Heroin addiction is a complicated medical and psychiatric issue, with well-established as well as newer modes of treatment. She was successfully treated with albendazole (400 mg twice a day for 21 days) and showed complete and permanent resolution of the lesions. The triad of eosinophilia, migratory lesions (nodular panniculitis), and raw fish consumption was highly suggestive of cutaneous gnathostomiasis. Laboratory analysis showed moderate eosinophilia. Cendejas, Rafael Franco Mondragón, ArturoĪ 41- year-old woman had two months of intermittent migratory swellings in the trunk, face, and limbs associated with erythema, pruritus, and pain. Plasmapheresis is an adequate treatment option to achieve normal thyroid hormonal status.Ī 41- Year-Old Woman with Migratory Panniculitis Long-term therapy with thiamazole requires critical evaluation and alternatives should be considered early.
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Thiamazole is frequently associated with drug-induced agranulocytosis. In due course she underwent thyroidectomy. With suspicion of thyreotoxicosis accompanied by drug-induced agranulocytosis she was successfully managed by plasmapheresis, G‑CSF administration and inhibition of periphereal conversion of thyroid hormones.
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īeyer, G Küster, I Budde, C Wilhelm, E Hoene, A Evert, K Stracke, S Friesecke, S Mayerle, J Steveling, AĪ 23- year-old woman with preexisting Graves' disease who received thiamazole treatment presented with fever, dysphagia, hyperthyroidism and leukopenia. The authors conclude that surgical treatment of solitary metastatic lesion may produce good symptomatic relief irrespective of patient’s age and primary pathology, while emphasising the need for detailed clinical evaluation of patients with ‘red flag’ symptoms. She opted for palliative radiotherapy for the primary thyroid cancer and made remarkable postoperative improvement. Subsequent metastatic investigation revealed a heterogeneously attenuating mixed solid cystic mass in a retrosternal thyroid gland, with multiple solid pulmonary nodules suggestive of metastatic disease. Histopathological examination of the excised tissue revealed a follicular thyroid carcinoma. Neuroimaging revealed an enhancing intradural mass lesion, which was completely excised through a right L1-元 hemilaminectomy. The patient gave a short history of back pain and right-sided sciatica, which was progressive and nocturnal in nature. The primary thyroid tumour was undiagnosed until this clinical presentation. The authors describe an unusual case of metastatic thyroid follicular adenocarcinoma presenting with sciatica in a 79- year-old woman. Ogbodo, Elisha Kaliaperumal, Chandrasekaran Keohane, Catherine Bermingham, Niamh Kaar, George Sciatica as a presenting feature of thyroid follicular adenocarcinoma in a 79- year-old woman
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Copyright © 2016 American College of Chest Physicians. This visit was her second in 1 week with the same symptoms, after attaining minimal pain relief with cyclobenzaprine. Hartenstine, Javi Jackson, Hope Mortman, KeithĪ 38- year-old black woman with a medical history significant for hypertension and depression presented to the emergency department with a 2-week history of lower back pain.
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PMID:25763232Ī 38- Year-Old Woman With an Osteolytic Rib Lesion. Discussion: The aim of this report was to present a very rare condition, unique case “polyuvulaâ€, and to review the literature regarding other uvula abnormalities. Case Presentation: In our case report, we present a unique deformity of the uvula in a 56- year-old woman. This little and plain part of the human organism has various functions and its abnormalities might cause serious disabilities. Introduction: Deformities of the uvula are considered as the dark area of otorhinolaryngology practice. Double Uvula in a Fifty-Six- Year-Old Woman