introduction rabies is an acute fatal viral disease that is generally transmitted from animals to humans following wild and domestic animal bites. the rabies virus enters the body from the area where the individual is bitten, and then the virus moves towards the brain and involves the nerves. case presentation during the years 2001-2011, there have been 73 reported rabies cases. about 50,000 re...

A 59-year-old woman treated chronically with enalapril, an angiotensin-converting enzyme inhibitor (ACE-I) presented with difficult swallowing and speaking. Although her symptoms were clinically consistent with an adverse angioedema reaction to the ACE-I, initial imaging was not entirely consistent with our conceptual understanding of angioedema. This case report will discuss the myriad possibl...

Spontaneous umbilical endometriosis is a rare extrapelvic manifestation of endometriosis. Very few such cases have been previously reported, almost always associated with a variety of symptoms, usually during menstruation. We present a case of asymptomatic umbilical endometriosis treated with skin-sparing excision. Differential diagnoses relevant to the clinician, as well as treatment options, ...

Paracoccidioidomycosis is a systemic disease caused by inhalation of conidia of Paracoccidioides brasiliensis, a dimorphic fungus that initially affects the airway, spreading by lymphatic and hematogenous routes to various organs and systems, and that can be fatal if the diagnosis and treatment are not correct. The authors describe a patient who presents small vessel vasculitis as an initial ma...

background: normokalemic periodic paralysis is an autosomal dominant disorder involving the abnormal function of skeletal muscle’s voltage-gated alpha-subunits. it is characterized by paralysis attack of varying severity with concomitant normal serum potassium concentration. although normokalemic periodic paralysis is well established in the literature, but its cardiac manifestations are very r...

Oral cavity metastatic tumors derived from primary other corporal regions are rare, representing barely 1 % of all malignant tumors. Differential diagnosis these lesions is challenging due to the wide spectrum with similar clinical presentation and especially when presence a tumor goes undetected. We present case 55-year-old male painless in anterior maxillary region, vestibular gingiva palate,...

objective: since colposcopy biopsy test plays a significant role in the evaluation of cervix, especially in patients with an abnormal result of pap smear test, therefore, this research study was conducted to compare the results of pap smear and colposcopy directed punch biopsy tests at firoozgar and akbarabady hospitals from 2001 to 2003. materials and methods: this cross-sectional study was ca...

BACKGROUND Skin erythemas of unknown origin are a frequent reason for consulting the general practitioner or dermatologist. CASE PRESENTATION Here we report a case of an erythema resembling the erythema migrans manifestation of Lyme disease, but with atypical symptoms like persistent pruritus. The patient had no history of a recent tick-bite but displayed a positive serology for an advanced s...

Herpes zoster, also known as shingles, occurs upon reactivation of a primary infection with varicella zoster virus (VZV). Risk factors for reactivation include stress, older age, and immunosuppression, all of which are associated with a decrease in host immunity. Common complications of herpes zoster include scarring and post-herpetic neuralgia (PHN). Cutaneous lesions such as granuloma annular...