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Trigeminal nerve involvement in multiple sclerosis

Yara Dadalti Fragoso*; Luciana Prats Branco; Lorenzo Herrera Della Bidia; Luiza Soares de Melo Costa; Priscilla Freitas Guimaraes Silva Giusti; Guilherme Lopes da Silveira; Rodrigo Andre Oliveira

    This report was approved by the Ethics Committee and the patient signed a consent agreement. A 42-year-old female was diagnosed with Multiple Sclerosis (MS) at age 34. She started treatment with interferon beta 1a and the disease became under control. At age 38, she stopped interferon beta due to pregnancy. She remained without treatment for four years after the baby was born, assuming her disease was under control without therapy....


Gastric diverticulum in a patient with autosomal dominant polycystic kidney disease

Mariusz Niemczyk*; Monika Gradzik; Leszek Pqczek

    Warfarin induced skin necrosis is a rare condition which occurs in patients with Prot C, Prot S deficiency when they are exposed to Vit K antagonist without overlapping the same with Heparin. Our patient had unprovoked deep vein thrombosis of Right lower limb in background of being in follow up for palmoplantar psoriasis for 2 years...


Warfarin induced skin necrosis in a patient with palmoplantar psoriasis

Sourya Sourabh Mohakuda*; IV Nagesh

    Warfarin induced skin necrosis is a rare condition which occurs in patients with Prot C, Prot S deficiency when they are exposed to Vit K antagonist without overlapping the same with Heparin. Our patient had unprovoked deep vein thrombosis of Right lower limb in background of being in follow up for palmoplantar psoriasis for 2 years...


Fulminating necrotising fasciitis

Meghna kinjalk

    A 62-year-old gentleman presented to emergency with complains of breathlessness for one day. There was no history of pain in abdomen or chest, vomiting, altered bowel habits, headache, cold, cough, blood in sputum. There was no history of: Trauma, co morbidity, surgery in the past, history of previous hospitalisation...


Gallstones: Implications for the management of cholecystitis

Fernando Isart

    Cholesterol and bilirubin are kept in the gall bladder for storage. As people age, stones are made from complex molecular pathways. As a result, bile stones can form and were identified in the cadaver. These stones were made of cholesterol and had a dark pigment in the center. Bile stones can lead to death because the gall bladder can rupture and lead to internal bleeding...


Calcinosis cutis in a preterm newborn

Maria Planella-Cornudella*; Nuria Visa Rene; Xavier Bringue Espuny; Eduard Sole Mir

    A 25-day-old preterm newborn of 25 weeks of gestation, presented a 10 x 5mm hard nodular swelling in the internal malleolus of the right ankle without inflammatory signs. Radiograph revealed calcification of soft tissue beside the tibia. Calcium gluconate was administered by peripheral vein in that zone from 7 to 10 days-old...


A case of CREST syndrome

Gautam Mullick

    A 45 years old lady presented with complains of skin thickening, severe reflux dyspepsia, Raynaud’s phenomena and past history of gangrenous auto-amputation of right middle finger. Evaluation revealing sclerodactyly, palmar cutaneous telangiectasia, radiological evidence...


A neck mass in infancy: Fibromatosis colli

Rafaralahivoavy Tojo Rémi; Ramamonjinirina Prudence; Ahmad Ahmad

    A 1 month old female infant with right neck mass noticed by her parents about 2 weeks earlier. She was a full term baby, born after instrumented delivery with a birth weight of 3000 g. Physical examination showed focal enlargement of right sternocleiodomastoid muscle (Figure 1), firm in consistency and not warm on touch...


Oedematous striae- Another sign of overload

Praveen K Malik*; Shridhar Dwivedi

    A 48- year- female with type 2 diabetes mellitus since 12 years presented in Medicine OPD of Hamdard Institute of Medical Sciences and Research and Associated HAH Centenary Hospital, Jamia Hamdard, New Delhi with signs of congestive heart failure. She had multiple abdominal striae which were slightly pale in colour as compared to nearby normal skin.


Sebaceous horn- A forgotten entity

Pon Rachel Veddamanickam

    Mrs. S, 65-year-old female, presented with painlessly progressive lesion in the left upper arm over 20 years. She had started having pain over the lesion for one week. Since it had not been symptomatic thus far, she had not consulted a doctor and had come now due to the pain. Examination showed a classic sebaceous horn (7x2 cm jard lesion arising from a 3x2 cm firm lump in the subcutaneous plane of the left upper arm) with areas of infection...


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