发布求助
文献互助 智能选刊 最新文献

BMJ Case Reports最新文献

筛选
英文 中文
Gastrointestinal involvement in metastatic melanoma. 转移性黑色素瘤累及胃肠道。
IF 0.6
BMJ Case Reports Pub Date : 2025-03-27 DOI: 10.1136/bcr-2024-262631
Shreya Chahure, Juan De La Revilla Negro, Mohmmed Sharip, James Chan
{"title":"Gastrointestinal involvement in metastatic melanoma.","authors":"Shreya Chahure, Juan De La Revilla Negro, Mohmmed Sharip, James Chan","doi":"10.1136/bcr-2024-262631","DOIUrl":"https://doi.org/10.1136/bcr-2024-262631","url":null,"abstract":"<p><p>This case report details two instances of gastrointestinal (GI) involvement in metastatic melanoma. The first patient, a man in his mid-70s with a history of melanoma and recent brain metastases, presented with melaena and was found to have metastatic lesions in the stomach and duodenum. The second patient, a man in his late 50s with a history of chest wall melanoma, presented with complex GI symptoms and was discovered to have a metastatic melanoma lesion at the gastro-oesophageal junction. Both cases highlight the importance of maintaining a high degree of suspicion for GI metastasis from melanoma in patients presenting with GI symptoms, emphasising timely endoscopic evaluation and biopsy for accurate diagnosis and management.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 3","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728424","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
Temporal bone Langerhans cell histiocytosis with uterine cervix involvement and cutaneous Erdheim-Chester disease. 颞骨朗格汉斯细胞组织细胞增多症伴宫颈受累和皮肤Erdheim-Chester病。
IF 0.6
BMJ Case Reports Pub Date : 2025-03-27 DOI: 10.1136/bcr-2024-263493
Sara Lim, Niall Woodley, Ida Amir
{"title":"Temporal bone Langerhans cell histiocytosis with uterine cervix involvement and cutaneous Erdheim-Chester disease.","authors":"Sara Lim, Niall Woodley, Ida Amir","doi":"10.1136/bcr-2024-263493","DOIUrl":"https://doi.org/10.1136/bcr-2024-263493","url":null,"abstract":"<p><p>With fewer than 40 documented cases, temporal bone Langerhans cell histiocytosis (LCH) is exceptionally rare in adults. We present a case of temporal bone and uterine cervix LCH in an adult with concurrent cutaneous Erdheim-Chester disease. A woman in her 50s presented with several months of unilateral right aural fullness, otalgia, otorrhoea and tinnitus, unresponsive to antibiotics and aural irrigation. CT of the temporal bone revealed right mastoid destruction, prompting further investigation. Histology obtained from mastoid exploration confirmed LCH. Initial management included radiotherapy, followed by methotrexate and later, cytarabine. Disease monitoring was conducted withPositron Emision Tomography-CT. Due to its rarity, LCH is often initially misdiagnosed. Clinicians should remain vigilant for LCH in patients presenting with unresolved otological symptoms that deviate from the expected clinical course. Swift communication between relevant medical teams is essential for rapid diagnosis and optimal management of potential multisystem LCH when symptoms present in different areas.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 3","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728462","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
Congenital eventration of diaphragm. 先天性膈肌外翻。
IF 0.6
BMJ Case Reports Pub Date : 2025-03-27 DOI: 10.1136/bcr-2025-265316
Sameena Tabassum, Geesala Bhargavi, Thirunavukkarasu Arun Babu
{"title":"Congenital eventration of diaphragm.","authors":"Sameena Tabassum, Geesala Bhargavi, Thirunavukkarasu Arun Babu","doi":"10.1136/bcr-2025-265316","DOIUrl":"https://doi.org/10.1136/bcr-2025-265316","url":null,"abstract":"","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 3","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728421","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
Spinal hyperplastic bone marrow with a lumbar vertebral compression fracture mimicking vertebral metastasis. 脊椎增生性骨髓伴腰椎压缩性骨折，模拟椎体转移。
IF 0.6
BMJ Case Reports Pub Date : 2025-03-27 DOI: 10.1136/bcr-2024-263892
Kazumasa Inaba, Yuki Honda, Kazuhito Saito
{"title":"Spinal hyperplastic bone marrow with a lumbar vertebral compression fracture mimicking vertebral metastasis.","authors":"Kazumasa Inaba, Yuki Honda, Kazuhito Saito","doi":"10.1136/bcr-2024-263892","DOIUrl":"https://doi.org/10.1136/bcr-2024-263892","url":null,"abstract":"<p><p>A case of hyperplastic bone marrow that mimicked multiple bone metastases is presented in this report. A man in his 80s presented with lower back pain, and MRI revealed an L1 vertebral compression fracture and multiple signal changes in the whole spine that were low on T1 and high on fat-suppressed T2 images. Bone biopsies and imaging studies, including 18F-fluorodeoxyglucose positron emission tomography-CT, did not indicate primary or metastatic malignancy. On follow-up, MRI signal changes became unremarkable, and the patient showed no signs suggestive of malignancy. The final diagnosis was hyperplastic bone marrow and osteopenia with fragility fracture. Metastatic malignancy is commonly suspected in patients with a compression fracture and multiple vertebral lesions. However, clinicians should be aware that benign spinal hyperplastic bone marrow can have similar imaging findings to vertebral metastasis. Imaging, bone biopsy and careful follow-up are necessary to distinguish hyperplastic bone marrow from metastasis.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 3","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728450","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
Severe chemical pneumonitis following exposure to household bleach. 接触家用漂白剂后的严重化学性肺炎。
IF 0.6
BMJ Case Reports Pub Date : 2025-03-27 DOI: 10.1136/bcr-2024-262924
James Patterson, Vanessa Vallance
{"title":"Severe chemical pneumonitis following exposure to household bleach.","authors":"James Patterson, Vanessa Vallance","doi":"10.1136/bcr-2024-262924","DOIUrl":"https://doi.org/10.1136/bcr-2024-262924","url":null,"abstract":"<p><p>A previously healthy man in his 30s presented to the emergency department in severe respiratory distress with an oxygen saturation of 75% after using a sodium hypochlorite-based household bleach to clean a bath. He was admitted to the intensive care unit and required a period of high-flow nasal oxygen but ultimately made a full recovery. Sodium hypochlorite can release toxic gases when mixed with acids or ammonia, but such severe illness following exposure to household bleach in isolation has not previously been reported in the literature. It is important for emergency providers to be aware of this possibility and report further cases to determine if this problem is more common than previously realised.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 3","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728443","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
Climactic droplet keratopathy with unilateral lattice-like secondary amyloidosis: a rare clinicopathological report with in vivo confocal microscopy. 伴有单侧格状继发性淀粉样变性的气候滴状角膜病变：一份罕见的体内共聚焦显微镜临床病理报告。
IF 0.6
BMJ Case Reports Pub Date : 2025-03-26 DOI: 10.1136/bcr-2024-264243
Sridevi Nair, Akshaya Balaji, Aiswarya Sasi, Manpreet Kaur
{"title":"Climactic droplet keratopathy with unilateral lattice-like secondary amyloidosis: a rare clinicopathological report with in vivo confocal microscopy.","authors":"Sridevi Nair, Akshaya Balaji, Aiswarya Sasi, Manpreet Kaur","doi":"10.1136/bcr-2024-264243","DOIUrl":"https://doi.org/10.1136/bcr-2024-264243","url":null,"abstract":"","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 3","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728407","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
Herniated post-traumatic radial artery pseudoaneurysm: excision with vascular reconstruction. 创伤后桡动脉假性动脉瘤疝：切除伴血管重建。
IF 0.6
BMJ Case Reports Pub Date : 2025-03-26 DOI: 10.1136/bcr-2024-263418
Karthick Ganesan, Shivangi Saha, Aparna Sinha, Maneesh Singhal
{"title":"Herniated post-traumatic radial artery pseudoaneurysm: excision with vascular reconstruction.","authors":"Karthick Ganesan, Shivangi Saha, Aparna Sinha, Maneesh Singhal","doi":"10.1136/bcr-2024-263418","DOIUrl":"https://doi.org/10.1136/bcr-2024-263418","url":null,"abstract":"<p><p>We report a case of a well-built adult male who developed a radial artery pseudoaneurysm following trauma sustained from falling onto a piece of glass several months prior. The pseudoaneurysm herniated through the musculotendinous junction of the brachioradialis and was managed by excision, with arterial continuity restored using a vein graft harvested from the same surgical field. Literature regarding the management of radial artery pseudoaneurysm is limited due to their rarity. However, repair in young patients is recommended to preserve the dual arterial supply to the hand and prevent future complications associated with vessel ligation secondary to trauma (or iatrogenic injury) to the remaining inflow vessel, arteriosclerosis and vasculitis.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 3","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728427","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
Small cell transformation in a patient with BRAF V600E-mutated advanced non-small cell lung cancer. BRAF v600e突变晚期非小细胞肺癌患者的小细胞转化
IF 0.6
BMJ Case Reports Pub Date : 2025-03-26 DOI: 10.1136/bcr-2024-262278
Thanakorn Charoenthanadhol, Nipon Chaisuriya, Siraphong Putraveephong
{"title":"Small cell transformation in a patient with BRAF V600E-mutated advanced non-small cell lung cancer.","authors":"Thanakorn Charoenthanadhol, Nipon Chaisuriya, Siraphong Putraveephong","doi":"10.1136/bcr-2024-262278","DOIUrl":"https://doi.org/10.1136/bcr-2024-262278","url":null,"abstract":"<p><p>Non-small cell lung cancer (NSCLC) with a BRAF V600E mutation is rare and associated with a worse prognosis compared with wild-type BRAF. The first-line treatment options include a combination of a BRAF inhibitor and a MEK inhibitor or immunotherapy with or without chemotherapy. Unlike advanced NSCLC with common EGFR mutations or ALK rearrangements, the mechanisms of resistance are poorly understood. We report a case of small cell transformation after treatment with a BRAF inhibitor and a MEK inhibitor, which illustrates one potential resistance mechanism. We extrapolated therapeutic data from de novo small cell lung cancer to this case. However, the outcome was unsatisfactory.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 3","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728447","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
Botulinum toxin for posterior shoulder instability unresponsive to conventional management. 肉毒杆菌毒素治疗后肩不稳定，对常规治疗无反应。
IF 0.6
BMJ Case Reports Pub Date : 2025-03-26 DOI: 10.1136/bcr-2024-263629
Enrico Sebastiani, Nicolò Giuseppe Biavardi, Andrea Massimiani, Giacomo Placella
{"title":"Botulinum toxin for posterior shoulder instability unresponsive to conventional management.","authors":"Enrico Sebastiani, Nicolò Giuseppe Biavardi, Andrea Massimiani, Giacomo Placella","doi":"10.1136/bcr-2024-263629","DOIUrl":"https://doi.org/10.1136/bcr-2024-263629","url":null,"abstract":"<p><p>This case report describes the successful use of botulinum toxin A injections to treat persistent shoulder pain and instability in a middle-aged man with posterior labral tear and capsular laxity. Despite arthroscopic repair, the patient experienced recurring pain attributed to hypertonicity of the latissimus dorsi muscle. Botulinum toxin injection into the latissimus pars ascendens resulted in significant pain relief and improved function within 1 month. At 6 months, the patient had resumed normal activities pain-free. This innovative application of botulinum toxin beyond spasticity management effectively addressed residual muscular imbalance driving instability. It represents a novel therapeutic option for refractory shoulder pain and dysfunction. Further research is warranted to establish efficacy and safety, but this positive outcome highlights the potential to expand indications for botulinum toxin in musculoskeletal disorders with a hypertonicity component.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 3","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728404","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
Navicular avascular necrosis in juvenile idiopathic arthritis. 幼年特发性关节炎的舟骨缺血性坏死。
IF 0.6
BMJ Case Reports Pub Date : 2025-03-25 DOI: 10.1136/bcr-2024-264060
Vaibhav S Bellary, Jitendra Shankarlal Oswal, Deepti Agarwal, Nikhila B Kadimisetty
{"title":"Navicular avascular necrosis in juvenile idiopathic arthritis.","authors":"Vaibhav S Bellary, Jitendra Shankarlal Oswal, Deepti Agarwal, Nikhila B Kadimisetty","doi":"10.1136/bcr-2024-264060","DOIUrl":"https://doi.org/10.1136/bcr-2024-264060","url":null,"abstract":"<p><p>We present a case of a child in middle childhood (6-11 years) diagnosed with juvenile idiopathic arthritis (JIA) who developed glucocorticoid-induced avascular necrosis (AVN) of the navicular bone. Glucocorticoid-induced AVN in children, particularly of the navicular bone, is a rare but serious complication. Glucocorticoid therapy, often used in managing JIA, can disrupt the blood supply to developing bones, leading to AVN. Early recognition and intervention are crucial to prevent long-term morbidity. This case underscores the importance of minimising the duration of prolonged glucocorticoid use in children.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 3","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143707968","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
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：481959085
Book学术官方微信