Mucinous cystic neoplasm of the liver is a rare slow-growing lesion accounting for less than 5% of all hepatic cystic neoplasms. Differential diagnosis from other cystic lesions remains challenging despite progress achieved in the radiological modalities. Only histopathological examination of the surgical specimen establishes with certainty the diagnosis.
We report a rare percutaneous intervention to the Left Anterior Descending (LAD) and Right Coronary Artery (RCA) bifurcation in a 77 year old with anomalous origin of the RCA from mid LAD and Medina 1,1,1 bifurcation disease. The LAD/RCA bifurcation lesion was successfully treated using Mini crush technique.
Proposal for safe eradication therapy of Helicobacter pylori in patients with porphyria Tadayuki Takata, MD, PhDa,b*, Yohei Kokudo, MDc, Asahiro Morishita, MD, PhDd, Kodai Kume, MD, PhDb, Tatsuo Yachida, MD, PhDd, Masaki Kamada, MD, PhDc, Hideki Kobara, MD, PhDd, Kazushi Deguchi, MD, PhDb, Tetsuo Touge, MD, PhDe, Hisashi Masugata, MD, PhDa, Tsutomu Masaki, MD, PhDd
We found no significant differences in platelet function in patients with severe HA in prophylactic treatment before and after FVIII infusion. After FVIII administration, patients presented fewer endothelial microvesicles, indicating that the treatment does not increase one of the possible thrombotic risk markers of these patients.
COVID-19 related pneumonia overlaps with ACS, one of the most common acute presentations in SCD patients.We present a case of 22-year-old SCD patient presented to the emergency department with mild respiratory symptoms turned out to be COVID-19 positive and received red blood cell exchange to avoid the possibility of deterioration.
An 80 year old woman underwent vitrectomy for recurrent uveitis, demonstrating lymphocytic vitreous fluid. Less than a month later skin biopsy confirmed the diagnosis of extranodal NK/T cell lymphoma. Chemotherapy with SMILE (steroid - dexamethasone, methotrexate, ifosfamide, L-asparaginase, and etoposide) was poorly tolerated despite reduced doses, while pembrolizumab was ineffective.
Hand and foot syndrome (HFS) is a toxic dermatologic reaction to chemotherapy, commonly described with capecitabine, 5fluouracile, vinorelbine, and cytarabine. Taxanes are less likely to induce HFS, and very few cases reported paclitaxel-induced HFS. We report a serious case of HFS induced by paclitaxel in a breast cancer female.
Background: Mediastinal cystic teratoma is a rare diagnosis in adolescence from low-income setting. Pleural effusion often mislead to infection and delay resection. We report a case from high burden tuberculosis country and analyze data from the literature. Methods: Clinical record of an adolescent patient from the Democratic Republic of Congo
1.7% of myeloproliferative neoplasms are associated with autoimmune conditions. Association of myasthenia gravis (MG) with chronic myeloid leukemia is reported, but its association with polycythemia vera (PV) has never been reported. We report two patients who had MG and PV with JAK2V617F mutation. Both had splenomegaly but no thymoma.
Serum sickness, a reaction presenting with a classic triad (fever, rash, myalgia/arthralgia) and considered as a rare adverse event following monoclonal antibodies and specifically following treatment with rituximab. This report describes a case of serum sickness in a newly treated young male patient with rituximab for pemphigus vulgaris.
Invasive aspergillosis is commonly encountered in immunosuppressed patients either primary through direct inoculation or secondary from blood dissemination. This report describes a case of 53 years old immunocompromised female patient who was diagnosed with frontotemporal anaplastic astrocytoma and developed nasal skin lesion turned to be invasive cutaneous aspergillosis.
Lockdown measures because of COVID-19 pandemic have had a major impact on patients’ mental health. We present the case of an 80-year-old patient, reactivating World War Two memories during lockdown period. We looked for posttraumatic stress disorder (PTSD). She also presented with a rheumatoid arthritis flare after disease control
We describe a case of ICM implantation in a 74-year-old woman with SIT and ESUS for detection of AF. ICM implantation was performed successfully without any complications. AF was detected at 28 days after ICM insertion. ICMs can be safely implanted in patients with SIT, allowing successful detection of AF.