Atypical Presentations of Appendicitis

Atypical presentations of propionic acidemia

One of the most common recessively inherited organic acidemias is the Propionic Acidosis (PA) which results from Propionyle-CoA Carboxylase (PCC) enzyme deficiency that is necessary for the catabolism of the branched chain Amino Acids and other metabolites. Classically this disease presented with high anion gap metabolic acidosis with its clinical consequences. We report 4 patients who presente...

Atypical presentations of neuromyelitis optica.

Neuromyelitis optica (NMO) is an inflammatory disease of central nervous system classically characterized by acute, severe episodes of optic neuritis and longitudinally extensive transverse myelitis, usually with a relapsing course. The identification of an autoantibody exclusively detected in NMO patients against aquaporin-4 (AQP-4) has allowed identification of cases beyond the classical phen...

Atypical presentations of Sheehan's syndrome.

In our case the clinical and temporal profile of the illness along with MRI findings were highly suggestive of TSP. Various treatment modalities like steroid, interferon-a, vitamin C, zidovudine, azathioprine, cyclophosphamide, IVIg have been tried but results are largely disappointing.3 The absence of serological evidence of HTLV infection may be due to infection by other viruses, nutritional ...

Atypical presentations of subarachnoid haemorrhage.

Atypical presentations of ocular toxoplasmosis.

The diagnosis of ocular toxoplasmosis is based most often on the presence of characteristic clinical findings, which include focal retinochoroiditis, an adjacent or nearby retinochoroidal scar, and moderate to severe vitreous inflammation. However, a variety of less common, "atypical" presentations may be unfamiliar to clinicians, delaying both diagnosis and treatment. Patients who are immunoco...