Vaginal Discharge in a Pre-pubertal Girl Posing a Diagnostic Challenge

Pseudoachalasia: a diagnostic challenge

Here, we present a case of a 78-year-old man that underwent gastrointestinal endoscopy because of one- monthhistory of dysphagia to liquids and solid foods with accompanying weight loss. On endoscopy, there was distalesophageal stenosis. Multiple biopsies were obtained. Histologic examination of the samples revealed normaltissue. The stenosis was treated by dilatation and abdomino pelvic comput...

Cutaneous vasculitis--a dynamic process posing diagnostic challenge.

AIM To characterize the clinicopathologic features and to assess the therapeutic outcome in cutaneous vasculitis. MATERIAL AND METHODS Fifty biopsy proven cases of cutaneous vasculitis seen between January 1998 and July 1999 were studied. RESULTS The commonest presentation was palpable purpura. The site most commonly affected was the extremity, irrespective of the age (adults - 40 and child...

Laryngeal Paraganglioma: A Diagnostic Challenge

Paragangliomas are neoplasms of neural crest origin. In the head and neck, they uncommonly involve the larynx. The distinction between paragangliomas and other neuroendocrine tumors can be difficult. Precise diagnosis is important in order to optimize patient treatment. Diagnosis relies mostly on histopathologic examination followed by immunohistochemistry. Here we report a 77-year-old woman wi...

A new method of surgical treatment for recurrent labial adhesions in a pre-pubertal girl.

On examination she had densely fused labia minora extending anteriorly from posterior fourchette and partially occluding the introitus (Figure 1). The following new surgical technique was used to treat her. She was prescribed oestrogen cream for local application. During the follow up of two years there was no recurrence. A new method of surgical treatment for recurrent labial adhesions in a pr...

Churg-Strauss syndrome in childhood: a rare form of systemic vasculitis posing a great diagnostic challenge.