ABSTRACT
A 28-year-old female, home-maker presented to our department with a four-year history of intermittent episodes of cough and haemoptysis. She had no history of fever, weight loss or expectoration. Physical examination was unremarkable.
Subject(s)
Adult , Bronchoscopy/methods , Diagnosis, Differential , Female , Humans , Lung Neoplasms/diagnosis , Teratoma/diagnosis , Tomography, X-Ray Computed/methodsABSTRACT
We report a patient who developed acute renal failure following the ingestion of a hair-dye with a suicidal intent. He was managed by hemodialysis and other symptomatic measures. He developed generalized seizures and underwent MRI scan of the brain using gadolinium containing contrast material followed by development of bilateral and symmetrical thickening and induration of the skin over the extremities and verrucous papules and plaques over the lower back. Skin biopsy and immunohistochemistry showed typical features of nephrogenic fibrosing dermopathy as well as deposits of calcium. Successful management of renal failure resulted in clearing of all skin lesions except a small bony hard plate like area overt the left leg, the biopsy of which showed features of osseous metaplasia.
ABSTRACT
Alpha-fetoprotein secreting (AFP) Sertoli-Leydig cell tumors of ovary (SLCT) are now identified as a distinct entity among the uncommon group of sex cord tumors of ovary. We report an unusual case of recurrent AFP secreting ovarian tumors and as ileocecal mesenteric cyst in a 25-year-old patient resulting in difficulty in initial diagnosis of AFP producing SLCT. Although six recurrent cases were described out of the 25 reported cases of AFP secreting SLCTs, this patient with an unusual presentation of recurrence is the second case in the literature to the best of our knowledge.
Subject(s)
Adult , Anal Canal , Axilla , Chronic Disease , Dermatitis/drug therapy , Groin , Humans , Male , Parakeratosis/drug therapy , Penis/pathology , Treatment FailureABSTRACT
A case is reported of an 18 year-old female who ingested a toxic quantity of a hair dye containing paraphenylenediamine (PPD), and presented with severe metabolic acidosis, rhabdomyolysis leading to acute renal failure, and toxic myocarditis leading to myocardial dysfunction. Haemodialysis, cardiac supportive treatment, and ICU care resulted in complete recovery over a 1-month period.
ABSTRACT
Carcinoid tumour is a rare entity accounting for less than two percent of bronchial neoplasms. The clinical presentation is highly variable and rarely, it may present as a solitary pulmonary nodule. More offten, it presents as a central endobronchial tumour. The peripheral type of carcinoid tumour is relatively rare.
Subject(s)
Adolescent , Carcinoid Tumor/diagnosis , Diagnosis, Differential , Female , Humans , Lung Neoplasms/diagnosisABSTRACT
Disseminated strongyloidiasis is a rare manifestation in patients on immunosuppressive drugs. We report two cases of fatal disseminated Strongyloides stercoralis infestation. The first was in a patient of pemphigus vulgaris who developed an exacerbation of symptoms, one year after diagnosis and was given intravenous dexamethasone and azathioprine and in the third week of hospitalization developed features of septicemia, respiratory failure and petechial hemorrhages which were proven to be due to disseminated strongyloidiasis. The second patient was diagnosed to have stage IV diffuse large cell type of non-Hodgkin lymphoma and after the second cycle of chemotherapy, developed generalized symptoms of septicemia, respiratory failure, purpuric macules and patches. This was also proven to be disseminated strongyloidiasis.