Résumé
Cobalt alone and in combination with tungsten carbide known as hard metal is capable of causing lung damage. This may vary from development of pulmonary oedema to asthma and fibrosing alveolitis. We report a case of giant cell interstitial pneumonitis caused by exposure to cobalt dust which was not identified as the etiological agent initially and hence led to progression of the disease. The patient subsequently improved following cessation of exposure and treatment with oral corticosteriods, thereby stressing the importance of occupational history in all cases of interstitial pulmonary fibrosis.
Sujets)
Adulte , Cobalt/effets indésirables , Cellules géantes/effets des médicaments et des substances chimiques , Humains , Pneumopathies interstitielles/induit chimiquement , Mâle , Maladies professionnelles/induit chimiquement , TomoscintigraphieRésumé
An 85 years old female presented with acute pain and weakness in left lower extremity and doppler evidence of femoropopliteal block was made which subsequently proved fatal. Necropsy revealed extensive amyloid deposition in the heart and amyloid angiopathy in rest of the organs.
Sujets)
Sujet âgé , Sujet âgé de 80 ans ou plus , Amyloïde/analyse , Amyloïdose/métabolisme , Femelle , Cardiopathies/métabolisme , HumainsRésumé
It was observed from the literature that the incidence, clinical and radiological features of the mediastinal bronchogenic cysts are different in adults than in infant population. Five cases of bronchogenic cysts in the middle mediastinum were studied over a period of 22 years. The cysts were carina-based in four cases and paratracheal in one case. The airway compression was observed in four cases due to cysts. In case one the cyst compressed the right pulmonary artery and vein as well as both mainstem bronchi causing their stenosis and bulged into the left atrial chamber.
Sujets)
Adulte , Kyste bronchogénique/diagnostic , Issue fatale , Femelle , Études de suivi , Humains , Nourrisson , Mâle , Maladies du médiastin/diagnostic , Adulte d'âge moyenRésumé
A case of idiopathic hypereosinophilic syndrome (HES) is presented. The patient had been symptomatic and had documented peripheral blood eosinophilia for 9 years. The patients having only pulmonary involvement, seem to have a good prognosis and hence must be considered as a separate subgroup of HES.
Sujets)
Adulte , Anti-inflammatoires/usage thérapeutique , Humains , Syndrome hyperéosinophilique/complications , Mâle , Prednisolone/usage thérapeutique , Poumon éosinophile/traitement médicamenteuxSujets)
Aorte thoracique/anatomopathologie , Carcinome bronchogénique/anatomopathologie , Carcinome épidermoïde/anatomopathologie , Femelle , Humains , Poumon/anatomopathologie , Tumeurs du médiastin/anatomopathologie , Médiastin/anatomopathologie , Adulte d'âge moyen , Cellules tumorales circulantes , Péricarde/anatomopathologie , Syndrome de la veine cave supérieure/anatomopathologieRésumé
We report a young patient who had massive pericardial effusion and tamponade diagnosed clinically and by echocardiography as the presenting manifestation of underlying malignancy. Pericardial and lymphnode biopsy revealed features of mucoepidermoid carcinoma and bronchoscopy localised the primary to be in the left main bronchus.