medical Case Reports Pub Date : 2024-10-26 eCollection Date: 2024-10-01 DOI: 10.1093/omcr/omae126
Jafar Hamdy, Majd Alnajjar, Hikmat Yacoub, Rana Issa
{"title":"The 41st documented case of the oral angiokeratoma globally, review of literature and case report.","authors":"Jafar Hamdy, Majd Alnajjar, Hikmat Yacoub, Rana Issa","doi":"10.1093/omcr/omae126","DOIUrl":"10.1093/omcr/omae126","url":null,"abstract":"<p><p>Oral angiokeratoma (OAK) is an uncommon vascular anomaly with various clinical manifestations. Typically associated with generalized angiokeratoma. It rarely manifests as a solitary lesion without any underlying systemic conditions. Globally, only around 40 oral cases have been documented to date. Here, we present the 41st solitary oral angiokeratoma in the tongue in a 30-year-old female patient, this case was effectively managed without any surgical intervention.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 10","pages":"omae126"},"PeriodicalIF":0.5,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11512699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510120","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
Unveiling primary Hyperoxaluria type 1: a fortuitous discovery through bone marrow biopsy. 揭开原发性高草酸尿症 1 型的面纱：通过骨髓活检偶然发现。
IF 0.5
Oxford Medical Case Reports Pub Date : 2024-10-26 eCollection Date: 2024-10-01 DOI: 10.1093/omcr/omae128
Taha Yassine Aaboudech, Kaoutar Znati, Ahmed Jahid, Samia Sassi, Salima Driouich, Fouad Zouaidia, Zakia Bernoussi
{"title":"Unveiling primary Hyperoxaluria type 1: a fortuitous discovery through bone marrow biopsy.","authors":"Taha Yassine Aaboudech, Kaoutar Znati, Ahmed Jahid, Samia Sassi, Salima Driouich, Fouad Zouaidia, Zakia Bernoussi","doi":"10.1093/omcr/omae128","DOIUrl":"10.1093/omcr/omae128","url":null,"abstract":"<p><p>This paper details a rare case of primary hyperoxaluria type 1 (PH1) identified through a bone marrow biopsy in a 46-year-old female patient with a history of nephrolithiasis and chronic renal failure. Genetic analysis identified the p.Ile244Thr mutation in the AGXT gene, confirming the diagnosis of PH1. The paper aims to highlight this case, focusing on the genetic basis of the disorder, including the identified mutation. It underscores the importance of early diagnosis of infantile and childhood nephrolithiasis, particularly in cases with familial history, to prevent renal loss and systemic oxalosis.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 10","pages":"omae128"},"PeriodicalIF":0.5,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11512696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510121","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
Transient speech impairment: a minor stroke/TIA case escaping conventional imaging methods. 一过性言语障碍：一例轻微中风/TIA病例逃脱了常规成像方法的束缚。
IF 0.5
Oxford Medical Case Reports Pub Date : 2024-10-15 eCollection Date: 2024-10-01 DOI: 10.1093/omcr/omae119
Sheharyar H Khan, Mustafa Aljanabi
{"title":"Transient speech impairment: a minor stroke/TIA case escaping conventional imaging methods.","authors":"Sheharyar H Khan, Mustafa Aljanabi","doi":"10.1093/omcr/omae119","DOIUrl":"https://doi.org/10.1093/omcr/omae119","url":null,"abstract":"<p><p>This case report discusses the diagnostic challenges posed by transient ischaemic attacks (TIAs) and minor strokes presenting with atypical symptoms, focusing on a 62-year-old male presenting with isolated speech difficulties reminiscent of Broca's aphasia. Despite initial inconclusive imaging, subsequent evaluation revealed minor periventricular changes consistent with ischaemic small vessel disease and a pre-existing lacunar infarct. The resolution of symptoms within 10 days highlights the transient nature of the event. The case underscores the importance of recognising nuanced presentations of cerebrovascular events and the necessity for standardised diagnostic criteria and assessment tools for transient speech impairments resembling Broca's aphasia. Further research into the mechanisms underlying these transient events, utilising advanced imaging techniques, such as diffusion-weighted MRI (DWI), may be warranted to facilitate early recognition and appropriate management in clinical practice.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 10","pages":"omae119"},"PeriodicalIF":0.5,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11480695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477241","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 Mother's struggle: postpartum preeclampsia complicated by triple vessel spontaneous coronary artery dissection. 母亲的挣扎：产后子痫前期并发三血管自发性冠状动脉夹层。
IF 0.5
Oxford Medical Case Reports Pub Date : 2024-10-15 eCollection Date: 2024-10-01 DOI: 10.1093/omcr/omae120
Branco G M Bettinotti, Mickias B Tegegn, Victor Razuk, Som Bailey, Rowena Hann, Cesar Mendoza, Marian T Calfa, Rosario A Colombo
{"title":"A Mother's struggle: postpartum preeclampsia complicated by triple vessel spontaneous coronary artery dissection.","authors":"Branco G M Bettinotti, Mickias B Tegegn, Victor Razuk, Som Bailey, Rowena Hann, Cesar Mendoza, Marian T Calfa, Rosario A Colombo","doi":"10.1093/omcr/omae120","DOIUrl":"https://doi.org/10.1093/omcr/omae120","url":null,"abstract":"<p><p>Spontaneous coronary artery dissection (SCAD) is an important cause of acute coronary syndrome among young women, especially in the postpartum period. Pregnancy-Associated SCAD (P-SCAD), an aggressive subtype, frequently involves multi-vessel dissection, decreased left ventricular function, and higher mortality. Here we present a rare case of postpartum pre-eclampsia complicated by multi-vessel SCAD in a 40-year-old multiparous Haitian black woman. Diagnosis was established with coronary angiography which revealed spontaneous dissection of the left anterior descendant, left circumflex, and right coronary arteries. Given the patient remained hemodynamically stable no percutaneous coronary intervention was indicated. She experienced recurrent anginal symptoms during her hospitalization that were managed with the addition of clopidogrel. The pathophysiology of P-SCAD is not well understood and thought to be related to an increased state of hemodynamic stress and hormonal fluctuation. The role of pre-eclampsia as a risk factor remains poorly defined and warrants further investigation.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 10","pages":"omae120"},"PeriodicalIF":0.5,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11480921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477234","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
Rhythmic high-amplitude delta with superimposed spikes (RHADS): a treatment dilemma. 带有叠加尖峰的节律性高振幅三角洲（RHADS）：治疗难题。
IF 0.5
Oxford Medical Case Reports Pub Date : 2024-10-15 eCollection Date: 2024-10-01 DOI: 10.1093/omcr/omae114
Vanita Shukla, Paul Webb, Bashayer AlMohaimeed, James Lee, Cyrus Boelman
{"title":"Rhythmic high-amplitude delta with superimposed spikes (RHADS): a treatment dilemma.","authors":"Vanita Shukla, Paul Webb, Bashayer AlMohaimeed, James Lee, Cyrus Boelman","doi":"10.1093/omcr/omae114","DOIUrl":"https://doi.org/10.1093/omcr/omae114","url":null,"abstract":"<p><p>Pathognomonic EEG patterns have been described in genetic conditions such as Angelman and Rett syndromes. EEG patterns along the ictal-interictal continuum have been increasingly recognized with the greater availability of continuous EEG monitoring; however, treatment decisions may be difficult with unpredictable clinical implications. Rhythmic High-Amplitude Delta Activity with Superimposed (Poly) Spikes (RHADS) has been described as a particular EEG pattern in POLG1 Alpers Syndrome. The balance between treating subclinical seizures and managing encephalopathy in these patients is challenging.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 10","pages":"omae114"},"PeriodicalIF":0.5,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11480651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477240","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
Mesonephric carcinoma of the cervix associated with ovarian serous carcinoma: a case report. 宫颈中肾癌伴卵巢浆液性癌：病例报告。
IF 0.5
Oxford Medical Case Reports Pub Date : 2024-10-15 eCollection Date: 2024-10-01 DOI: 10.1093/omcr/omae117
Ayoub Kharkhach, Asmae Bali, Said Afqir, Tariq Bouhout, Badr Serji
{"title":"Mesonephric carcinoma of the cervix associated with ovarian serous carcinoma: a case report.","authors":"Ayoub Kharkhach, Asmae Bali, Said Afqir, Tariq Bouhout, Badr Serji","doi":"10.1093/omcr/omae117","DOIUrl":"https://doi.org/10.1093/omcr/omae117","url":null,"abstract":"<p><p>Malignant mesonephric tumor of the uterine cervix is an extremely uncommon subtype of cervical adenocarcinoma with rare, documented cases in the literature. In this report, we present a case of 58 yo, with abdominal pain and ascites that was found to have a synchronous presence of a mesonephric adenocarcinoma of the cervix and advanced serous ovarian carcinoma on the surgical specimen. The histological study identified a tumor showing a mix of tubular and ductal growth patterns. Immunohistochemical analyses were positive for cytokeratin, vimentin, calretinin and CD10. However, the tumor cells were negative for estrogen receptor and progesterone receptor. The patient received neoadjuvant chemotherapy with a combination of carboplatin and gemcitabine followed by optimal debulking surgery and was alive after 18 months of follow up. The management of this rare case remains unclear due to the absence of management guidelines.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 10","pages":"omae117"},"PeriodicalIF":0.5,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11480649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477238","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
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