Scrotal elephantiasis: a first case report from Bahrain

Scrotal elephantiasis is a disease that is rarely seen outside the tropical sectors of Africa, Asia, Central and South America. Unlike those endemic regions, where the disease is caused mostly by a filariasis; in developed countries, it is usually secondary to other non-infectious conditions or rarely hereditary. A seventy-eight year old patient presented to the urology clinic with a painful gross scrotal swelling for more than 6 years. The disease proved to be inflammatory and was assumed to be due to filariasis. Subtotal scrotectomy was undertaken followed by scrotal reconstruction with satisfactory cosmetic and functional outcome. To our knowledge, this is the first case of inflammatory probably infectious scrotal elephantiasis to be reported from Bahrain

Genital elephantiasis secondary to hidradenitis suppurativa: a case report

Paciente de 38 anos, evoluindo há 10 anos com nódulos e fístulas no pênis, bolsa escrotal, períneo, regiöes glúteas e inguinais, apresentava elefantíase da genitália externa. Os diagnósticos de linfogranuloma venéreo, donovanose e tuberculose foram excluídos através da histopatologia, bacteriologia e imunofluorescência indireta para Chlamydia trachomatis. O caso ilustra o potencial de gravidade e complicaçöes da hidradenite supurativa, assim como os resultados da cirurgia reconstrutiva

Acropaquia tiroidea / Thyroid acropachy

Se presenta una paciente con exoftalmia, mixedema pretibial e infiltración de los dedos de las manos que en el extremo distal adoptan la forma de palillo de tambor con uñas en vidrio de reloj. Sa analizan las características clínicas, histopatológicas y radiológicas y se efectúa una revisión de la literatura de este raro síndrome