background: ataxia telangiectasia (at) is one of the combined immunodeficiency syndromes with immunologic, neurologic, endocrinologic, hepatic and cutaneous abnormalities. regarding the fact that autoimmune disorders; such as autoimmune hemolytic anemia (aiha), are not generally expected in the course of at, we present a patient with an unusual presentation of these two conditions. case present...

Background: Total abdominal aortic occlusion starts with intermittent claudication of the lower limbs and if not treated ends up with rest pain, ischemic ulcers and finally culminates in gangrene of the limb. Important risk factors include tobacco consumption, elevated triglycerides, cholesterol, diabetes mellitus and hypertension. The disease is diagnosed by history and clinical examination, a...

Idiopathic chondrolysis of the hip is a rare condition occurring mainly in adolescents and is characterised by a rapidly progressive destruction of the articular cartilage in the coxofemoral joint. Patients report intense pain, motion restriction and often limping due to shortening of the limb. The aetiology is not elucidated. Medical imaging techniques form the cornerstone for differential dia...

This study compares the processing of causal and diagnostic uses of the connective so. In an experiment measuring reading times, it is shown that diagnostic so constructions, (e.g. Carl has been limping lately. So he was injured in the accident.) take longer to read than causal ones (e.g. Carl didn’t wear his seatbelt. So he was injured in the accident.). This difference is reduced in parallel ...

Unicameral bone cysts (UBCs) are benign, osteolytic lesions which are often asymptomatic and are commonly seen in the proximal of humerus and femur. The average age at diagnosis is 9-11 years and there is a male preponderance with a male-to-female ratio of approximately 2-2.5 to 1. We describe a case of 5-year-old girl who presented to orthopedic clinic with a 4-month history of painful limping...

Between April 1999 and April 2004, 3497 Birmingham hips were inserted by 89 surgeons. Fracture of the neck of the femur occurred in 50 patients, an incidence of 1.46%. Complete data were available for 45 patients in whom the incidence was 1.91% for women and 0.98% for men. The relative risk of fracture for women vs men was 1.94961 and this was statistically significant (p < 0.01). The mean time...

Osteochondromas are usually extra-articular lesions originating from the metaphysis of long bones. Intra-articular osteochondromas may also occur, causing pain and discomfort and restricting the range of motion. Osteochondromas of the femoral neck are intra-articular lesions that are difficult to access for surgical resection, particularly when located posteriorly. We herein present a rare case...

This is one of a series of occasional articles highlighting conditions that may be more common than many doctors realise or may be missed at first presentation. The series advisers are Anthony Harnden, professor of primary care, Nuffield Department of Primary Care Health Sciences, University of Oxford, and Richard Lehman, general practitioner, Banbury. To suggest a topic, please email us at pra...

An 8-year-old girl presented with left ankle pain and limping for 1 month. There was no history of trauma or febrile illness. Her medical history was unremarkable, and there was no family history of rheumatism. Physical examination revealed mild soft tissue swelling and tenderness over the lateral aspect of the ankle and heel. No skin change, local warmth or focal mass was evident, but the rang...

Large segmental bone defects of the tibia may be due to infections, high-energy fractures, congenital diseases or tumors and represent a challenge for both the physician and the patient. In developing countries, the use of expansive techniques is not possible so that amputation is sometimes proposed. However, an alternative technique for limb salvage, applicable in developing countries consists...