OpenMed/multicare-articles huggingface dataset:
Subsolid Nodule Harbouring Extranodal Marginal Zone Lymphoma of Mucosa-Associated Lymphoid Tissue
Authors: Stijn Marcelis, Amélie Dendooven, Annemiek Snoeckx
Journal: J Belg Soc Radiol (2022)
Keywords: ct, malt, pet, subsolid, lymphoma, nodule
MeSH terms: Case Reports

With the widespread use of computed tomography (CT), subsolid nodules are more frequently encountered in daily practice. We present the case of a 74-year-old man with a large persistent well-defined subsolid nodule on CT. Although the lesion had a predominant ground-glass appearance on CT, 18F-fluorodeoxyglucose (FDG) positron emission tomography (PET) showed moderate FDG uptake. Lobectomy was performed and histopathologic examination showed an extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue. Teaching Point: When large persistent subsolid nodule with a predominant ground-glass aspect shows moderate uptake on 18F-FDG-PET, other possible diagnoses than adenocarcinoma should be kept in mind, including primary pulmonary lymphoma.
Crystal Arthropathy in the Setting of Total Knee Arthroplasty
Authors: Joseph C Brinkman, Kade S McQuivey, Justin L Makovicka, Joshua S Bingham
Journal: Case Rep Orthop (2020)
MeSH terms: Case Reports

We present a case of an 82-year-old female with a history of right total knee arthroplasty 11 years prior. She was admitted after a ground-level fall and developed progressive pain and swelling of her right knee. She had no history of complications with her total knee replacement. Radiographs of the knee and hip were negative for acute fracture, dislocation, or hardware malalignment. Knee aspiration was performed and revealed inflammatory exudate, synovial fluid consistent with crystal arthropathy, and no bacterial growth. She was diagnosed with an acute gout flare, and her symptoms significantly improved with steroids and anti-inflammatory treatment. Orthopedic surgeons should be aware of the potential for crystal arthropathy in the setting of total joint arthroplasty and evaluate for crystals before treating a presumed periprosthetic joint infection.
Bilateral carpal tunnel syndrome revealing an acromegaly: a case report
Authors: Fatima Toulali, Hajar Srifi, Dounia Talbi, Ahmed Anas Guerboub
Journal: Pan Afr Med J (2023)
Keywords: carpal tunnel syndrome, acromegaly, case report
MeSH terms: Acromegaly / diagnosis, Carpal Tunnel Syndrome / etiology, Case Reports, Delayed Diagnosis / adverse effects, Humans

Carpal tunnel syndrome (CTS) is the most common neuropathy in acromegalic patients and is often the initial complaint. However, the diagnosis of acromegaly is often made years after the diagnosis of CTS. In our case report, we describe the case of a patient in whom acromegaly was discovered after presenting bilateral carpal tunnel syndrome, without having acrofacial signs. Increased awareness of signs of acromegaly in patients with CTS might help to shorten the diagnostic delay in acromegaly.
Intravenous immunoglobulin for acute hemorrhagic leukoencephalitis refractory to plasmapheresis
Authors: Apurva Panchal, Francesca Perez-Marques
Journal: Clin Case Rep (2018)
Keywords: acute disseminated encephalomyelitis, acute hemorrhagic leukoencephalitis, autoimmune encephalitis, children, intravenous immunoglobulin, plasmapheresis
MeSH terms: Case Reports

Intravenous immunoglobulin therapy should be considered in pediatric acute hemorrhagic leukoencephalitis that is refractory to steroid and plasmapheresis.
Case report: An unusual case of desmin myopathy associated with heart failure and arrhythmia
Authors: Xuhan Liu, Yuan Liu, Bo Li, Lin Wang, Weihua Zhang
Journal: Front Cardiovasc Med (2022)
Keywords: arni, arrhythmia, cardiac conduction system, desmin (des), heart failure
MeSH terms: Case Reports

Introduction:
Desmin myopathy is a novel desmin (DES) indel mutation that causes severe atypical cardiomyopathy as well as atrioventricular block and skeletal myopathy. The mutation of the gene of the nodal tail causes myocardial injury. Rarely does desmin myopathy cause bilateral ventricular changes.
Case presentation:
We present a case of a 48-year-old man admitted with dyspnea and edema of both lower extremities. Due to bilateral lower limb weakness and calf muscle atrophy, gene sequencing was performed. The results showed that there was a pure missense mutation in the 8th exon region of the DES gene (c.1366G>A), encoding amino acid p.G456R (glycine>arginine). Supplementary examination suggests a high possibility of heart failure, atrial flutter, and desmin myopathy. Atrial flutter was treated by radiofrequency ablation. The clinical symptoms were stable after oral administration of rivaroxaban, coenzyme Q10, and ARNI.
Conclusion:
In our case, mutation results are the gold standard for the diagnosis of nodular myopathy. Cardiac magnetic resonance can define the extent and degree of cardiomyopathy and quantitatively evaluate cardiac function. At present, there is a lack of specific treatment for proteolytic myopathy. Therefore, the treatment for heart failure proves effective. Due to the multiple systems involved, early diagnosis and multidisciplinary management are critical to improving patient outcomes.
Comprehensive and Conservative Management of Talon Cusp: A New Technique
Authors: Ankit Arora, Padmaja Sharma, Surendra Lodha
Journal: Case Rep Dent (2016)
MeSH terms: Case Reports

Talon cusp is a common dental anomaly affecting maxillary central incisors. Gradual grinding of this additional cusp is commonly followed now. Advocated below is a new technique explaining the use of air abrasion and putty index during the stepwise reduction of the cusp. The technique is advantageous in preventing patient discomfort and tracking the amount of reduction in a predictable way.
Celiac crisis as the life-threatening onset of celiac disease in children: a case report
Authors: Angela Mauro, Francesca Casini, Antonella Talenti, Clelia Di Mari, Anna Rita Benincaso, Giovanni Di Nardo, Luca Bernardo
Journal: Front Pediatr (2023)
Keywords: case report, celiac crisis, celiac disease, diarrhea, hypoalbuminemia, pediatrics
MeSH terms: Case Reports

Celiac disease (CD) is an immune-mediated enteropathy caused by a permanent sensitivity to gluten in genetically susceptible individuals. In rare cases, CD may occur with a severe potential life-threatening manifestation known as a celiac crisis (CC). This may be a consequence of a delayed diagnosis and expose patients to possible fatal complications. We report the case of a 22-month-old child admitted to our hospital for a CC characterized by weight loss, vomiting, and diarrhea associated with a malnutrition state. Early identification of symptoms of CC is essential to provide a prompt diagnosis and management.
Incidental Finding of an Undiagnosed Coarctation of the Aorta Causing Dilated Cardiomyopathy in an Adult
Authors: Abdalla Ibrahim, Zahir Satti, Ronan Curtin
Journal: Case Rep Cardiol (2017)
MeSH terms: Case Reports

31-year-old male with no past medical history apart from high blood pressure noted by GP one week prior to admission presented with a three-week history of a flu-like illness and symptoms of heart failure with severe global left ventricular dilation and dysfunction on Transthoracic Echocardiography (TTE). Two weeks following admission he complained of left arm pain and CT upper limb confirmed embolic occlusion of the left brachial artery and incidental severe coarctation of the proximal descending aorta after the origin of the left subclavian artery. Follow-up TTE suggested the presence of coarctation of the aorta on a suprasternal view which was not performed at the time of his first TTE. His heart failure and blood pressure responded very well to medical therapy and he has been referred for surgical correction of his aortic coarctation.
Testicular tumor arising from an intra-abdominal undescended testis in a 1-year-old child: a case report and literature review
Authors: Qiongzhang Xia, Tongshuai Kuang, Xiaokun Lin, Hua Zhang
Journal: Front Pediatr (2023)
Keywords: cryptorchidism, orchiopexy, teratoma, testicular tumor, undescended testis
MeSH terms: Case Reports

Objectives:
Testicular tumors in the intra-abdominal undescended testis are rare in children, and their management remains challenging. The aim was to present a case report and review of the literature about diagnosis and treatment of testicular tumors arising from undescended intra-abdominal testis in children.
Methods:
In this study, we retrospectively analyzed the clinical records of a 1-year-old male patient admitted to pediatric surgery in March 2022 with a testicular tumor originating in the intra-abdominal undescended testis. Furthermore, medical literature published in English during the last three decades was systematically searched through the databases of Medline, PubMed, and Google Scholar.
Results:
The patient underwent laparoscopic orchiopexy and tumor excision. The operation was uneventful, and the patient recovered well without complications. An 8-month follow-up showed no recurrence of the teratoma after postoperative pathology. The literature search resulted in the retrieval of 16 non-duplicate articles, and 16 patients were included in this review. The cases included six cases of left cryptorchidism and 10 cases of right cryptorchidism, with an average age of 15.3 months. The largest transverse diameter of the tumors ranged from 1.8 to 12.5 cm, with an average tumor length of 6.7 cm. All patients underwent surgical treatment, including three cases of laparoscopic orchiectomy, a sole case of a conversion of inguinal incision to laparotomy and orchiectomy, and 12 cases of laparotomy and orchiectomy. Postoperative pathology revealed 12 cases of mature teratoma, two cases of immature teratoma, one case of yolk sac tumor, and a single case of embryonic carcinoma combined with yolk sac tumor. 11 patients were followed up, and one of them recurred.
Conclusion:
Abdominal ultrasound (US) or abdominal computer tomography (CT) should be performed in cases of undescended testis suspected to have testicular tumors on clinical findings. The most common type of intra-abdominal testicular tumor is mature teratomas. Early diagnosis and prompt surgical intervention resulted in an excellent outcome.
Intraoperative aortic endograft placement for an unexpected plaque rupture during lung surgery
Authors: Wei Huang, Beatrice Aramini, Jiang Fan
Journal: Int J Surg Case Rep (2019)
Keywords: aortic bleeding, aortic endograft, challenging procedure, lung tumor invasion, teamwork

Background:
Surgical resection of tumors invading the aorta is a challenging procedure. More recently, the use of thoracic aortic endografts has been reported to facilitate en bloc resection of tumors invading the aortic wall. The best treatment option is to keep the procedure separated before lung resection to reduce the risks of bleeding, therefore avoiding adverse consequences for the patient. However, an aortic stent placement before surgery is not mandatory with no clear signs of tumor or atherosclerotic plaque infiltrating the entire aortic wall.
Case presentation:
A 72-year-old man came to our Department for a persistent cough. Computed tomography (CT) scan with enhancement showed a mass located in the left upper lobe of the lung with no clear sign of infiltration or calcified plaques along the entire vascular wall. A positron emission tomography with 2-deoxy-2-[fluorine-18] fluoro-d-glucose integrated with computed tomography (PET/CT with 18F-FDG) was positive for hypermetabolic mass with negative lymph node stations bilaterally. Patient was undergone surgery for major lung resection by left thoracotomy. For an unexpected intraoperative bleeding due to the rupture of a calcified plaque, a stent was placed before proceeding with lung surgery. Patient was persistently stable, discharged after six days from surgery with no morbidities.
Conclusions:
In our case, no signs of the atherosclerotic plaque infiltration as well as no tumor infiltration were shown. In these situations, the aortic stent placement is possible in emergency, even during another operation. Nevertheless, surgeon experience and the good coordination among specialists is mandatory to yield a satisfying solution.
Prosthodontic Rehabilitation Alternative of Patients with Cleft Lip and Palate (CLP): Two Cases Report
Authors: Emrah Ayna, Emine Göncü Başaran, Köksal Beydemir
Journal: Int J Dent (2009)
MeSH terms: Case Reports

Although patients with cleft lip and palate (CLP) are not seen regularly in general dental practice, this is a frequent congenital anomaly; approximately one in every 800 live births results in a CLP. The cause of CLP is unknown, but possible causes are malnutrition and irradiation during pregnancy, psychological stress, teratogenic agents, infectious agents (viruses), and inheritance. Most clefts are likely caused by multiple genetic and nongenetic factors. Prosthetic reconstruction of the anterior maxilla is important for these patients. This paper describes the prosthetic rehabilitation of two patients with CLP, 19-year-old and 21-year-old women, both with surgically treated CLP. In both, an examination revealed a residual palatal defect of 2 x 3 mm and missing maxillary lateral incisors. The 19-year-old was treated with a fiber-reinforced composite resin-bonded fixed partial denture. The 21-year-old was treated with a removable partial denture with an extracoronal attachment system. The prosthetic rehabilitation of the two patients with CLP was evaluated clinically. In both, well-planned prosthetic, periodontal, and surgical therapy resulted in satisfactory function and esthetics, alleviating their deformities. With education and appropriate recall, the patients should be able to maintain their oral health.
Malignant granular cell tumor in the thoracic wall: A case report
Authors: Shengnan Gao, Bin Xing, Sun Lichao, Jie Luo, Jiao Tang, Ye Wang, Xiaoyan Zhang
Journal: Front Oncol (2022)
Keywords: mpnst, schwann cells, chest wall, granulosa cell tumor, neuroectodermal, soft tissue tumor, thoracic wall
MeSH terms: Case Reports

Granulosa cell tumor (GCT) is a rare tumor that originates from neural/Schwann cells. GCTs can occur at any age and at any site in the body. The most common site is the tongue, followed by the mammary gland, upper respiratory tract ( throat and bronchus), and gastrointestinal tract (esophagus, large intestine and perianal area, stomach, small intestine, and bile duct). Malignant GCTs account for less than 1%-2% of all GCTs. Fewer than five GCTs in the thoracic wall have been reported, almost all of these benign. Here, we report a new case of malignant GCT of the thoracic wall, with rib invasion and pleural metastasis, in an Asian male. Microscopic examination revealed round, granular cells with eosinophilic cytoplasm and without prominent atypia. Despite these findings the disease showed rapid clinical progression. In summary, the tumor, although histologically 'benign', was clinically 'malignant'.
Ureteroiliac artery fistula in a young woman with short bowel syndrome for radiation enteritis
Authors: Lidia Santarpia, Massimiliano Creta, Umberto Marcello Bracale, Roberto Ciccarelli, Fabrizio Pasanisi, Franco Contaldo, Ciro Imbimbo
Journal: Case Rep Med (2010)
MeSH terms: Case Reports

Ureteral-iliac artery fistula is a rare and potentially life-threatening complication, typically occurring after radiation therapy in already surgically treated cancer patients. This case report describes the diagnostic challenges and the successful management, with the positioning of an intra-arterial prosthesis, of a fistula between the internal iliac artery and the left ureter presenting as massive hematuria in a young woman with history of total colectomy and pelvic radiotherapy for rectal cancer and subsequent wide ileal resections and bilateral ureteral stent positioning for radiation enteritis. Ureteroiliac artery fistulas require a prompt diagnosis and intervention, to avoid life threatening clinical events.
Tenofovir-induced osteopenia and hyperparathyroidism: A case report and literature review
Authors: Jing Zeng, Peng Ye, Dong Wei, Lan Li, Wanxia Ma
Journal: Front Endocrinol (Lausanne) (2023)
Keywords: 25-hydroxy vitamin d, chronic viral hepatitis b, hyperparathyroidism, osteopenia, tenofovir disoproxil fumarate
MeSH terms: Bone Diseases, Metabolic / drug therapy, Hyperparathyroidism, Primary / chemically induced, Hyperparathyroidism, Primary / complications, Hyperparathyroidism, Secondary / chemically induced, Hyperparathyroidism, Secondary / complications, Hyperparathyroidism, Secondary / drug therapy, Osteoporosis / drug therapy, Review, Case Reports, Adenine / therapeutic use, Calcium, Humans, Tenofovir / adverse effects, Tenofovir, Calcium, Adenine

Tenofovir disoproxil fumarate is the first-line antiviral therapy for chronic viral hepatitis B, but long-term use is associated with renal failure and hypophosphatemic osteomalacia. Tenofovir disoproxil fumarate-induced osteoporosis and secondary hyperparathyroidism are less commonly reported. Herein, we describe the case of a patient with bone and multijoint pain who was initially misdiagnosed as having normocalcemic primary hyperparathyroidism associated with prolonged exposure to tenofovir disoproxil fumarate. The patient's 24-h urinary calcium and phosphorus excretion levels and serum calcium levels were at the lower end of the normal range. After reviewing these findings, the diagnosis was amended to osteoporosis and secondary hyperparathyroidism caused by tenofovir disoproxil fumarate. In this report, we describe the differences in clinical and laboratory manifestations of hyperparathyroidism induced by tenofovir disoproxil fumarate and normocalcemic primary hyperparathyroidism. We also discuss relevant pathophysiological mechanisms and propose a feasible treatment strategy.
Meditation-Induced Psychosis: Trigger and Recurrence
Authors: Sulochana Joshi, Anusha Manandhar, Pawan Sharma
Journal: Case Rep Psychiatry (2021)
MeSH terms: Case Reports

Meditation is regarded as a self-regulation approach to manage emotions. Meditation has a beneficial effect on mental health. Different kinds of meditation are practiced in many religions and cultures for the general wellbeing of an individual. However, meditation-related experiences and negative effects of meditation are not uncommon. Meditation-induced psychosis has been reported in the past. Here, we present a case of a 33-year-old male patient who developed acute and transient psychosis twice after meditation and discuss the role of meditation as a precipitating factor to psychosis.
Gaining resolution when creating imagery of aging
Authors: Jacob Sheahan
Journal: Front Sociol (2022)
Keywords: cultural probes, design for aging, imagery resolution, images of aging, interaction design

In seeking to support healthy aging, designers have struggled to reduce their assumptions and biases toward older adults, been seen to interpret the worlds of later life through unfiltered imagery, as well as engage with stigmas, ultimately diminishing the technologies they construct. This article seeks to critically analyse this state-of-the-art from a design research perspective while engaging with the growing interdisciplinary study of aging and technologies. Toward this, we proposition "resolution" as a concept indicative of the level of detail that seeks to characterize the fidelity that representations of later life have. This concept is explored through a cultural probe study that investigated the sentiments of several older Australians regarding the inequities and social isolation brought on by the COVID-19 pandemic. Providing a diary alongside photovoice and mapping tasks, the study captured perceptions of social technology, practices, networks, and wellbeing, offering a diverse and complex picture of aging and technology. Through reflexive thematic analyses of some of these materials, this case study offers designers pathways to understanding and including older adults in their work. In determining the resolution of these images of aging, we discuss how transparency about the limitations and qualities of such participatory methods through incorporating reflexivity can influence the degree of detail such imagery gains. Ultimately this concept builds on the notion of participation configuration, supporting designers to realize better images of aging and representations of later life.
Multiple cementoblastoma: a rare case report
Authors: G Iannaci, R Luise, G Iezzi, A Piattelli, A Salierno
Journal: Case Rep Dent (2013)

Benign cementoblastoma is a rare ectomesenchymal odontogenic tumor that originates from the root of the tooth and that is characterized by the formation of cementum-like tissue. A 60-year old man was referred to us complaining of pain in his right jaw. The patient underwent TC dental scan of the mandible, which highlighted the presence of three well-circumscribed, round, unilocular neoformations of radiopaque appearance with a radiotransparent edge, one of which was in close contact with the roots of the lower right second molar. Microscopic examination of the greater sample consisted, in its central portion, of dense mineralized acellular trabeculae of basophilic tissue cement-like, devoid of vessels, adhering to the root of the tooth, while peripherally was observed a zone of vascularized osteoid surrounded, occasionally, by a thin rim of cementoblasts mixed with fibrous tissue and inflammatory elements. This lesion was diagnosed as cementoblastoma. The second lesion appeared radiologically and histologically entirely identical to cementoblastoma, but it did not show the intimate association with the root of involved tooth. After a careful review of the literature, the diagnosis of residual cementoblastoma was made. The clinicopathologic features, treatment, and prognosis of this rare tumor are here discussed for the young dental practitioner.
Case report: Severe non-pigmenting fixed drug eruption showing general symptoms caused by chondroitin sulfate sodium
Authors: Haruhiko Otsuka, Takeshi Fukumoto, Masahiro Oka, Chikako Nishigori
Journal: Front Med (Lausanne) (2022)
Keywords: chondroitin sulfate sodium, general symptoms, histopathological examination, melanophages, non-pigmenting fixed drug eruption
MeSH terms: Case Reports

Non-pigmenting fixed drug eruption (NPFDE) is a subtype of fixed drug eruption (FDE) in which repeated eruptions occur at the same site. Clinically, NPFDE disappears without pigmentation changes; however, it sometimes causes fever or arthralgia. Its histopathological characteristics reportedly include infiltrations of CD8-positive T cells with a paucity of melanocytes as compared to FDE. We present the first case of severe NPFDE exhibiting general symptoms caused by chondroitin sulfate sodium. The patient was a 44-year-old man. Intravenous injection of chondroitin sulfate sodium caused erythema in the affected area. A histopathological examination of the biopsy tissue revealed infiltration of CD3-positive lymphocytes (both CD4-positive and CD8-positive lymphocytes) into the epidermis, minimal liquefaction degeneration in the basal layer of the epidermis, and few dermal melanophages, which may be responsible for non-pigmentation.