منابع مشابه
Lesson of the month 2: The limitations of steroid therapy in bradykinin-mediated angioedema attacks.
Acute angioedema attacks are conventionally treated with antihistamines and steroids, in line with a presumed mechanism of disease involving overwhelming mast-cell degranulation. This approach overlooks a small but important minority of cases in which attacks are bradykinin driven and exhibit poor responsiveness to steroid or anti-histamine therapy. These patients may have a family history of a...
متن کاملLESSON OF THE MONTH An unusual cause of shoulder pain
A 20 year old man with no significant past medical problems presented with a six week history of gradual onset diVuse left shoulder and scapula pain. Two weeks before the onset of pain he had started work as a builder, performing heavy lifting. There was no history of injury or other precipitant. In the week before presenting, the severity of the pain prevented him from working despite regular ...
متن کاملLesson of the month 1: A rash decision.
Cellulitis is a common condition and several mimics exist which should be considered in patients who fail to respond to antibiotics. We describe the case of a patient with anaplastic large cell lymphoma masquerading as a lower leg cellulitis. The patient had failed to respond to intravenous antibiotics and a skin biopsy confirmed her diagnosis. She received radical radiotherapy to the lower leg...
متن کاملLESSON OF THE MONTH Dermatomyositis—how far to go!
Case history A 73 year old lady was referred with a four week history of proximal muscle weakness, myalgia and an erythematous, oedematous rash aVecting her face, upper chest, and back. Systemic enquiry and general examination was otherwise unremarkable. Initial investigations revealed a normal full blood count, erythrocyte sedimentation rate, C reactive protein, urea and electrolytes, liver fu...
متن کاملLesson of the month 2: IgG4-related renal mass with spontaneous resolution.
Immunoglobulin G4-related disease (IgG4-RD) is a systemic inflammatory condition that may involve any organ in the body, including the kidneys. However, renal parenchymal lesions are not seen frequently and the treatment strategy remains unclear. We describe a case of IgG4-related renal mass, which resolved spontaneously. The patient presented with right loin pain, constitutional symptoms and r...
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ژورنال
عنوان ژورنال: Clinical Medicine
سال: 2017
ISSN: 1470-2118,1473-4893
DOI: 10.7861/clinmedicine.17-3-282