Hyperpigmented Paget's disease of the nipple – a diagnostic dilemma

Hyperpigmented Paget's disease of the nipple – a diagnostic dilemma

A 62-year-old woman was referred by her GP to the West Sussex Breast Unit with a pigmented lesion on her left nipple that had been increasing in size for six months. She had recently moved back to the UK after living in Australia. She did report recent bleeding from the nipple that had resolved completely. She had no previous breast disease and there was no family history of breast or ovarian c...

Pagets Disease Of The Nipple

incomplete kawasaki disease: a diagnostic dilemma

Wilson's disease: a diagnostic dilemma.

A 13 year old boy presented with headache, sore throat, myalgia, and fever and subsequently developed haemolytic anaemia and acute liver failure. Wilson's disease, a rare cause of acute liver failure, was diagnosed at necropsy. In such cases Wilson's disease must be diagnosed at an early stage for treatment to be effective. The most reliable indications are increased urinary and hepatic copper ...

Castleman’s disease- a diagnostic dilemma

Castleman's disease is a benign lymphoproliferative disease characterised by hyperplasia of lymphoid follicles. It can affect any lymph nodes in the body. Here we describe a caucasian patient who presented with six months history of shortness of breath with CT scan confirming an 8 cm segment of consolidated lung in left hilum. PET scan revealed a mass measuring 68x80x55 mm extending from the le...