The Tolosa-Hunt syndrome is a rare autoimmune with an estimated annual incidence of one case per million per year. It is characterized by painful ophthalmoplegia (weakness of the eye muscles) and is caused by an idiopathic granulomatous inflammation of the cavernous sinus. While considered a benign condition, permanent neurologic deficits can occur, and relapses are common, often requiring prolonged immunosuppressive therapy. Tolosa-Hunt syndrome must be carefully differentiated from more malignant diagnoses, a mandate challenged by the lack of a specific diagnostic test abnormality. The Tolosa-Hunt syndrome is caused by an inflammatory process of unknown etiology.
Complete hemogram was done which was normal except for the reactive forms of lymphocytes were seen. Systemic evaluation was done to examine for any primaries or metastasis USG of neck, abdomen and pelvis was normal. Serum LDH was mildly elevated. MRI head was done which was suggestive of either an inflammatory pseudotumor or a neoplasia of lacrimal gland. Excision biopsy of the lesion done under GA was sent for Histopathological evaluation.
PERIPHERAL OSSIFYING FIBROMA IN ELDERLY FEMALE PATIENT: case report INTRODUCTION Peripheral ossifying fibroma is a non-neoplastic proliferative process of multifactorial aetiology. This slow growth lesion is one of the most common inflammatory hyperplastic lesions of the oral cavity (EVERSOLE L.R; SABERS W.R, ROVEIN S, 1972 In: JUNIOR J.C.M; KEIM F.S; KREIBICH M.S, 2008). The pathogenesis of the lesion remains unclear, but is often associated with undifferentiated cells in the periodontal ligament, that when stimulated by irritants, for example, calculus, biofilm, the presence of orthodontic appliance with poor hygiene, crowns destruction caused by Carie cavities, traumatic restorations, as well as masticatory forces and impaction of food;
As carcinoids progress at a slow pace, the symptoms often go by unnoticed for many years, thus are often detected by medical procedures used to diagnose/treat other conditions. A person suffering from lung carcinoid tumor shows signs of the illness because of the hormones entering the bloodstream, bypassing the liver. Lung carcinoid tumor does not cause carcinoid syndrome, which is generally the case with gastrointestinal tumor. The symptoms of the lung carcinoid tumor are: • Cough (with or without bloody sputum or phlegm) • Chest pain • Wheezing • Shortness of breath • Diarrhea • Redness or flushing • Rapid weight gain, specifically over the midsection and upper back • Pink or purple stretch marks on the skin • Post-obstructive pneumonia caused by blockage of tumor in a large air passage, leading to an
However, with the new immunosuppressives, Tissue typing became less important and in the case of Cadaveric Kidney transplantation this is not done. • Shortage of organs • Complications (Surgical or Medical) Complications after transplantation may be related to the anesthetic, the surgery itself, bleeding, infections, vascular thrombosis and urinary complications. Transplantation is not possible without immunosupression drugs , except in identical twins and this makes the recipients vulnerable to infections (bacterial, viral, parasitic and fungi). There are also very vulnerable to opportunistic infections. Herpes zoster and CMV (Cytomegalovirus) are common among transplanted patients as other infections.
Furthermore, patients reduced the use of daily drops artificial tears from 3.77 to 3.45 (P<0.01). This prospective study was able to analyze multiple outcomes at once. It was reliable due to the fact that it had a large sample size of 1,419 patients and data was gathered in daily clinical practice. Each dry eye symptom as well as the Schirmer test scores and the TBUT improved significantly with P<0.001, suggesting high statistical significance. However, the study is unable to determine causation because it lacked a placebo, did not have a control group, and the treatment period only lasted 12 weeks.
The liver is extremely vascular, meaning it will be the first organ affected by toxocariasis followed by the lungs, eyes, and in severe cases the heart. Retinal detachment in the eye can happen in severe cases of toxocariasis. Lab values that aid in the diagnosis of toxocariasis are hypergammaglobulinemia, Eosinophilia and isohemagglutinin A and B titers. Nematodes are illustrious and detected by their cylindrical shape and their length. Male and female are distinguished through length as well.
Osteoarthritis can be treated symptomatically as for other osteoarthritis, surgical intervention is seldom required. Treatment with ascorbic acid (Vit C) and dietary restrictions of food containing phenylalanine and tyrosine have proved to be successful in alleviating the symptoms. CONCLUSION Alkaptonuria, ochronosis, and arthritis, represents a clinical entity which has its genesis in a rare metabolic anomaly. Extensive calcification of the intervertebral discs with ankylosis of the spine are typical radiographic findings. Similar calcifications also occur in tendon sheaths, bursal sacs, and in synovial membranes.
Acute cholecystitis usually causes severe, steady pain in the upper abdomen. Around 95% of people with acute cholecystitis have gallstones that block an important channel leading from the gallbladder. In some, cases the gallstone blockage can cause an infection in which the gallbladder fills up with fluid and thickens. If the gallbladder becomes very swollen then rupturing is possible. CHRONIC
INTRODUCTION Chest pain is the most usual symptom at presentation in patients with acute myocardial infarction (AMI), even if it ishighly subjective, and the pain characteristics, severity and emotional consequences may vary widely.1, 2 An asymptomatic AMI is not necessarily less severe than a symptomatic event. Diabetic and elderly subjects are those who generally present with a lower severity of chest pain and at the same time represent the subgroups of AMI patients withworse outcome.3 Chest pain characteristics over time may also change in relation to the presence and severity of myocardial ischemia whichdepends on several factors influencing the relationship between myocardium at risk oxygen supply and demand. Oxygen supply during the acute