Concurrence of peripunctal nevus and uveal melanoma with scleral pigment dispersion presenting as phthisis bulbi

2021 ◽  
Vol 14 (4) ◽  
pp. e240854
Author(s):  
Neha Ghose ◽  
Vijitha S Vempuluru ◽  
Saumya Jakati ◽  
Swathi Kaliki
Keyword(s):  
Case Report ◽  
Uveal Melanoma ◽  
Clinical Examination ◽  
Pigment Dispersion ◽  
Atypical Presentation ◽  
Pigmented Lesions ◽  
Phthisis Bulbi ◽  
Scleral Pigmentation

This case report demostrates an unusual occurence of peripunctal nevus and uveal melanoma, in which the clinical diganosis of uveal melanoma was masked by the atypical presentation as phthisis bulbi. Nevertheless, peculiar scleral pigment hinted at a possible intraocular tumour. The importance of meticulous clinical examination in assessment of ocular and periocular pigmented lesions is demonstrated. Further, clinicopathological differentials of correlation scleral pigmentation in diffuse necrotic uveal melanoma are illustrated.

Atypical presentation of Ewing’s sino-nasal tumor: Case report

2019 ◽  
pp. 37-40
Author(s):  
Shweta Sharma ◽  
Bharat Sharma ◽  
Shantnu Chauhan ◽  
Mir Aziz ◽  
Nalin Chugh ◽  
...  
Keyword(s):  
Case Report ◽  
Atypical Presentation ◽  
Nasal Tumor

Atypical Presentation of Neurobrucellosis as Infection of Ventriculoperitoneal Shunt

2020 ◽  
Author(s):  
Raul-Ciprian Covrig ◽  
Jasmina Petridou ◽  
Ulrich J. Knappe
Keyword(s):  
Case Report ◽  
Abdominal Surgery ◽  
Ventriculoperitoneal Shunt ◽  
Political Context ◽  
European Countries ◽  
The Political ◽  
Atypical Presentation ◽  
The World ◽  
Surgery First ◽  
Endemic Areas

AbstractBrucellosis is a frequent zoonosis in some regions of the world and may cause various symptoms. Neurobrucellosis is a rare but serious complication of the infection. Our case report describes the course of neurobrucellosis in a patient who had received a ventriculoperitoneal shunt in his native country 13 years prior to diagnosis of brucellosis. He initially presented to us with symptoms of peritonitis, which misled us to perform abdominal surgery first. After the diagnosis of neurobrucellosis was confirmed and appropriate antibiotics were initiated, the symptoms soon disappeared. Although the ventriculoperitoneal shunt was subsequently removed, the patient did not develop a symptomatic hydrocephalus further on. This case displays the challenges in diagnosing an infection that occurred sporadically in Europe and may be missed by currently applied routine microbiological workup. Considering the political context, with increasing relocation from endemic areas to European countries, it is to be expected that the cases of brucellosis and neurobrucellosis will rise. Brucellosis should be considered and adequate investigations should be performed.

scholarly journals Atypical Presentation of Isolated Peripheral T-Cell Lymphoma in the Hand: Case Report

2014 ◽  
Vol 39 (4) ◽  
pp. 732-736 ◽  
Author(s):  
Theodore A. Kung ◽  
Lauren B. Smith ◽  
Kevin C. Chung
Keyword(s):  
Case Report ◽  
T Cell ◽  
Cell Lymphoma ◽  
T Cell Lymphoma ◽  
Atypical Presentation ◽  
Peripheral T Cell Lymphoma

scholarly journals Osteoporosis-Related Simultaneous Four Joints Fractures and Dislocation after a Seizure: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-4
Author(s):  
Abdullah S. AlOmran
Keyword(s):  
Vitamin D ◽  
Case Report ◽  
Clinical Examination ◽  
Epileptic Seizures ◽  
Antiresorptive Therapy ◽  
Multiple Fractures ◽  
Steroid Use ◽  
Skeletal Injury ◽  
History Of ◽  
Rule Out

A case of steroid-induced osteoporosis-related multiple fractures and dislocations are described after a seizure is reported. Patient had two years history of steroid use with no supplement or antiresorptive therapy. There was a delay in the diagnosis which affected an otherwise good outcome in such situations. It is recommended that patients on steroid should be given calcium, vitamin D, and an antiresorptive. Furthermore, a meticulous clinical examination is required in patients who are on steroids and suffer epileptic seizures to rule out skeletal injury.

scholarly journals Incidental Radiographic Discovery of a Screw in a Primary Molar: An Unusual Case Report in a 6 Year Old Child

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Farhin Katge ◽  
Sajjad Mithiborwala ◽  
Thejokrishna Pammi
Keyword(s):  
Case Report ◽  
Clinical Examination ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Primary Dentition ◽  
Carious Lesion ◽  
Pulp Chamber ◽  
Primary Molar ◽  
Traumatic Lesions ◽  
Unusual Case Report

Dentists often find foreign bodies in the primary dentition of children who habitually place objects in their mouths. The objects are frequently embedded in exposures that result from carious or traumatic lesions or from endodontic procedures that have been left open for drainage. Such bodies are often detected on routine radiographs and, less frequently, during clinical examination. We report a case of a 6-year-old boy who had inadvertently embedded a screw in his mandibular right first primary molar and had forgotten about it until it became symptomatic. The screw was impacted in the exposed pulp chamber due to a large carious lesion in the affected molar. This case report considers the possible medical and dental consequences of placing foreign bodies in the mouth.

scholarly journals Forgotten Lippes loop in menopausal woman left in utero for 45 years: a case report

2016 ◽  
Vol 6 (1) ◽  
pp. 355
Author(s):  
Vineet Mishra ◽  
Sugandha Goel ◽  
Himani Agarwal ◽  
Sumesh Choudhary ◽  
Priyankur Roy ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Examination ◽  
Vaginal Discharge ◽  
Menopausal Woman ◽  
Lower Abdomen ◽  
Contraceptive Devices ◽  
Intrauterine Contraceptive ◽  
Intrauterine Contraceptive Devices

Intrauterine contraceptive devices are extremely effective and long lasting. They were intended for long term use and were retained for year’s altogether. Menopausal ladies often present with Lippes Loop in situ either deliberately or forgotten. We report a case of 80 years old patient who came with complaints of pain in lower abdomen and vaginal discharge and had Lippes Loop insitu, which was inserted 45 years back. The inserted Lippes Loop thread was not seen in clinical examination but visualized on Transvaginal Ultrasonography along with pyometra. It was removed under hysteroscopic guidance.

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