Case Reports in Medicine最新文献_第7页

Hallermann-Streiff Syndrome and Lower Limb Lymphedema with Nasal Obstruction. 哈勒曼-斯特雷夫综合征和下肢淋巴水肿伴鼻塞。

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Case Reports in Medicine Pub Date : 2022-01-01 DOI: 10.1155/2022/1520880

Ana Carolina Pereira de Godoy, Henrique Jose Pereira de Godoy, Jose Maria Pereira de Godoy

{"title":"Hallermann-Streiff Syndrome and Lower Limb Lymphedema with Nasal Obstruction.","authors":"Ana Carolina Pereira de Godoy, Henrique Jose Pereira de Godoy, Jose Maria Pereira de Godoy","doi":"10.1155/2022/1520880","DOIUrl":"https://doi.org/10.1155/2022/1520880","url":null,"abstract":"Background: Hallermann-Streiff syndrome (HSS) is a rare congenital abnormality involving multiple craniofacial malformations, such as micrognathia, prominent frontal and nasal bones, vision defects, and dental anomalies, which can result in obstructive sleep apnea syndrome. The aim of the present study was to report a case of nasal obstruction in an individual with Hallermann-Streiff syndrome who had never breathed through the nose during treatment for lower limb lymphedema involving cervical lymphatic therapy. Case Report. An 18-year-old female adolescent with a diagnosis of HSS was sent from the genetics service of a teaching school for the treatment of lower limb lymphedema. At around 11 years of age, the patient began to present edema in the left leg, accompanied by broadening of the face and neck. The patient reported having obstructed nostrils and breathing through the mouth her entire life. On the second day of treatment, the patient reported being able to breathe through one of the nostrils, this had never occurred before. Based on this finding, the decision was made to include linear facial lymphatic drainage using the Godoy method, which led to the complete resolution of the nasal obstruction in the first 15 minutes of treatment. Nasal obstruction in children with Hallermann-Streiff syndrome may be caused by lymphedema.Conclusion: A specific lymphatic drainage technique, such as cervical lymphatic therapy and facial linear lymphatic therapy, can resolve the obstruction and maintain the nostrils unblocked for months.","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2022 ","pages":"1520880"},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9747296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10713303","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: 2

Graves' Disease Presenting as a Unilateral Breast Mass. Graves病表现为单侧乳腺肿块。

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Case Reports in Medicine Pub Date : 2022-01-01 DOI: 10.1155/2022/6641661

Neeka N Akhavan, Edlira Maska

{"title":"Graves' Disease Presenting as a Unilateral Breast Mass.","authors":"Neeka N Akhavan, Edlira Maska","doi":"10.1155/2022/6641661","DOIUrl":"https://doi.org/10.1155/2022/6641661","url":null,"abstract":"Introduction: Graves' disease is an autoimmune thyroid disorder that is the most common cause of hyperthyroidism. Common manifestations of Graves' disease include weight loss, palpitations, heat intolerance, fatigue, tremors, and exophthalmos, occurring in more than 50% of patients. In rare cases, findings may predominate in one organ system; isolated findings of diarrhea, anxiety, or gynecomastia (as in our case) may occur, distracting from the correct diagnosis. Case Report. We report on a 37-year-old male who presented to the primary care clinic with the chief complaint of a tender right-sided breast mass and with an associated loss of appetite and forty-pound weight loss. Laboratory evaluation revealed suppressed TSH and elevated free T4. A bilateral diagnostic mammogram revealed bilateral gynecomastia. A nuclear medicine thyroid uptake scan was subsequently ordered, which showed the diffusely enlarged thyroid gland with homogenous increased uptake throughout, consistent with Graves' disease.Conclusion: It is important to keep a high index of suspicion for thyroid disease as hyperthyroid states may be deceiving in presenting with single organ system involvement. Although it is rare, gynecomastia is a known finding in Graves' disease and can be the presenting sign. Patients with unexplained gynecomastia or breast masses should be screened for thyrotoxicosis.","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2022 ","pages":"6641661"},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9800095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10465927","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

Mild Late-Onset Sensory Neuropathy Associated with Heterozygous Missense GDAP1 Variants. 轻度迟发性感觉神经病变与杂合错义GDAP1变异相关。

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Case Reports in Medicine Pub Date : 2022-01-01 DOI: 10.1155/2022/7492077

Nivedita U Jerath

引用次数: 0

Atypical Presentation of Kimura's Disease in a Male Patient: A Case Report and Review of Literature. 木村病在男性患者中的不典型表现:1例报告及文献复习。

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Case Reports in Medicine Pub Date : 2022-01-01 DOI: 10.1155/2022/5103547

Zahra A Natsha, Islam A Hamarsheh, Rawan S Utt, Bassam Abu Alrob, Adnan A Wahdan

引用次数: 0

Neuropsychiatric Alterations in a Patient Diagnosed with Advanced Korsakoff's Syndrome: Clinical Case of Low Incidence and Prevalence in Colombia. 诊断为晚期柯萨科夫综合征患者的神经精神改变:哥伦比亚低发病率和流行率的临床病例

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Case Reports in Medicine Pub Date : 2022-01-01 DOI: 10.1155/2022/2772594

Carlos Alberto Hurtado Gonzalez, Sebastian Ospina Otalvaro, Carlos Steven Marmolejo Escobar, Karen Julieth Quebrada Mera, Pablo Miguel Arango de la Pava, Carlos Andres Clavijo, Lucely Ortega Bolaños, Narda Rátiva Hernández, Angelica Maria Vidal Rosero, Paola Andrea Gutierrez Lenis, Armando Lucumí, Jean Paul Cappellaro Sánchez, Angela Agudelo Zamorano, Juan Pablo Jacome, Valentina Herrera Montoya, Luis Miguel Saldarriaga, Carolina Prado Salcedo, Sharon Fabiana Alvarado Carranza, Carlos Andres Marín Hoyos, Juan Pablo Beltran Alomia, Juan Felipe Ayala Rico, Luigui Andres Torres Colorado, Julia Andrea Arias Díaz

{"title":"Neuropsychiatric Alterations in a Patient Diagnosed with Advanced Korsakoff's Syndrome: Clinical Case of Low Incidence and Prevalence in Colombia.","authors":"Carlos Alberto Hurtado Gonzalez, Sebastian Ospina Otalvaro, Carlos Steven Marmolejo Escobar, Karen Julieth Quebrada Mera, Pablo Miguel Arango de la Pava, Carlos Andres Clavijo, Lucely Ortega Bolaños, Narda Rátiva Hernández, Angelica Maria Vidal Rosero, Paola Andrea Gutierrez Lenis, Armando Lucumí, Jean Paul Cappellaro Sánchez, Angela Agudelo Zamorano, Juan Pablo Jacome, Valentina Herrera Montoya, Luis Miguel Saldarriaga, Carolina Prado Salcedo, Sharon Fabiana Alvarado Carranza, Carlos Andres Marín Hoyos, Juan Pablo Beltran Alomia, Juan Felipe Ayala Rico, Luigui Andres Torres Colorado, Julia Andrea Arias Díaz","doi":"10.1155/2022/2772594","DOIUrl":"https://doi.org/10.1155/2022/2772594","url":null,"abstract":"Korsakoff's syndrome (KS) is an insidious and progressive neuropsychiatric disorder that affects specific neurocognitive functioning, especially in tasks that require sustained attention, memory, executive functions, and visuospatial functioning. Usually, this disease generates neuropsychiatric complications that worsen the quality of life (QOL) of patients in the medium term. We present a case of a 63-year-old male who presented with a diagnosis of advanced Korsakoff's syndrome and has a clinical history of recurrent memory loss and a history of alcohol abuse. The patient showed difficulty manipulating immediate information, associated with a possible frontal lobe dysfunction, and inability to remember material given through the auditory pathway. The patient showed a psychiatric clinical picture which is constantly worsening his and his immediate caregiver's QOL. The data obtained demonstrate that the patient presents a progressive cognitive impairment, which in the short term is correlated with Korsakoff-type dementia. It is suggested to carry out functional neurorehabilitation plans aimed at improving the QOL of the patient, his immediate caregiver, and future people with this type of diagnosis.","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2022 ","pages":"2772594"},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9825214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10506232","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: 1

Acute Flaccid Tetraparesis after COVID-19 Infection: Think of the Thyroid. COVID-19感染后急性弛缓性四瘫:考虑甲状腺。

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Case Reports in Medicine Pub Date : 2022-01-01 DOI: 10.1155/2022/5827664

Sarah Ying Tse Tan, Jiaqing Xiong, Troy H Puar, Joan Khoo, Andy Jun-Wei Wong, Shui Boon Soh

引用次数: 1

Physiological Stimulation of the Synthesis of Preelastic Fibers in the Dermis of a Patient with Fibrosis. 对纤维化患者真皮中预弹性纤维合成的生理刺激。

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Case Reports in Medicine Pub Date : 2021-12-30 eCollection Date: 2021-01-01 DOI: 10.1155/2021/2666867

Jose Maria Pereira de Godoy, Lívia Maria Pereira de Godoy, Maria de Fatima Guerreiro Godoy, Dalisio de Santi Neto

{"title":"Physiological Stimulation of the Synthesis of Preelastic Fibers in the Dermis of a Patient with Fibrosis.","authors":"Jose Maria Pereira de Godoy, Lívia Maria Pereira de Godoy, Maria de Fatima Guerreiro Godoy, Dalisio de Santi Neto","doi":"10.1155/2021/2666867","DOIUrl":"https://doi.org/10.1155/2021/2666867","url":null,"abstract":"Objective: The aim of the present study was to report the physiological stimulation of the synthesis of preelastic fibers in the dermis of a patient with fibrosis.Design: A clinical study was conducted involving the analysis of histological changes in preelastic fibers following treatment for stage II primary lymphedema for the clinical reversal of lymphedema and fibrosis. Setting. University Hospital of the São Jose do Rio Preto of School of Medicine in 2020. Participant was a 67-year-old male patient with late-onset primary lymphedema diagnosed 12 years earlier. Intervention is the lymphatic stimulation using the Godoy method adapted to the treatment of fibrosis. Main outcomes and measures are biopsies before and after treatment. Ten randomly selected histological fields were evaluated using the multipoint morphometric method. The values with this method are relative and expressed as percentages. Statistical analysis was performed with the t-test, considering a 95% significance level.Results: A visible, significant difference in the percentage of preelastic fibers was found between the preintervention and postintervention slides, which were confirmed by the microscopic evaluation and quantification (4.95 ± 0.64% and 14.70 ± 1.06%, respectively).Conclusion: The physiological stimulation of the lymphatic system using a specific method resulted in the clinical reduction of fibrosis, the return of the elasticity of the skin, and the stimulation of the synthesis of preelastic fibers.","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2021 ","pages":"2666867"},"PeriodicalIF":0.8,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8739906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39661874","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: 9

Erythroderma and Skin Desquamation in Paederus Dermatitis. Paederus皮炎的红皮病和皮肤脱屑。

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Case Reports in Medicine Pub Date : 2021-12-28 eCollection Date: 2021-01-01 DOI: 10.1155/2021/7257288

Thitinan Kitisin, Passanesh Sukphopetch

引用次数: 1

Personal Experience of Daboia siamensis Envenomation. 暹罗大鲵毒化的个人经验。

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Case Reports in Medicine Pub Date : 2021-12-24 eCollection Date: 2021-01-01 DOI: 10.1155/2021/3396373

Tein-Shun Tsai, Chun-Chieh Liu, Po-Chun Chuang

引用次数: 3

Asymptomatic Tumor Thrombus in the Left Atrium from Squamous Cell Carcinoma. 鳞状细胞癌引起的左心房无症状肿瘤血栓。

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Case Reports in Medicine Pub Date : 2021-12-21 eCollection Date: 2021-01-01 DOI: 10.1155/2021/4256471

Nick Huang, Christina DiCorato, Basel Abuzuaiter, Adriana May, Swati P Deshmane, Debanik Chaudhuri, Stephen Graziano, Harvir Singh Gambhir

引用次数: 1