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Paroxysmal Finger Hematoma (Achenbach Syndrome): Report of Two Cases.
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Dual Coronary Artery Thrombosis: An Unforeseen Angiographic Encounter.
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Acute myocardial infarction (AMI) frequently involves single-vessel coronary artery disease, but simultaneous thrombosis in multiple coronary arteries is a rare and challenging clinical scenario. We report the case of a 42-year-old Southeast Asian male with a six-month history of hypertension controlled by a single antihypertensive agent, presenting to the emergency department with central chest pain radiating to the back. The initial electrocardiography (ECG) showed ST elevation in the inferior leads.
View Article and Find Full Text PDFA 32-year old lady who developed a complex generalized movement disorder in all four limbs after plasma exchange for myelitis.
Parkinsonism Relat Disord
September 2024
Department of Neurology, All India Institute of Medical Sciences, Jodhpur, India. Electronic address:
A 32-year old lady with AQP4-Antibody positive neuromyelitis optica developed a new-onset complex movement disorder after therapeutic plasma exchange, which was initially suspected to be hypocalcemic carpo-pedal spasm. However, when her bilateral, distal predominant, paroxysmal, stereotypic, wrist and finger flexor tonic contractions did not respond to serum calcium correction, other diagnoses were considered. The patient had a dramatic response to oral carbamazepine suggesting that the tonic spasms were likely a spinal movement disorder due to the primary demyelinating pathology.
View Article and Find Full Text PDFDigital Glomus Tumor - A Commonly Undiagnosed Cause of Finger Pain: Case Report.
S D Med
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Sanford Orthopedics and Sports Medicine, Sanford Health, Sioux Falls, South Dakota.
Glomus tumors are rare vascular hamartomas most commonly found in the subungual region of the fingers. They present with a classic triad of paroxysmal pain, point tenderness, and cold sensitivity. The diagnosis is often missed for several years due to under recognition of this condition.
View Article and Find Full Text PDFRaynaud's syndrome is characterized by paroxysmal vasospasm in the digital arterioles, following exposure to cold or stress. Pain, swelling, stiffness, and hypoesthesia are observed as manifestations. The presence of a trophic ulcer is accompanied by a range of severe manifestations.
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