Archive of clinical cases最新文献_第8页

A unique case of indolent microscopic polyangiitis in an elderly gentleman: a case report and brief review. 一名老年男性患惰性显微镜下多血管炎的独特病例：病例报告和简要回顾。

Archive of clinical cases Pub Date : 2023-12-28 eCollection Date: 2023-01-01 DOI: 10.22551/2023.41.1004.10276

Clement Tan, Jithmy Perara, Pranav Kumar

引用次数: 0

Paget-Schroetter syndrome: the importance of early detection and effective surgical intervention. Paget-Schroetter 综合征：早期发现和有效手术干预的重要性。

Archive of clinical cases Pub Date : 2023-12-28 eCollection Date: 2023-01-01 DOI: 10.22551/2023.41.1004.10275

Sofija Pejkova, Darko Aleksovski, Sara Hadjitrifon, Sofija Tusheva, Gordana Georgieva, Blagoja Srbov, Oskar C Aszmann

{"title":"Paget-Schroetter syndrome: the importance of early detection and effective surgical intervention.","authors":"Sofija Pejkova, Darko Aleksovski, Sara Hadjitrifon, Sofija Tusheva, Gordana Georgieva, Blagoja Srbov, Oskar C Aszmann","doi":"10.22551/2023.41.1004.10275","DOIUrl":"10.22551/2023.41.1004.10275","url":null,"abstract":"Paget-Schroetter syndrome (PSS) is relatively rare condition of thoracic outlet syndrome characterized by thrombosis or blood clot formation in the subclavian vein. Due to the non-specific symptoms and low incidence rate, PSS is frequently missed by medical professionals, and as such it often leads to wrong diagnosis and untreated patients. We present the case of a 30-year-old CrossFit trainer who developed a thrombosis of the subclavian vein. Initially, the patient consulted an internist after experiencing swelling in the right shoulder region and discoloration of the right upper extremity. Angiography revealed occlusion of the subclavian vein and anticoagulant therapy was prescribed. For more than a year, the patient's symptoms remained unchanged, and the subclavian vein occlusion persisted. Venography suspected effort thrombosis of the subclavian vein. The patient underwent surgery for decompression of the subclavian vein. After six months, results from post-operative computed tomography angiography showed that venous flow was fully restored and no pathology of the venous vessel wall could be demonstrated. This report aims to increase awareness of PSS among medical professionals, leading to earlier diagnosis and adequate clinical-surgical management.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"10 4","pages":"200-204"},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10754040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139059239","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

Bullosis diabeticorum in a morbidly obese woman in Haiti. 海地一名病态肥胖妇女的糖尿病大疱症。

Archive of clinical cases Pub Date : 2023-12-28 eCollection Date: 2023-01-01 DOI: 10.22551/2023.41.1004.10274

Axler Jean Paul, Rebecca St Louis, Adonai Aly Isaac Julien, Frednel Florvil, Wendell Blaise

{"title":"Bullosis diabeticorum in a morbidly obese woman in Haiti.","authors":"Axler Jean Paul, Rebecca St Louis, Adonai Aly Isaac Julien, Frednel Florvil, Wendell Blaise","doi":"10.22551/2023.41.1004.10274","DOIUrl":"10.22551/2023.41.1004.10274","url":null,"abstract":"Bullosis diabeticorum is a rare skin complication of diabetes mellitus, characterized by sudden onset bullous lesions with no history of trauma. It predominantly affects men and has an acral asymmetric presentation. Here, we report a case of bullous disease in a diabetic patient with morbid obesity, the first described in Haiti. A 40-year-old woman, with a strong history of diabetic for five years, poorly controlled and morbidly obese presented to our emergency for bullosis lesions in her limb. She had a prior presentation about two years ago and, approximately a week before this actual presentation, the same symptomatology occurred suddenly without any trauma. After evaluation and screening, the diagnosis of bullosis diabeticorum was kept. She was initially treated with antibiotics due to signs of superinfection. However, as soon as the symptoms improved, antibiotics were discontinued. An antiseptic lotion and topical antibiotic, neomycin, were used along with daily dressings. About a week after, her blood glucose came to control, signs of infection disappeared as did the bullous lesions and surgical evaluation was performed to ensure proper wound evolution. She was educated by a nutritionist, and our team emphasized the importance of regular follow-up at the hospital. Diabetic bullous disease is very rare and easy to confuse with other diabetic skin complications. A good clinical history is essential to make the diagnosis, and management requires good therapeutic education to avoid the burdensome complications of diabetes.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"10 4","pages":"196-199"},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10754039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139059238","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

Superscan on ⁶⁸Ga PSMA PET/CT in patients with metastatic prostate carcinoma: A case series. 68Ga PSMA PET/CT 对转移性前列腺癌患者的超级扫描：病例系列。

Archive of clinical cases Pub Date : 2023-12-28 eCollection Date: 2023-01-01 DOI: 10.22551/2023.41.1004.10267

Daniel Felipe Galindo Cortes, Helen Mejia Efeer, Sandra Caro Perdomo, Nathalie Hernandez Hidalgo

{"title":"Superscan on 68Ga PSMA PET/CT in patients with metastatic prostate carcinoma: A case series.","authors":"Daniel Felipe Galindo Cortes, Helen Mejia Efeer, Sandra Caro Perdomo, Nathalie Hernandez Hidalgo","doi":"10.22551/2023.41.1004.10267","DOIUrl":"10.22551/2023.41.1004.10267","url":null,"abstract":"Prostate cancer is the second most common malignancy in men worldwide, with a good prognosis when is detected and treated in early stages, but, when it presents progression to castration-resistant metastatic prostate cancer, most of the cases will have bone metastasis, decreasing the quality of life and life expectancy. For the evaluation of the disease in the routinary clinical practice, 68Ga-PSMA PET/CT, among others is a valuable tool for the evaluation of the disease extension. 68Ga-PSMA PET/CT detects the presence of PSMA receptor in the tumoral tissue, but also has physiologic uptake in certain organs, such as liver, spleen, intestine, kidneys, lacrimal and salivary glands. Total or partial absence of uptake in those organs is rare and may be due to a high metastatic tumor burden, a phenomenon originally described in bone scintigraphy as super scan. We describe a case series of seven patients with prostate cancer from the National Institute of Cancerology in Colombia, in which a super scan pattern was found in the evaluation with 68Ga-PSMA PET/CT, proposing the suppression of uptake in the intestine, liver, spleen, lacrimal and salivary glands as the main criteria for its definition, and showing that renal uptake persists in most cases, considering that, unlike the super scan in conventional bone scintigraphy, this is not a criterion necessary for its definition in the study with 68Ga-PSMA.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"10 4","pages":"164-170"},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10753930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139059240","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

Rare case of mortality after hemorrhagic property of esthesioneuroblastoma. 雌性神经母细胞瘤出血后死亡的罕见病例。

Archive of clinical cases Pub Date : 2023-12-14 eCollection Date: 2023-01-01 DOI: 10.22551/2023.41.1004.10269

Todd Furr, Brandon Grodman, Jeremy Heffernan

{"title":"Rare case of mortality after hemorrhagic property of esthesioneuroblastoma.","authors":"Todd Furr, Brandon Grodman, Jeremy Heffernan","doi":"10.22551/2023.41.1004.10269","DOIUrl":"https://doi.org/10.22551/2023.41.1004.10269","url":null,"abstract":"Esthesioneuroblastoma is a tumor arising from olfactory neuroepithelium with an incidence of four per million. This case presents a rare nasal cavity neoplasm with hemorrhagic properties that may lead to significant sequelae. We present a 69-year-old male patient who presented with worsening altered mental status over the past 6-7 months. His Glasgow coma scale was a nine, showing a large mass centered at the cribriform plate with extension intracranially, sinonasal cavity, and bilateral orbits on diagnostics. Bifrontal craniotomy was performed one day after admission with resection of the tumor in the cranial fossa and intranasally, and decompression of the brainstem, frontal lobes, and third ventricle. After surgery, the patient was managed in the intensive care unit but continued to deteriorate. He was confirmed to have no meaningful brain activity and eventually deceased seven days after admission. Depending on the tumor stage, esthesioneuroblastoma can have a favorable prognosis with proper therapies. Different surgical techniques for ENB lead to the question of which therapeutic modality is the best because of the tumor's gross hemorrhagic properties. With adjunctive radiation therapy and/or chemotherapy, more research can bring light to proper surgical techniques.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"10 4","pages":"175-178"},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10719983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138800529","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

Complete major pancreatic duct disruption complicated by pancreatico-atmospheric fistula following blunt upper abdominal trauma. 上腹部钝挫伤后完全性大胰管断裂并发胰胆管瘘。

Archive of clinical cases Pub Date : 2023-12-14 eCollection Date: 2023-01-01 DOI: 10.22551/2023.41.1004.10270

Shafic Abdulkarim, Saud Aldeghaither, Dan L Deckelbaum

引用次数: 0

Dextrocardia with Situs Solitus in a Neonate - an Overview. 新生儿孤坐性右心室缺血 - 综述。

Archive of clinical cases Pub Date : 2023-12-14 eCollection Date: 2023-01-01 DOI: 10.22551/2023.41.1004.10268

Nelson Franqui-Rios, Yasmin Garcia, Leened Velazquez-Garcia

引用次数: 0

Mirror syndrome associated with fetal cardiomyopathy. 与胎儿心肌病相关的镜像综合征。

Archive of clinical cases Pub Date : 2023-12-14 eCollection Date: 2023-01-01 DOI: 10.22551/2023.41.1004.10273

Petra Glad Štritof, Lucija Zanze, Paulo Zekan, Gordana Horvat, Vladimir Blagaic

引用次数: 0

Eosinophilic enteritis: the great mimic. 嗜酸性粒细胞肠炎：伟大的模仿者。

Archive of clinical cases Pub Date : 2023-12-14 eCollection Date: 2023-01-01 DOI: 10.22551/2023.41.1004.10271

Raluca-Ioana Avram, Anca Victoriţa Trifan, Irina Girleanu, Simona Ştefania Juncu, Cristina Maria Muzica, Ana-Maria Sîngeap, Laura Huiban

{"title":"Eosinophilic enteritis: the great mimic.","authors":"Raluca-Ioana Avram, Anca Victoriţa Trifan, Irina Girleanu, Simona Ştefania Juncu, Cristina Maria Muzica, Ana-Maria Sîngeap, Laura Huiban","doi":"10.22551/2023.41.1004.10271","DOIUrl":"https://doi.org/10.22551/2023.41.1004.10271","url":null,"abstract":"Eosinophilic enteritis (EoN), a subtype of eosinophilic gastrointestinal disease, is a rare and complicated inflammatory condition affecting the small intestine. This case report discusses a 42-year-old patient who presented with acute gastrointestinal symptoms including diarrhea, nausea, and vomiting. Initial laboratory investigations revealed leukocytosis, peripheral eosinophilia, and distinctive imaging findings, prompting further evaluation. Endoscopic evaluation revealed extensive mucosal lesions in the small intestine, with subsequent biopsies confirming eosinophilic infiltration, ultimately leading to the diagnosis of chronic enteritis, probably of an eosinophilic nature. The case highlights the complex differential diagnostic process involved in identifying EoN, which requires a comprehensive understanding of all the clinical and histopathological features of the disease. The efficacy of budesonide therapy is also discussed in the management of EoN and it was evidenced by our patient's positive response to treatment. This case report contributes significant insights into the understanding and management of EoN, providing essential information for the medical community to facilitate accurate diagnosis and tailored therapeutic interventions for individuals experiencing this complex disorder.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"10 4","pages":"183-186"},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10719982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138800332","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

Retroperitoneal liposarcoma: unveiling diagnostic delays and multimodal treatment dilemmas. 腹膜后脂肪肉瘤：揭示诊断延误和多模式治疗困境。

Archive of clinical cases Pub Date : 2023-12-14 eCollection Date: 2023-01-01 DOI: 10.22551/2023.41.1004.10272

Vlad Ionuţ Vlăsceanu, Radu Petru Soroceanu, Daniel Vasile Timofte, Andi Gabriel Iordache, Cristina Ciobanu Strobescu, Sergiu Timofeiov

{"title":"Retroperitoneal liposarcoma: unveiling diagnostic delays and multimodal treatment dilemmas.","authors":"Vlad Ionuţ Vlăsceanu, Radu Petru Soroceanu, Daniel Vasile Timofte, Andi Gabriel Iordache, Cristina Ciobanu Strobescu, Sergiu Timofeiov","doi":"10.22551/2023.41.1004.10272","DOIUrl":"10.22551/2023.41.1004.10272","url":null,"abstract":"Liposarcomas are a prevalent subtype of soft tissue sarcomas, constituting less than 1% of all malignancies. Originating in the adipose tissue, they can manifest in various locations and are categorized by the World Health Organization into several subtypes: well-differentiated liposarcomas, dedifferentiated liposarcomas, myxoid liposarcomas, pleomorphic liposarcomas and mixed-type liposarcomas. These tumors typically affect middle-aged and older individuals, and their incidence has been progressively increasing over the years. As liposarcomas advance they tend to encase blood vessels and major organs, particularly in the retroperitoneal area. Often asymptomatic initially, symptoms arise as the tumor reaches a considerable size, exerting pressure on adjacent tissues and organs. This report features a 54-year-old patient incidentally diagnosed with a substantial retroperitoneal tumor extending to the antero-lateral abdominal wall and inner thigh via the right inguinal ligament. The patient, with a previous three-year history of a right inguinal mass, sought acute care for a perianal abscess The histological examination revealed morphological aspects consistent with a low-grade myxoid liposarcoma. While surgery remains the primary treatment for retroperitoneal liposarcomas, controversies exist regarding the role of radiotherapy and chemotherapy in improving survival rates. This case highlights the challenges in managing retroperitoneal tumors and underscores the importance of a personalized, multidisciplinary approach to optimize patient outcomes.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"10 4","pages":"187-190"},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10719986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138800649","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