Phytophotodermatitis: still a poorly recognised diagnosis

Phytophotodermatitis: a diagnosis to consider.

To cite: Machado M, Vidal RL, Cardoso P, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2015-213388 DESCRIPTION A 3-year-old boy presented with pigmented (brownish) macules on his hands (figure 1), left arm (figure 2) and face (figure 3). The lesions appeared days after the boy played with common rue and were best noticed after sun exposure. Topical treat...

Well recognised but still overlooked: norepinephrine extravasation.

DESCRIPTION A 46-year-old man was transferred from an outside hospital for evaluation of acute renal failure and non-ST-segment elevation myocardial infarction. During his initial presentation at the outside hospital, the patient was profoundly hypotensive with signs of respiratory failure. Owing to the perceived urgency, he was started on norepinephrine for haemodynamic support through a perip...

Baastrup's Disease: a poorly recognised cause of back pain.

A 56-year-old male complained about progressive mechanical back pain for more than 10 years, which worsened with prolonged orthostatism and spine extension and improved in fetal position. His lumbar spine radiography revealed enlargement and sclerosis of the spinous processes which was confirmed by computed tomography, suggesting Baastrup's disease. This condition is characterized by enlargemen...

Thrombocytopenia in hypothermia: a common but poorly recognised complication.

Thrombocytopenia is a poorly recognised complication of accidental hypothermia, although it has been observed during the deep hypothermia used in cardiac surgery.1 Villalolobos et al showed that sequestration of platelets in the hepatic and splenic circulation is the main mechanism for the thrombocytopenia and that most of the platelets return to the circulation on rewarming.2 The thrombocytope...

Premenstrual asthma: still poorly understood.