RESUMO
We report the case of a 29 year old male who presented with burning pain in the tips of fingers of left hand and recurrent episodes of amarausis fugax. Examination revealed polycythemia, unilateral clubbing with positive Adson's test in left upper limb. Evaluation revealed thrombosis of the left subclavian artery in CT angiography. Polycythemia rubra vera was found to be the underlying cause.
Assuntos
Policitemia Vera , Artéria Subclávia , Trombose , Adulto , Humanos , Masculino , PolicitemiaRESUMO
A common misconception is that immune thrombocytopenic purpura (ITP) causes only bleeding diathesis. From this case vignette of a young male with ITP who had cerebral venous thrombosis, we highlight the importance of considering venous thrombosis in such patients when they present with focal cerebral signs.
RESUMO
Kyasanur Forest disease is a tick-borne arboviral fever with biphasic course of illness with prominent hemorrhagic features in the first phase and encephalitic picture in the second phase. So far it has been described in the southern Karnataka only. Here we report a case of Kyasanur Forest Disease for the first time from Kerala in an 18 year old male from Noolpuzha - Alathoor colony of Wayanad district.
Assuntos
Doença da Floresta de Kyasanur/diagnóstico , Doenças Transmitidas por Carrapatos , Adolescente , Animais , Humanos , Doença da Floresta de Kyasanur/virologia , MasculinoRESUMO
Haemophagocytic syndrome is a life-threatening systemic illness characterized by an uncontrolled inflammatory response. Patients present with fever, hepatosplenomegaly, jaundice and liver dysfunction, neurological manifestations and often pancytopenla. Bone marrow, lymph node, hepatic or splenic biopsy shows macrophages with Ingested blood cells or their precursors. Laboratory markers include elevated triglycerides and ferritin, low fibrinogen with normal or low erythrocyte sedimentation rate (ESR). Familial haemophagocytic lymphohistiocytosis (HLH) is an autosomal recessive disorder. Secondary haemophagocytic syndrome results from infections, malignancy and collagen vascular disorders. We describe a young girl with primary haemophagocytic syndrome.
