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1.
Cureus ; 15(10): e46464, 2023 Oct.
Article in English | MEDLINE | ID: mdl-37927759

ABSTRACT

Systemic lupus erythematosus (SLE) and sarcoidosis are both complex autoimmune disorders with varying clinical manifestations. The incidence of SLE is as low as 4.91 per 100,000 population, and that of sarcoidosis is 0.85 per 100,000 population. The prevalence of neuropsychiatric systemic lupus erythematosus (NPSLE) ranges from 17.6% to 44.5%. The concurrent occurrence of NPSLE and sarcoidosis, although rare, presents diagnostic and management challenges. The clinical picture resulting from the coexistence of NPSLE and sarcoidosis, which share a common immunological picture, is not well defined. This case report discusses a patient with coexisting NPSLE and sarcoidosis, highlighting the intricate interplay between these conditions.

2.
Cureus ; 15(10): e46664, 2023 Oct.
Article in English | MEDLINE | ID: mdl-37942396

ABSTRACT

Immune thrombocytopenic purpura (ITP) is an autoimmune disease characterized by immune-mediated destruction of platelets, resulting in a decreased blood platelet count (less than 100 x 109/L) in the absence of other known etiology of thrombocytopenia. ITP is uncommon in adult males. The signs and symptoms of ITP vary widely and are quite diverse. The degree of thrombocytopenia and bleeding are not always correlated. Timely diagnosis, intervention, and regular monitoring can easily prevent complications. We report a case of a 22-year-old male presented with gum bleeding along with purpura and ecchymosis over the upper limb, lower limb, trunk, and face.

3.
JNMA J Nepal Med Assoc ; 61(267): 890-892, 2023 Nov 01.
Article in English | MEDLINE | ID: mdl-38289732

ABSTRACT

Sturge-Weber syndrome is a rare congenital neurocutaneous syndrome with an incidence of 1 in 50000 characterised by facial capillary malformation and vascular anomalies in the brain and eye. We present the case of a five-year-old child diagnosed with Sturge-Weber syndrome. The patient exhibited high-grade fever, headaches, and generalized tonic-clonic seizures. The history revealed a port-wine stain on the face and a history of seizures from the age of four months. Diagnostic imaging confirmed the presence of leptomeningeal vascular malformation, calcification in the brain, and abnormal electroencephalogram patterns, establishing the diagnosis of Sturge-Weber syndrome. Treatment with antiepileptic drugs led to seizure control. This case underscores the importance of early diagnosis and tailored treatment strategies for patients with Sturge-Weber syndrome. Keywords: brain; case reports; port-wine stain; seizures; Sturge-Weber syndrome.


Subject(s)
Port-Wine Stain , Sturge-Weber Syndrome , Child, Preschool , Humans , Anticonvulsants , Brain , Port-Wine Stain/diagnosis , Port-Wine Stain/complications , Seizures/etiology , Sturge-Weber Syndrome/complications , Sturge-Weber Syndrome/diagnosis , Sturge-Weber Syndrome/epidemiology
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