Fluidez de gênero e gênero como força interpelativa: discussão com Jacqueline Rose / Gender fluidity and gender as interpellative force: a discussion with Jacqueline Rose / Fluidez de género y género como fuerza interpelativa: discusión con Jacqueline Rose / Fluidité de genre et le genre comme force interpellative: discussion avec Jacqueline Rose

Este estudo examina as implicações da fluidez de gênero e da permanência de gênero para fins de experiência clínica e social. Consideram-se as crises de desenvolvimento em torno da separação tanto para desenvolvimento masculino quanto para o feminino. Teorias de desenvolvimento, teoria de sistemas dinâmicos não lineares e interseccionalidade são propostas como modelos úteis, uma vez que contemplam a identificação no desenvolvimento.

This essay examine the implications of gender fluidity and gender fixity for clinical and social experience. The developmental crises around separation are considered for both male and female development. Developmental theories, nonlinear dynamic systems theory and intersectionality are proposed as useful templates for considering identification in development.

Este estudio examina las implicaciones de la fluidez de género y de la permanencia de género para fines de experiencia clínica y social. Se consideran las crisis de desarrollo en relación a la separación tanto para el desarrollo masculino como para el femenino. Teorías de desarrollo, teoría de sistemas dinámicos no lineales e interseccionalidad son propuestas como modelos útiles, pues contemplan la identificación en el desarrollo.

Cette étude examine les implications de la fluidité et de la permanence de genre, ayant pour but une expérience clinique et social. On a pris en compte les crises de développement au tour de la séparation, soit pour le développement masculin, soit pour le féminin. On propose des théories de développement, la théorie de systèmes dynamiques non linéaires et de l'intersectionnalité en tant que modèles utiles, étant donné qu'ils traitent de l'identification dans le développement.

Juvenile recurrent respiratory papillomatosis: A rare masquerade of asthma

Juvenile recurrent respiratory papillomatosis (JRRP) is a rare condition. The varied presentation of this condition predisposes to misdiagnosis and potential life-threatening airway obstruction. In this paper, we have reported a case of JRRP presenting as severe respiratory distress and consequently mistreated as asthmatic attack culminating in a near fatal acute airway obstruction.

Reverse masquerade syndrome: Fungal adnexal infection mimicking carcinoma in a HIV-positive patient.

A known HIV‑positive male patient presented with a rapidly progressive ulcerative lesion involving the conjunctiva, lids, and anterior orbit along with a decrease in vision in the right eye. He was on anti retro‑viral and anti‑tubercular therapy. In view of the clinical features, our provisional clinical diagnosis was a malignant lesion of the eyelid with orbital involvement, possibly squamous cell carcinoma. However, incisional biopsy revealed absence of malignant cells. On Gomori Methenamine Silver staining, plenty of fungal filaments were seen, which was confirmed by culture as Candida albicans. Hence, it turned out to be a case of fungal adnexal infection mimicking carcinoma in a HIV‑positive patient. The patient responded well to systemic anti‑fungals.

Masquerade Syndrome: An Ocular Involvement of Lung Cancer

We report a case of a 37-year-old smoker who presented with painless and sudden onset of loss of upper field vision of the right eye, associated with one month history of dry cough which was unresponsive to antibiotic and subsequent antituberculosis therapy. Visual acuity at presentation was counting finger. There was bullous retinal detachment on examination. Radiological imaging revealed multiple lung opacities, involving the brain and the right orbit. Bronchoscopy and biopsy confirmed the diagnosis of adenocarcinoma of the lung. This case illustrates masquerade syndrome of which a lung carcinoma harbours behind a seemingly innocent retinal detachment. It also highlights the importance of entertaining lung carcinoma as a differential diagnosis in suspected tuberculosis among heavy smokers.

Relapsing acute myeloid leukemia presenting as hypopyon uveitis.

Anterior segment infiltration in acute myeloid leukemia (AML) presenting as hypopyon uveitis is very rare. We report this case as an uncommon presentation in a patient on remission after bone marrow transplant for AML. In addition to the hypopyon, the patient presented with “red eye” caused by ocular surface disease due to concurrent graft-versus-host disease and glaucoma. The classical manifestations of masquerade syndrome due to AML were altered by concurrent pathologies. Media opacities further confounded the differential diagnosis. We highlight the investigations used to arrive at a definitive diagnosis. In uveitis, there is a need to maintain a high index of clinical suspicion, as early diagnosis in ocular malignancy can save sight and life.

A Case of Primary Intraocular Lymphoma Treated by Intravitreal Methotrexate

A 40-year-old female visited our clinic for visual disturbance of the right eye, in which a few creamy-yellow retinal lesions and visual field constrictions were noted. She had been treated for primary CNS lymphoma and was in complete remission. After failure to follow-up for three months, she lost vision in the right eye, at which time active panuveitis was seen. Decreased vision and field constriction was observed in the left eye. Her left eye showed a granular pattern and dye leakage from the vessels and disc on fluorescein angiography and small RPE humps were seen in optical coherence tomography (OCT). Diffuse large malignant B-cells with strong immunoreactivities with CD20 immunostaining were seen in the epiretinal membrane biopsy specimen. Intravitreal injections of methotrexate (MTX) (800 microgram/0.1 ml in the right eye, 400 microgram/0.05 ml in the left eye) were performed twice weekly for one month, once weekly for the following month, once every two weeks for the next month, followed by nine monthly injections. Both eyes were free from malignant cells on vitreous biopsy six months later. There was no leakage seen by angiography, but the granular pattern persisted. Visual field constriction was slightly improved, and the small RPE humpsdetachments seen in OCT disappeared. EOG Arden ratio was decreased in both eyes, and b wave amplitude of scotopic ERG was decreased in the left eye. She was free from recurrence until six months later. No ocular complications except minimal opacity of the crystalline lenses were noted in both eyes.

A Case of Malignant Lymphoma of Lid Margin

PURPOSE: Masquerade Syndrome that is often misdiagnosed as a conjunctivoblepharitis in the early discovery; It often later becomes identified as Sebaceous gland carcinoma. After carrying out the histopathology of the patient who had been treated at other hospital for six months, we found she had diffuse large B-cell malignant lymphoma. METHODS: Before the patient was transferred to our hospital due to no progress of the condition, she had been treated for conjunctivoblepharitis at other hospital for six months. Along the Rt. Upper lid, with expanded capillary vessels, the reddish subcutaneous mass was found, and it took 70% of the whole length of the upper lid. Cilia on mass was all vanished and the right eye had 2 mm of ptosis. The conjunctiva remained the same when we turned the eyelid inside out. There was no tumor connected to orbital floor from the lid. We conducted a histopathology. RESULTS: We diagnosed the case as diffuse large B-cell type malignant lymphoma with the results of the histopathology, and the combination chemotherapy remarkably reduced lid mass.

One Case of Sebaceous Carcinoma that Masquerades as a Chronic Unilateral Blepharo conjunctivitis

Sebaceous carcinoma of the eyelid is a rare tumor that usually arises from tarsal sebaceous gland. Because the clinical manifestations can masquerade as unilateral recurrent chalasion or chronic blepharoconjunctivitis, its diagnosis may be delayed. Therefore, early biopsy for diagnosis is needed for the persistently recurring unilateral blepharoconjunctivitis. The masquerade syndrome was first described in 1967 by Theodore and Irvine as chronic blepharoconjunctivitis due to an underlying conjunctival carcinoma. While the originally described neoplasms were squamous cell carcinomas, many of the tumors producing this clinical picture are believed to be sebaceous in origin. We experienced a case of pathologically confirmed sebaceous carcinoma of the eyelid which originally masqueraded as chronic blepharoconjunctivitis and was treated with topical antibiotics and steroids for 1 year and 8 months, finally being treated by partial orbital exenteration.