XiaoRou Wang, YiJia Li, YuXi Miao, CaiLing Tong, WenJie Long
KEY CLINICAL MESSAGE: Chyle leakage is a rare postoperative complication of breast cancer, and conservative treatments should be prioritized, with careful monitoring of drainage volume and timely surgical intervention when conservative treatments are ineffective. ABSTRACT: Chyle leaks following surgery for breast cancer are seldom encountered. Management varies with no consensus in the literature. This paper reports a case of a chylous leak after axillary dissection in a patient with breast cancer eventually cured with conservative treatment and discusses management options varied with both conservative and surgical options available to clinicians...
May 2024: Clinical Case Reports
Yuma Nato, Keiki Nagaharu, Hiroshi Imai, Hiroyuki Miyashita
This case of non-nodal mantle cell lymphoma (MCL) showcases atypical hairy cell-like features, distinguishing it via next-generation sequencing. Despite a TP53 mutation indicating poor prognosis, our case followed an indolent course, highlighting the importance of genetic testing and phenotypical examination in MCL.
May 2024: Clinical Case Reports
Kedir Negesso Tukeni, Tadesse Dukessa Gemechu, Mohammed Abafogi, Amare Ashine, Tamirat Godebo Woyimo, Abdo Abafogi, Elsah Tegene Asefa
Understand the importance of considering alternative diagnosis in patients presenting with atypical features. Understand the importance of considering common presentations of rare cases. Underscoring the critical importance of timely recognition and appropriate management of potentially life-threatening condition.
May 2024: Clinical Case Reports
Sabita Aryal, Jiang Zhu-Qian, Liu Ye Qiang, Md Ariful Haque
KEY CLINICAL MESSAGE: Unlike most cases, the lesions were localized to the dorsum of the hand, lacked pruritus (itching), and did not exhibit "sperm-like blood vessels," which are typically pathognomonic to classical MF. ABSTRACT: The study presents a rare case involving a 44-year-old woman who developed a skin condition on the base of her left thumb. Initially misdiagnosed as pigmented purpura, the need for further investigation arose to determine the nature of the condition accurately...
May 2024: Clinical Case Reports
Yan Lin, Xiaobo Mao
KEY CLINICAL MESSAGE: Atrial fibrillation is closely associated with thrombotic events. In non-valvular atrial fibrillation, 90% of thrombi are formed by the left atrial appendage. Left atrial appendage occlusion (LAAC) can effectively prevent the detachment of left atrial appendage thrombus during atrial fibrillation, thereby reducing the risk of long-term disability or death caused by thromboembolic events. However, the identification and management of complications in LAAC are also very important...
May 2024: Clinical Case Reports
Fatemeh Omidi, Soheila Sadeghi, Naser Kachoueian, Moein Ebrahimi
In the context of diabetic ketoacidosis, clinicians should consider uncommon origins of infection, notably infective endocarditis. This is especially crucial when confronted with cases that recur persistently or exhibit resistance to treatment. This is a case of a diabetic patient with diabetic ketoacidosis admitted to our facility. A 35-year-old diabetic patient presented with DKA precipitated by mitral valve endocarditis. To our knowledge and according to the literature review, only one case of DKA precipitated by endocarditis has been reported in the past...
May 2024: Clinical Case Reports
Mahdieh Fatollahzadeh, Hamid Reza Aghaei Meybodi, Hamid Pajavand, Moloud Payab, Mahbube Ebrahimpur, Pouya Ebrahimi
KEY CLINICAL MESSAGE: Tumor-induced osteomalacia is a rare but potentially serious disease with nonspecific misguiding manifestations that can result in a wrong diagnosis and being treated for rheumatologic or other similar diseases. In patients with unexpected fractures, resistant musculoskeletal pains, and hypophosphatemia, this diagnosis should be considered by the physicians and approached through a complete history taking, physical exam laboratory, and radiologic evaluation to give the opportunity of on-time treatment to the patient...
May 2024: Clinical Case Reports
Maryam Mehrpooya, Massoud Ghasemi, Pouya Ebrahimi, Homa Taheri, Parnian Soltani
KEY CLINICAL MESSAGE: Arterial rupture is one of the rare but known and devastating complications of the angiogram, which can ultimately lead to loss of limb and life. Therefore, it is recommended that this complication be included in the consent form and that the operator and the logistics team be prepared for this scenario. Moreover, categorizing the patients based on risk factors to be more cautious during the procedure for high-risk patients can be considered a reasonable strategy...
May 2024: Clinical Case Reports
Pouya Ebrahimi, Homa Taheri, Seyed Ali Mousavinejad, Pedram Nazari
Acute neuromuscular paralysis is a relatively common condition in emergency rooms (ERs). They can be caused by several reasons, including adverse drug reactions. Betamethasone is a glucocorticoid commonly used for various conditions, such as allergic conditions. One of the rare but known side effects of glucocorticoids is hypokalemia. Rare cases of hypokalemia following high- and low-dose glucocorticoid injections have been reported. This study presents the history of a young, healthy male without significant past medical history who presented with an inability to stand and walk due to four-limb paralysis (more prominent in the lower limbs) following an intramuscular injection of a 4 mg betamethasone, which was prescribed for the treatment of allergic rhinitis...
May 2024: Clinical Case Reports
Tomoaki Takada
In extradigital glomus tumors, (1) noncontact and (2) contact dermoscopy show (1) a central purplish-white area corresponding to tumor nests surrounding enlarged vessels, a peripheral yellow-white area corresponding to mucin deposition, melanin granules, and fibrous tissue, and (2) white reticular and linear cord areas corresponding to pseudocapsules and collagen fibers.
May 2024: Clinical Case Reports
Marc Soriano, Alessandro Sionis, Enrique Rodríguez, Ana Bonet, Lorena Soto, Manel Tauron, David Belmar, Sabiñe Arakama, Josep Mayol, Laura Rodríguez
KEY CLINICAL MESSAGE: An interesting case that shows an infrequent cause of cardiorespiratory arrest such as coronary vasospasm due to intravenous amiodarone induced Kounis syndrome. It highlights the usefulness of circulatory support with ECMO in the scenario of CPR. ABSTRACT: A patient with atrial fibrillation was admitted for an elective electrical cardioversion. He was given an amiodarone bolus that triggered Kounis syndrome with cardiac arrest due to vasospasm requiring emergency coronary angiography with infusion of nitroglycerin...
May 2024: Clinical Case Reports
Sajal Twanabasu, Shiva Prasad Sharma Chalise
Pleural effusion is rare during neonatal period with an estimated prevalence of 0.06%. It may sometimes uncommonly be secondary to pulmonary sequestration. Besides common conditions like hydrops fetalis, congenital heart disease, congenital chylothorax, chromosomal abnormalities; pulmonary sequestration should also be considered while evaluating the cause for neonatal pleural effusion.
May 2024: Clinical Case Reports
Sihame Assimi, Zouheir Ismaili, Saloua Dghoughi
KEY CLINICAL MESSAGE: A successful management of a mandibular recession with creeping attachment using free gingival graft. This case highlights the "wait-and-see" approach in the treatment plan, emphasizing the root coverage. ABSTRACT: This clinical report describes the case of a 23-year-old female patient with gingival recession of the mandibular left central incisor. The patient's symptoms included hypersensitivity and cosmetic improvements. After thorough examination, the patient was diagnosed with plaque-induced gingivitis on a reduced periodontium with acquired mucogingival deformities...
May 2024: Clinical Case Reports
Matthew Webster, Olga M Dona Lemus, Dandan Zheng, Joshua N Wancura, Sean Tanny, Gukan Sakthivel, Louis Constine
KEY CLINICAL MESSAGE: A patient presented with cardiogenic shock, requiring the implantation of a left ventricular assist device (LVAD), and acute myeloblastic leukemia. This necessitated total body irradiation (TBI) while balancing dose reduction to the LVAD components to avoid potential radiation damage. Here we outline our treatment approach and dose estimates to the LVAD. ABSTRACT: This case report discusses the delivery of TBI to a patient with an LVAD. This treatment required radiation-dose determinations and consequential reductions for the heart, LVAD, and an external controller connected to the LVAD...
May 2024: Clinical Case Reports
Shyamkumar Sriram, Shamimul Hasan, Shahnaz Mansoori, Shazina Saeed, Abhishek Banerjee, Karthikeyan Ramalingam
Pemphigus vulgaris (PV) is a chronic autoimmune blistering disorder characterized by the loss of intraepithelial adhesion affecting the skin and mucous membranes, predominantly affects females in their fifth and sixth decades of life. Due to its rare occurrence in children and adolescents, there is often a delay in diagnosis and treatment in this age group. PV should always be considered in the differential diagnosis of oral ulcerative and vesiculobullous lesions in both children and adolescents.
May 2024: Clinical Case Reports
Hayato Ito, Hirohito Hirata, Tomohito Yoshihara, Masatsugu Tsukamoto, Kazuyuki Watanabe, Yoshiaki Egashira, Masaaki Mawatari, Tadatsugu Morimoto
Spinal subdural hematoma is uncommon but may become more prevalent with increasing anticoagulant use. Early diagnosis from symptoms like lower back pain and leg paralysis is crucial for timely intervention.
May 2024: Clinical Case Reports
Zhibin Tan, Shawn Zhi Zheng Lin, Yihan Li, Si Wei Kheok
In patients with lung adenocarcinoma, angiogenesis-altering drugs can alter the appearance of leptomeningeal metastasis on magnetic resonance imaging (MRI) scans. In the ventral brainstem, this can manifest as a unique, linear, non-enhancing T2-hyperintense signal.
May 2024: Clinical Case Reports
Pooya Zardoost, Sana Tyabuddin, Austin Cantu, Musa Abu-Jubara, Jackson Mittlesteadt, Henry Wehrum
Ankylosing spondylitis (AS) presents with renal failure and proteinuria in a minority of cases, usually due to secondary amyloidosis or IgA nephropathy. While focal segmental glomerulosclerosis (FSGS) is less common, it should still be in the differential regardless of the patient's clinical profile.
May 2024: Clinical Case Reports
Saman Al-Zahawi, Kambiz Kamyab, Kamran Balighi
KEY CLINICAL MESSAGE: IgA pemphigus is usually treated by Dapsone. Recalcitrant cases may be treated by Colchicine, Sulfapyridine, or Acitretin. Some patients with recurrent severe disease may not respond to the aforementioned medications. Our study highlights the role of TNFa inhibitor as an alternative modality in the treatment of recalcitrant IgA pemphigus. ABSTRACT: IgA pemphigus is a rare autoimmune blistering disease characterized by a pruritic, annular, vesiculopustular eruption...
May 2024: Clinical Case Reports
Ryuki Chatani, Hiroshi Tasaka, Shunsuke Kubo, Kenta Yoshida, Mitsuru Yoshino, Takeshi Maruo, Kazushige Kadota
KEY CLINICAL MESSAGE: Atrial fibrillation ablation, including pulmonary vein isolation immediately after left atrial appendage closure (LAAC), is a rare and challenging issue. Intracardiac echocardiography guidance can help identify the LAAC device position for safe atrial fibrillation ablation without LAAC device-related adverse events even immediately after LAAC device implantation. ABSTRACT: Early phase atrial fibrillation (AF) ablation after left atrial appendage closure (LAAC) is a rare and challenging issue...
May 2024: Clinical Case Reports
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