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Idiopathic hypoparathyroidism presenting as fatigue.
BMJ Case Rep
December 2024
Ophthalmology, LLH Hospital, Abu Dhabi, Abu Dhabi, UAE.
Fatigue is a common symptom encountered in clinical practice, often posing a diagnostic challenge due to its myriad underlying causes. A comprehensive clinical history can serve as a valuable guide in such diagnostic dilemmas. A man in his 30s presented with a history of intermittent fatigue.
View Article and Find Full Text PDFSynovial sarcoma masquerading as juvenile idiopathic arthritis.
BMJ Case Rep
December 2024
Clinical Immunology and Rheumatology, King George's Medical University, Lucknow, Uttar Pradesh, India.
Article Synopsis
- An early adolescent girl experienced chronic monoarthritis and was initially misdiagnosed with skeletal tuberculosis, leading to ineffective treatment.
- As her condition worsened over four months, doctors suspected juvenile idiopathic arthritis but later found stronger signs of a serious issue after imaging showed synovitis and necrotising myositis.
- A biopsy ultimately confirmed she had synovial sarcoma with metastasis, and despite a timely diagnosis, she tragically passed away from the illness.
Predictors of response to sialendoscopy for patients with chronic non-obstructive Sialadenitis versus radioiodine induced Sialadenitis.
Am J Otolaryngol
November 2024
Department of Otolaryngology-Head and Neck Surgery, Weill Cornell Medicine, New York, USA. Electronic address:
Objective: Radioiodine therapy, commonly used post-thyroidectomy to eliminate residual affected tissue in thyroid cancer patients, can lead to the development of radioiodine induced sialadenitis (RIS). Chronic idiopathic sialadenitis (CIS) is characterized by intermittent and often painful swelling of the salivary glands, not attributed to salivary duct stones. Sialendoscopy is used to treat sialadenitis when conservative management fails.
View Article and Find Full Text PDFSevere Acute Transverse Myelitis With a Rapid Progression in an Infant.
Cureus
October 2024
Pediatric Intensive Care Unit, Hospital Pediátrico, Unidade Local de Saúde de Coimbra, Coimbra, PRT.
Article Synopsis
- Acute transverse myelitis (ATM) is a rare spinal cord inflammation that can result from infections or other systemic diseases, often leading to motor and sensory dysfunction.
- A case report describes a 10-month-old boy with severe ATM likely caused by enteritis, who developed rapid motor deficits and required extended care in a pediatric ICU, including mechanical ventilation.
- Despite various treatments, the patient faced prolonged recovery and significant neurological deficits, underscoring the need for comprehensive care and rehabilitation in managing severe ATM cases.
Challenges in identifying papilledema amid myopic peripapillary atrophy in a patient with idiopathic intracranial hypertension and high myopia: a case report.
BMC Ophthalmol
November 2024
Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, Republic of Korea.
Background: Idiopathic intracranial hypertension (IIH) is a disease entity characterized by elevated intracranial pressure, which usually accompanied by papilledema. However, diagnosing papilledema can be challenging in patients with preexisting ocular conditions, such as high myopia.
Case Presentation: A 39-year-old woman with a long-standing history of high myopia presented with visual field constriction.
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