Electrical storm in a middle-aged man

Coexistance of Pemphigus Vulgaris and Psoriasis in a Middle Aged Man

Psoriasis and pemphigus vulgaris are two inflammatory and autoimmune diseases. Their concomitant occurrence in one patient is very rare. We describe a 57-year-old patient with a history of severe plaque type psoriasis for 2 years. After a few months, he presented with disseminated bullae and mucosal erosions which were documented as pemphigus vulgaris. Both of the diseases were successfully con...

Alkaptonuria in a middle-aged female

Background: Alkaptonuria (AKU) or ochronosis is a rare progressive degenerative arthropathy that results from deficiency of enzyme homogentisate 1,2 dioxygenase (HGD). The features include arthritis of the spine and in larger peripheral joints, with chondrocalcinosis. In this paper, we present a case of alkaptonuria in a 54 year old woman in Tehran, Iran. Case Presentation: A 54 year old woman ...

Hypertrophic Cardiomyopathy in a Middle Aged Man - A Case Report

Background: Hypertrophic cardiomyopathy (HCM) is a disease of the myocardium with autosomal dominant pattern of inheritance. It is characterized by inappropriate hypertrophy involving either the interventricular septum, apex or left ventricular free wall in isolation or combined. The disease is often asymptomatic and may present for the first time with sudden death especially in young people. R...

Middle aged man with groin pain.

Isolated Acute Posterior Myocardial Infarction in a Middle-Aged Man

On examination, he was alert, oriented, anxious, and in moderate distress with significant diaphoresis. Vital signs were blood pressure, 118/88 mm Hg; pulse, approximately 80 beats/min; respiratory rate, 28 breaths/min; temperature, 37.1°C (98.8°F); and oxygen saturation, 94% on room air. The ECG monitor demonstrated the normal sinus rhythm with occasional premature ventricular contractions. Th...