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Hippotherapy in the management of hypermobile Ehlers-Danlos syndrome. 在治疗艾勒斯-丹洛斯综合征活动过度症中的 "海马疗法"。
IF 0.6
BMJ Case Reports Pub Date : 2024-11-14 DOI: 10.1136/bcr-2024-261605
Hélène Viruega, Célia Loriette, Melissa Quignon, Manuel Gaviria
{"title":"Hippotherapy in the management of hypermobile Ehlers-Danlos syndrome.","authors":"Hélène Viruega, Célia Loriette, Melissa Quignon, Manuel Gaviria","doi":"10.1136/bcr-2024-261605","DOIUrl":"10.1136/bcr-2024-261605","url":null,"abstract":"<p><p>Hypermobile Ehlers-Danlos syndrome (EDS) is an inherited condition marked by joint hypermobility, instability, chronic pain and fatigue, significantly impacting quality of life and autonomy. Management focuses solely on symptom alleviation. After experiencing a rapid decline in functional abilities, a patient in late adolescence with hypermobile EDS underwent hippotherapy rehabilitation (30 hours). She saw substantial improvements in fatigue, chronic pain and regained walking abilities. Hippotherapy played a crucial role in refining her postural balance, motor skills, proprioception, muscle function and endurance. It also positively affected her cognitive and emotional regulation by stimulating sensory inputs that activate neural pathways, providing relief from pain and fatigue. Notably, the patient transitioned from wheelchair reliance to walking with crutches, and then greatly enhanced both gait quality and speed. These findings demonstrate the relevance of hippotherapy for the rehabilitation of hypermobile EDS, reducing the need for pharmacological interventions and fostering a proactive approach to future challenges.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"17 11","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142614607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A solitary enchondroma in the radial shaft. 桡骨轴单发软骨瘤。
IF 0.6
BMJ Case Reports Pub Date : 2024-11-14 DOI: 10.1136/bcr-2024-261802
Rajendra Annappa, Surendra Umesh Kamath, Rakshith Patil, Saraswathi Ram Mohan
{"title":"A solitary enchondroma in the radial shaft.","authors":"Rajendra Annappa, Surendra Umesh Kamath, Rakshith Patil, Saraswathi Ram Mohan","doi":"10.1136/bcr-2024-261802","DOIUrl":"10.1136/bcr-2024-261802","url":null,"abstract":"<p><p>Solitary enchondromas are usually seen in the tubular bones of the hands and feet. Their occurrence in the radius is extremely rare. Here, we report a male patient in his 30s with a history of pain in the right forearm for the past 7 months and swelling for the past 4 months. He was radiologically diagnosed with enchondroma of the radial shaft. He underwent an open biopsy and curettage of the lesion. The histopathological evaluation further confirmed the diagnosis. Following the surgical management, he was symptomatically better on follow-up visits. Enchondromas of the radius are rare in occurrence. A high index of suspicion and clinical evaluation is necessary to diagnose and manage such lesions.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"17 11","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142614461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Uterine-enhanced myometrial vascularity: minimal-invasive management with uterine artery embolisation. 子宫肌层血管增生：子宫动脉栓塞的微创治疗。
IF 0.6
BMJ Case Reports Pub Date : 2024-11-14 DOI: 10.1136/bcr-2024-260602
Taraprasad Tripathy, Ranjan Kumar Patel, Aditi Vats, Sweta Singh
{"title":"Uterine-enhanced myometrial vascularity: minimal-invasive management with uterine artery embolisation.","authors":"Taraprasad Tripathy, Ranjan Kumar Patel, Aditi Vats, Sweta Singh","doi":"10.1136/bcr-2024-260602","DOIUrl":"10.1136/bcr-2024-260602","url":null,"abstract":"<p><p>Uterine-enhanced myometrial vascularity (EMV) is a rare complication following abortion/medical termination of pregnancy or postuterine instrumentation, which can lead to severe anaemia and could even be life-threatening in some cases. Several invasive surgical treatment methods are available for management. Recently, minimally invasive embolisation of uterine arteries has been emerging as an effective alternative management method with promising results. In this case report, we aim to describe a case of uterine EMV in a young female presenting with bleeding, which was successfully managed with uterine artery embolisation.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"17 11","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142614663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Combined dilation of rheumatic mitral and tricuspid stenosis in a paediatric patient with quadrivalvular disease. 对一名患有四瓣狭窄的风湿性二尖瓣和三尖瓣狭窄儿科患者进行联合扩张术。
IF 0.6
BMJ Case Reports Pub Date : 2024-11-14 DOI: 10.1136/bcr-2024-261324
Prashant Bharadwaj, Ravi Kalra, Hemali Passwala, Amanpreet Singh Wasir
{"title":"Combined dilation of rheumatic mitral and tricuspid stenosis in a paediatric patient with quadrivalvular disease.","authors":"Prashant Bharadwaj, Ravi Kalra, Hemali Passwala, Amanpreet Singh Wasir","doi":"10.1136/bcr-2024-261324","DOIUrl":"10.1136/bcr-2024-261324","url":null,"abstract":"<p><p>Rheumatic heart disease (RHD) affecting all four valves of the heart is extremely rare. We report quadrivalvular involvement in an early adolescent male patient. The patient presented with symptomatic severe mitral and tricuspid stenosis that underscores the rapid and fulminant nature of the disease and can still be seen in developing countries. This patient underwent a combined percutaneous balloon dilation of the mitral and tricuspid valves in a single intervention and is the youngest patient to have undergone this dual intervention in RHD.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"17 11","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142614560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Macular chorioretinal scar a as rare complication of serous retinal detachment in retinopathy of prematurity. 黄斑脉络膜瘢痕是早产儿视网膜病变浆液性视网膜脱离的罕见并发症。
IF 0.6
BMJ Case Reports Pub Date : 2024-11-14 DOI: 10.1136/bcr-2023-255039
Pauline Marie Dmitriev, Yutong Li, James F Vander, Barry N Wasserman
{"title":"Macular chorioretinal scar a as rare complication of serous retinal detachment in retinopathy of prematurity.","authors":"Pauline Marie Dmitriev, Yutong Li, James F Vander, Barry N Wasserman","doi":"10.1136/bcr-2023-255039","DOIUrl":"10.1136/bcr-2023-255039","url":null,"abstract":"<p><p>The authors present a preterm neonatal infant with type 1 retinopathy of prematurity, who was treated with diode laser panretinal photocoagulation. The patient developed a serous retinal detachment in the left eye which resolved spontaneously. Long-term follow-up of the patient revealed development of a macular chorioretinal scar in the affected eye.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"17 11","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142614627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Primary squamous cell carcinoma of the prostate. 原发性前列腺鳞状细胞癌。
IF 0.6
BMJ Case Reports Pub Date : 2024-11-14 DOI: 10.1136/bcr-2024-262520
Gerald Mak, Kenneth Chew, Dale Wood, James Thompson
{"title":"Primary squamous cell carcinoma of the prostate.","authors":"Gerald Mak, Kenneth Chew, Dale Wood, James Thompson","doi":"10.1136/bcr-2024-262520","DOIUrl":"10.1136/bcr-2024-262520","url":null,"abstract":"<p><p>Primary squamous cell carcinoma of the prostate is a rare entity, with limited documented cases in the medical literature. Herein, we present a case of primary prostatic squamous cell carcinoma in a male in his 60s, detailing the clinical presentation, diagnostic workup, histopathological findings and treatment. Our case highlights the diagnostic and therapeutic challenges associated with this uncommon malignancy.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"17 11","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142614590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Shoulder osteoarthritis facilitating the diagnosis of acromegaly. 肩关节骨关节炎有助于确诊肢端肥大症。
IF 0.6
BMJ Case Reports Pub Date : 2024-11-14 DOI: 10.1136/bcr-2023-258545
Romain Garofoli, Domitille Renard, Laura Bessiene, Marie-Martine Lefèvre-Colau
{"title":"Shoulder osteoarthritis facilitating the diagnosis of acromegaly.","authors":"Romain Garofoli, Domitille Renard, Laura Bessiene, Marie-Martine Lefèvre-Colau","doi":"10.1136/bcr-2023-258545","DOIUrl":"10.1136/bcr-2023-258545","url":null,"abstract":"<p><p>A man in his early 50s presented with mechanical chronic pain and limitation of the active range of motion of the right shoulder. Imaging of the shoulder showed osteophytosis without joint space narrowing or cranial migration of the humeral head. He reported no history of trauma, dislocation arthropathy, clinical or standard biological evidence for septic or inflammatory arthritis, metabolic, haemophilic or endocrine-associated arthropathies. The second medical consultation revealed enlargement and infiltration of hands and feet. Consequently, we suspected acromegaly, which was confirmed by endocrinological diagnosis. Further, an MRI of the pituitary gland showed a sellar tumour. The patient's shoulder pain was related to undiagnosed acromegalic arthropathy leading to osteoarthritis and was treated by trans-sphenoidal exeresis of the somatotroph adenoma and a somatostatin analogue. In conclusion, acromegaly should be considered in patients with centred glenohumeral osteoarthritis, as an early diagnosis is essential to limit complications and preserve the quality of life.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"17 11","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142614651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
High grade B-cell lymphoma presenting as gastrointestinal polyposis. 表现为胃肠道息肉病的高级别 B 细胞淋巴瘤。
IF 0.6
BMJ Case Reports Pub Date : 2024-11-13 DOI: 10.1136/bcr-2024-261113
Kumail Khandwala, Muhammad Ali Mushtaq, Kiran Hilal, Khurram Minhas
{"title":"High grade B-cell lymphoma presenting as gastrointestinal polyposis.","authors":"Kumail Khandwala, Muhammad Ali Mushtaq, Kiran Hilal, Khurram Minhas","doi":"10.1136/bcr-2024-261113","DOIUrl":"https://doi.org/10.1136/bcr-2024-261113","url":null,"abstract":"","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"17 11","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142614603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Phakic corneal decompensation with cataract after bioptics: management challenges. 生物光学术后白内障的角膜角膜失代偿：管理难题。
IF 0.6
BMJ Case Reports Pub Date : 2024-11-13 DOI: 10.1136/bcr-2024-261544
Vaibhav Namdev, Manpreet Kaur, Manvi Bansal, Jeewan S Titiyal
{"title":"Phakic corneal decompensation with cataract after bioptics: management challenges.","authors":"Vaibhav Namdev, Manpreet Kaur, Manvi Bansal, Jeewan S Titiyal","doi":"10.1136/bcr-2024-261544","DOIUrl":"https://doi.org/10.1136/bcr-2024-261544","url":null,"abstract":"<p><p>A woman in her early 50s presented with diminution of vision, photophobia, pain and watering in right eye for 8 months. She had previously undergone radial keratotomy (RK) in the right eye, followed by bilateral angle-supported phakic intraocular lens (pIOL) implantation. On examination, 16 RK incisions were present in the right eye, with corneal decompensation, rigid angle-supported pIOL in situ, senile cataract and uncorrected distance visual acuity (UDVA) of counting fingers. Three major challenges were accurate biometry, incision management during phacoemulsification with rigid pIOL in situ and keratoplasty in the presence of RK incisions. Swept source optical coherence tomography-based optical biometer and Barrett Universal II formula were used for intraocular lens (IOL) power calculation. First-stage phacoemulsification was performed with pIOL in situ, followed by IOL implantation and pIOL explant via the same incision. Second-stage Descemet stripping automated endothelial keratoplasty (DSAEK) was performed after 1 week; DSAEK prevented splicing of RK incisions. Postoperative UDVA was 20/200, improving to 20/60 with semiscleral contact lens.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"17 11","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142614638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Peritoneal tuberculosis: the diagnostic challenge must not preclude treatment. 腹膜结核：诊断难题不应妨碍治疗。
IF 0.6
BMJ Case Reports Pub Date : 2024-11-13 DOI: 10.1136/bcr-2024-263066
Isabel Marques Correia, Regina Costa, Joana Inês Martins Madeira, Isabel Fonseca
{"title":"Peritoneal tuberculosis: the diagnostic challenge must not preclude treatment.","authors":"Isabel Marques Correia, Regina Costa, Joana Inês Martins Madeira, Isabel Fonseca","doi":"10.1136/bcr-2024-263066","DOIUrl":"https://doi.org/10.1136/bcr-2024-263066","url":null,"abstract":"<p><p>Peritoneal tuberculosis (TB) is a rare extrapulmonary infection caused by <i>Mycobacterium tuberculosis</i> It is mainly found in countries with a high burden of TB, so travelling from an endemic area should raise suspicion. Although it is a well-recognised disease, it remains a challenge due to its difficult clinical and microbiological diagnosis. This can lead to a delay, both in diagnosis and treatment with serious prognostic implications. We describe the case of a woman in her mid-50s who presented with fever, abdominal pain, vomiting, breathlessness, anorexia and weight loss. On physical examination, she had decreased breath sounds at the right lung and clinical ascites. Blood tests revealed elevated inflammatory markers and anaemia. Imaging showed ascites, enhanced peritoneal thickening, densification of the mesenteric fat and right pleural effusion. After paracentesis, diagnostic thoracotomy and laparoscopy were undertaken. Based on a presumptive diagnosis, treatment was started. <i>M. tuberculosis</i> was lastly isolated in ascitic fluid culture after 6 weeks. The patient completed a 6-month course of anti-TB drugs with a favourable outcome.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"17 11","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142614636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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