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Actinomycetoma

Pathological analysis of a punch-biopsy specimen with Giemsa staining revealed an inflammatory infiltrate surrounding granules with peripheral “clubs,” identified as actinobacteria. The post...

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Intra-thoracic Liver Herniation via a Large Morgagni’s Hernia

Axial CT images through lower thorax with intravenous contrast demonstrating the herniation of the left lobe of the liver together with the Gallbladder... The post Intra-thoracic Liver Herniation via a...

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Erythrodermic Psoriasis and HIV Infection

A punch biopsy specimen obtained from two areas on the back confirmed the diagnosis of erythrodermic psoriasis. An erythrodermic papulosquamous eruption can be associated with an underlying systemic...

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Streptococcus Pneumonia and Multiple Pulmonary Emboli

The chest x-ray showed a severe right upper lobe pneumonia, which was later identified as Streptococcus pneumoniae on blood cultures... The post Streptococcus Pneumonia and Multiple Pulmonary Emboli...

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Cutaneous Leishmaniasis

A punch-biopsy specimen of the edge of the ulcer showed a dense infiltrate of lymphocytes and histiocytes containing intracellular organisms consistent with leishmania amastigotes.. The post Cutaneous...

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Traumatic Diaphragmatic Hernia

Chronic haematothorax was suspected but multi-detector computer tomography (MDCT) of the thorax confirmed a large left sided diaphragmatic defect with herniation of abdominal contents... The post...

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Neonatal Lupus

Serologic testing by means of a multiplex bead assay (BioPlex 2200; Bio-Rad Laboratories) was strongly positive for SSA (Ro) and SSB (La) The post Neonatal Lupus appeared first on Manual of Medicine.

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Pleuropulmonary Synovial Sarcoma (PPSS)

On the chest radiograph, a large sharply marginated mass with uniform opacity was demonstrated projected over the right upper lung... The post Pleuropulmonary Synovial Sarcoma (PPSS) appeared first on...

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Porphyria Cutanea Tarda Associated with Hepatitis C

A 24-hour urine sample showed an elevated level of uroporphyrins (558 μg [672 nmol]; normal range, 0 to 24 μg [0 to 28 nmol])... The post Porphyria Cutanea Tarda Associated with Hepatitis C appeared...

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Ewing’s Sarcoma Presenting as a Posterior Mediastinal Mass

Upright posteroanterior and lateral chest radiographs showed a large well-marginated rounded mass in the posterior mediastinum... The post Ewing’s Sarcoma Presenting as a Posterior Mediastinal Mass...

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Pyoderma Gangrenosum

A diagnosis of pyoderma gangrenosum was made. After 8 months of treatment with tapering doses of glucocorticoids, the lesions had resolved completely... The post Pyoderma Gangrenosum appeared first on...

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Actinomycetoma

Pathological analysis of a punch-biopsy specimen with Giemsa staining revealed an inflammatory infiltrate surrounding granules with peripheral “clubs,” identified as actinobacteria. The post...

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Pyoderma Gangrenosum

A diagnosis of pyoderma gangrenosum was made. After 8 months of treatment with tapering doses of glucocorticoids, the lesions had resolved completely... The post Pyoderma Gangrenosum appeared first on...

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Erythema Ab Igne

A skin biopsy showed a perivascular lymphocytic infiltrate with hemosiderin deposition in the upper dermis. A diagnosis of... The post Erythema Ab Igne appeared first on Manual of Medicine.

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Ab Igne

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Localized Fibrous Tumor of the Pleura Mimicking a Pleural Effusion

A posteroanterior and lateral Chest radiograph on admission to the hospital showed homogeneous and well-circumscribed opacification occupying the lower two-thirds of the left hemithorax... The post...

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Subconjunctival Hemorrhage in Leptospirosis

Analysis for IgM antibodies against leptospira species revealed a titer of 1:320 (reference value, negative). Serum nucleic acid amplification testing was positive for leptospira species... The post...

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Frey’s Syndrome

Frey’s syndrome is characterized by gustatory sweating, flushing, or both and results from damage to parasympathetic nerve fibers within the parotid gland, with subsequent reinnervation of sweat glands...

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Pulmonary Metastatic Calcification in Chronic Renal Failure

A HRCT of the chest showed multiple nodular, centrilobular and calcified opacities in the right upper lobe, but also, in lesser degree in the left upper lobe, right lower lobe and lingula... The post...

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Serpentine Supravenous Hyperpigmentation

Six weeks before presentation, she had started palliative chemotherapy with gemcitabine and docetaxel, which had been administered through peripheral intravenous catheters... The post Serpentine...

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