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Minocycline-induced skin hyperpigmentation.
IF 0.6
BMJ Case Reports Pub Date : 2025-03-25 DOI: 10.1136/bcr-2024-264463
Masashi Nishikubo, Daisuke Yamashita, Hiroaki Nishioka
{"title":"Minocycline-induced skin hyperpigmentation.","authors":"Masashi Nishikubo, Daisuke Yamashita, Hiroaki Nishioka","doi":"10.1136/bcr-2024-264463","DOIUrl":"https://doi.org/10.1136/bcr-2024-264463","url":null,"abstract":"","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":"143707961","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
Non-traumatic avulsion of a leiomyoma.
IF 0.6
BMJ Case Reports Pub Date : 2025-03-25 DOI: 10.1136/bcr-2024-261792
Colm Coyne, Workineh Getaneh Tadesse
{"title":"Non-traumatic avulsion of a leiomyoma.","authors":"Colm Coyne, Workineh Getaneh Tadesse","doi":"10.1136/bcr-2024-261792","DOIUrl":"https://doi.org/10.1136/bcr-2024-261792","url":null,"abstract":"<p><p>A patient in her 30s was referred to our Gynaecology Outpatient Department due to symptomatic leiomyoma which was first identified during her first pregnancy. An MRI performed postnatally confirmed a 10.5 cm leiomyoma. The patient was experiencing heavy menstrual bleeding and intermittent pelvic pain presumed to be secondary to a pressure effect. Treatment options were discussed, and it was decided to proceed with open myomectomy. On entry to the abdomen, the leiomyoma was free floating with no uterine attachment and only held loosely to the dome of the bladder, sigmoid colon and the left fallopian tube by filmy adhesions.</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":"143707992","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
Diagnosis and management of Koro-like syndrome in women.
IF 0.6
BMJ Case Reports Pub Date : 2025-03-25 DOI: 10.1136/bcr-2024-261726
Richa Shukla, Porimita Chutia, Shailendra Mohan Tripathi
{"title":"Diagnosis and management of Koro-like syndrome in women.","authors":"Richa Shukla, Porimita Chutia, Shailendra Mohan Tripathi","doi":"10.1136/bcr-2024-261726","DOIUrl":"https://doi.org/10.1136/bcr-2024-261726","url":null,"abstract":"<p><p>Koro is a culture-bound syndrome prevalent in South-East Asian cultures. It is characterised by acute anxiety due to the fear of genital retraction which is believed to lead to death. While predominantly observed in men, cases involving women at an early age have been reported during Koro outbreaks. This paper describes a sporadic case of Koro-like syndrome in a South Asian woman in her 70s focusing on the psychological underpinnings contributing to its development and the importance of adopting a comprehensive management plan that addresses both psychiatric symptoms and co-occurring somatic issues.</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":"143708469","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
Removal of a 'cold-welded' femoral head lag screw in a nail combination.
IF 0.6
BMJ Case Reports Pub Date : 2025-03-25 DOI: 10.1136/bcr-2024-264090
Ryan J Campbell, Michael Symes, Brahman Sivakumar, Zac Dragan, Stephen Ruff, Andrew Ellis
{"title":"Removal of a 'cold-welded' femoral head lag screw in a nail combination.","authors":"Ryan J Campbell, Michael Symes, Brahman Sivakumar, Zac Dragan, Stephen Ruff, Andrew Ellis","doi":"10.1136/bcr-2024-264090","DOIUrl":"10.1136/bcr-2024-264090","url":null,"abstract":"<p><p>We present a case of a femoral head lag screw 'cold welded' to an intramedullary nail (IMN) in a female in her 20s during exchange femoral nailing of a subtrochanteric femoral osteotomy non-union. We subsequently developed a reverse spiral-fluted bolt extraction socket, designed to engage the outer wall of a bolt or screw. The lag screw was removed from the Smith and Nephew Meta-Tan IMN, 1 week later, and exchange nailing was successfully completed. This case report describes a technically challenging situation of a cold-welded femoral head lag screw during a complex revision. This report introduces a novel removal device and technique for such cases.</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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11937885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708394","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
Post-transplant lymphoproliferative disorder presenting as large bowel obstruction leading to distributive shock.
IF 0.6
BMJ Case Reports Pub Date : 2025-03-25 DOI: 10.1136/bcr-2024-262580
Amy Wang, Brendan Flynn, Mary O'Donnell, Rathnayaka Mudiyanselage Kalpanee Dhanushika Gunasingha
{"title":"Post-transplant lymphoproliferative disorder presenting as large bowel obstruction leading to distributive shock.","authors":"Amy Wang, Brendan Flynn, Mary O'Donnell, Rathnayaka Mudiyanselage Kalpanee Dhanushika Gunasingha","doi":"10.1136/bcr-2024-262580","DOIUrl":"https://doi.org/10.1136/bcr-2024-262580","url":null,"abstract":"<p><p>A woman in her 70s with a history of liver transplantation presented with constipation and leucocytosis. Imaging demonstrated a large obstructing sigmoid mass. She underwent a colonoscopy that showed narrowing but no luminal mass. She underwent an interventional radiology guided biopsy of the mass. Post-procedurally, she developed tachycardia and hypotension. She was taken to the operating room and was found to be haemorrhaging from the biopsy sites. The haemorrhage was controlled, and she underwent a diverting transverse loop colostomy. Postoperatively, she developed distributive shock that progressed despite resuscitative efforts. Her pathology returned as Epstein-Barr virus positive monomorphic post-transplant lymphoproliferative disorder (PTLD) of diffuse large B-cell lymphoma type. The distributive shock was from massive cytokine release secondary to her lymphoma, so she was started on an urgent chemotherapy regimen. Despite this, she never recovered haemodynamically, and she was compassionately extubated. The clinical presentation of PTLD can be variable with rapidly progressing life-threatening manifestations.</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":"143708052","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
Fever and extensive venous and intracardiac thrombus in Behçet syndrome.
IF 0.6
BMJ Case Reports Pub Date : 2025-03-25 DOI: 10.1136/bcr-2024-264057
Hana Tammam Najem, Abdullah N AlAwadhi, Dalal Alkhudair, Noura Alforaih
{"title":"Fever and extensive venous and intracardiac thrombus in Behçet syndrome.","authors":"Hana Tammam Najem, Abdullah N AlAwadhi, Dalal Alkhudair, Noura Alforaih","doi":"10.1136/bcr-2024-264057","DOIUrl":"https://doi.org/10.1136/bcr-2024-264057","url":null,"abstract":"<p><p>We report a case of Behçet syndrome in a young male who presented with fever, oral and genital ulcerations and weight loss. Investigations revealed elevated inflammatory markers and extensive venous thrombosis of the renal vein, inferior vena cava and segmental and subsegmental pulmonary embolisms. He was found to have an intracardiac thrombus in the right atrium and pulmonary nodules. He was diagnosed with Behçet syndrome and was treated with corticosteroids, azathioprine and colchicine. He underwent right atrial thrombus extirpative surgery, and he had a patent foramen ovale, which was closed. Postoperatively, warfarin was started, and infliximab was added to his treatment. Behçet syndrome should be considered early in cases with unexplained venous thrombosis if the patient has other typical clinical features. Fever in Behçet syndrome is typically associated with vascular involvement. Vascular and cardiac involvement is associated with high morbidity and mortality. Therefore, early diagnosis can improve prognosis.</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":"143708423","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
Desmoid fibromatosis of the breast.
IF 0.6
BMJ Case Reports Pub Date : 2025-03-25 DOI: 10.1136/bcr-2024-264208
Aqsa Amjad, Kulsoom Shaikh, Romana Idress, Sana Zeeshan
{"title":"Desmoid fibromatosis of the breast.","authors":"Aqsa Amjad, Kulsoom Shaikh, Romana Idress, Sana Zeeshan","doi":"10.1136/bcr-2024-264208","DOIUrl":"https://doi.org/10.1136/bcr-2024-264208","url":null,"abstract":"<p><p>Desmoid-type fibromatosis (DTF) is a rare non-metastatic mesenchymal tumour that accounts for only 0.2% of all primary breast neoplasms. This locally aggressive tumour has a high recurrence rate and primarily affects women aged 20-40 years. DTF often presents with features mimicking breast carcinoma, posing diagnostic challenges and the risk of mismanagement. We report a case of a young woman with a left-sided breast mass and skin dimpling. Initial ultrasound and core needle biopsy findings suggested adenosis and intraductal papilloma. Due to the strong clinical suspicion of malignancy, a wide local excision was performed, which confirmed DTF. The patient is currently under surveillance with a regular MRI on follow-up. This case underscores the diagnostic difficulty of DTF, and due to its rarity and limited data, optimal management is debated. Current guidelines favour a conservative 'watch and wait' strategy, with surgery reserved for symptomatic cases. Close follow-up is crucial due to the high risk of recurrence.</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":"143708463","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
Transient conduction disturbance during pulsed-field ablation for atrial fibrillation in a patient with pre-existing conduction disease.
IF 0.6
BMJ Case Reports Pub Date : 2025-03-25 DOI: 10.1136/bcr-2024-263763
May Honey Ohn, Rahul Mukherjee, Magdi Saba
{"title":"Transient conduction disturbance during pulsed-field ablation for atrial fibrillation in a patient with pre-existing conduction disease.","authors":"May Honey Ohn, Rahul Mukherjee, Magdi Saba","doi":"10.1136/bcr-2024-263763","DOIUrl":"https://doi.org/10.1136/bcr-2024-263763","url":null,"abstract":"<p><p>Pulsed-field ablation (PFA) is a novel, non-thermal technique for atrial fibrillation (AF) ablation, known for its tissue specificity and reduced risk of collateral damage. However, its impact on cardiac conduction pathways in patients with pre-existing conduction abnormalities is not well understood. We present the first documented case of transient conduction block observed during PFA for AF. A late 60s male with paroxysmal AF and a dual chamber pacemaker for sinus node disease underwent successful PFA using a 31 mm pentaspline FARAPULSE catheter. During pulmonary vein isolations, transient prolongation of atrioventricular conduction time and a temporary shift from right bundle branch block to left bundle branch block lasting up to four beats were observed. This novel observation underscores the need for careful monitoring of conduction during PFA, particularly in patients with underlying conduction disorders, and highlights the importance of further research into PFA's mechanism of action and its long-term impact.</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":"143708351","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
Arcuate pattern of retinal ganglion cell axons in oculocutaneous albinism has implications for axon pathfinding.
IF 0.6
BMJ Case Reports Pub Date : 2025-03-25 DOI: 10.1136/bcr-2025-264855
Jesse Gale, James Corbett, Su-Young Seo, Anne-Marie Yardley
{"title":"Arcuate pattern of retinal ganglion cell axons in oculocutaneous albinism has implications for axon pathfinding.","authors":"Jesse Gale, James Corbett, Su-Young Seo, Anne-Marie Yardley","doi":"10.1136/bcr-2025-264855","DOIUrl":"https://doi.org/10.1136/bcr-2025-264855","url":null,"abstract":"<p><p>Humans have a characteristic arcuate pattern of retinal ganglion cell (RGC) axons on the retina, indicating an unknown axon-repellent factor in the macula during development. This arcuate pattern has implications for diseases such as glaucoma. Albinism is an interesting group of conditions with loss of the radial foveal architecture (foveal hypoplasia) and abnormal RGC axon pathfinding at the optic chiasm. Here, we achieved optical coherence tomography imaging in a patient with oculocutaneous albinism type 1 (OCA1), which is challenging due to nystagmus. These scans showed a normal pattern of arcuate ganglion cells despite a severely hypoplastic fovea. This implies that there are multiple factors contributing to the radial pattern of the fovea and arcuate pattern of RGC axons, but OCA1 does not affect the latter.</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":"143708353","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
Syphilis proctitis: an uncommon presentation of Treponema pallidum mimicking malignancy.
IF 0.6
BMJ Case Reports Pub Date : 2025-03-25 DOI: 10.1136/bcr-2024-263948
Ian Hunter, Gang Wang, Troy Grennan
{"title":"Syphilis proctitis: an uncommon presentation of <i>Treponema pallidum</i> mimicking malignancy.","authors":"Ian Hunter, Gang Wang, Troy Grennan","doi":"10.1136/bcr-2024-263948","DOIUrl":"https://doi.org/10.1136/bcr-2024-263948","url":null,"abstract":"<p><p>Syphilis proctitis is a rare manifestation of syphilis, a bacterial sexually transmitted infection caused by <i>Treponema pallidum</i> Syphilis proctitis can mimic other conditions including inflammatory bowel disease, lymphogranuloma venereum and anal or rectal cancer. We describe a case of a man in his 60s presenting with a variety of anorectal symptoms, where the definitive diagnosis was challenging, leading to diagnostic delay and a protracted symptom course due to difficulties in identifying and treating this rare manifestation of syphilis. After extensive investigations and various treatments, a diagnosis of syphilis was made, and treatment resulted in complete resolution of symptoms within 1 month. This case highlights several issues for clinicians to consider during the diagnostic workup and management of patients presenting with anal symptoms and, in the context of a global upsurge in syphilis, serves as a reminder to remain vigilant to unusual and rare manifestations of infectious syphilis.</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":"143708421","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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