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A rare presentation of neurofibromatosis mimicking leprosy.

J R Coll Physicians Edinb

January 2025

AIIMS Bhubaneswar, Bhubaneswar, Orissa, India.

Neurofibromatosis type 1 (NF-1) is a genetic disorder commonly characterized by café-au-lait macules, neurofibromas and axillary freckling. We present the case of a 20-year-old female who had bilateral neck swellings, and these swellings were misdiagnosed as cervical lymphadenopathy, and the patient was started on anti-tubercular therapy (ATT), but the swellings didn't show any improvement despite 6 months of ATT. Further examination revealed thickening of the greater auricular, supratrochlear and supraorbital nerves, accompanied by an unusual freckling pattern along the thickened nerves, which were suggestive of neurofibromatosis.

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Non-Meckel small bowel diverticula, particularly ileal diverticula, are rare, especially when incarcerated within an inguinal hernia sac. This case involves an 80-year-old man who presented with a newly noticed tender, irreducible lump in his left groin, accompanied by symptoms of bowel obstruction such as inability to pass flatus and vomiting. His medical history included a previous right inguinal hernia repair.

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Chronic myeloid leukemia (CML) is a myeloproliferative disorder that commonly manifests in chronic, accelerated, or blast phase. Typically observed in individuals aged 60-65 years, CML is infrequently diagnosed in adolescents. The usual presentation in late adulthood involves nonspecific symptoms such as fever, fatigue, and weight loss, with rare reports of initial neurological involvement.

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A case report and literature review of De Garengeot hernia.

J Surg Case Rep

January 2025

Department of General Surgery, Weston General Hospital, University Hospitals Bristol and Weston NHS Trust, Grange Road Uphill, Weston-Super-Mare, Bristol BS23 4TQ, United Kingdom.

The presence of an appendix in the femoral hernia, known as De Garengeot hernia, was first described by a French surgeon named Rene Jacques Croissant de Garengeot in 1731. It is a rare surgical entity occurring in only 0.5-5% of all femoral hernias.

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A 66-year-old woman presented with 9 days of left clavicle pain, with no history of recent trauma. CT images showed a left clavicle fracture with a surrounding soft tissue mass. An 18F-FDG PET/CT scan revealed increased FDG uptake in the tonsils, multiple lymph nodes, and the pathologically fractured clavicle, initially suggesting malignancy.

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