A Large Lipoma of Neck
Alhad Mulkalwar, Sujay Jaju and Samir Deolekar
Article Type: Image Article | First Published: August 21, 2021
A 30 year-old female presented with a gradually increasing painless swelling in the back of the neck, growing since the last two years. The swelling was about 2 cm in size when first noticed, which gradually increased to its present size (Figure 1). Examination revealed a large, soft, globular swelling in the back of the nape of the neck. Surface was lobulated and the margins were rounded, well defined and slipped under the finger. Fluctuation and transillumination tests were negative. The skin ...
Intrathoracic Extramedullary Hematopoesis in a Patient with Thalassemia Intermedia
Emine Afsin, MD
Article Type: Image Article | First Published: May 31, 2021
A 52-year-old male patient was referred to our outpatient clinic with complaints of cough, hemoptysis (minimal), and chest pain radiating to the back. The patient’s smoking history was five packs/year, and he was yet an active smoker. On physical examination, respiratory sounds and other system examinations were normal. In laboratory tests, the hemoglobin level was 6.7 g/dL, platelet was 986000 u/L, leukocyte was 13500 u/L, ferritin was > 2000 ng/ml, sedimentation was 2 mm/h, and C-reactive pr...
Association Pyoderma Gangrenosum and Systemic Lupus Erythematosus
A Rkiouak, PhD, I El Kassimi, MD, N Sahel, MD, M Zaizae, MD and Y Sekkach, PhD
Article Type: Image Article | First Published: April 26, 2021
19-year-old patient, follow-up for 8 years for SLE treated with hydroxychloroquine 400 mg/day and who had been in remission for a year. SLE diagnosis was based on the association of a malar rash, photosensitivity, lymphopenia, autoimmune hemolytic anemia, antinuclear antibodies positivity, anti-DNA antibodies identified and lupus nephritis. On December 2019, patient noticed a well-defined irregular popular lesion on left leg (Figure 1) associated with ulcerations appeared 1 month later. Treatmen...
Dyshidrotic Eczema: Difficulty of Etiological Diagnosis and Therapeutic Management
S. Belmourida, M. Meziane, N. Ismaili, L. Benzekri and K. Senouci
Article Type: Image Article | First Published: April 07, 2021
Dyshidrotic eczema or acute palmoplantar eczema is a common cause of hand and foot dermatitis in adults. It is a recurrent vesicular eruption affecting the soles, palms, or both. It is very pruriginous and generally appears suddenly. It creates vesicles that, on physical examination, can look similar to “tapioca pudding”, which is the characteristic clinical feature of this disorder. It is more common in young adults and affects men and women equally. In this report, we present the case of a...