WHAT IS YOUR DIAGNOSIS? A 57–year-old male presented with dark pigmentation around the eyelids, of one-year duration. He also had joint pain and weight loss for the same duration. A general physical examination revealed pedal edema and pallor, while a systemic examination showed ascites, pleural effusion (right), and asterixis. A dermatological examination revealed violaceous pigmentation on bo...

Symmetric lipomatosis is definitively characterized by symmetric, tumorous lipomatous proliferation of adipose tissue that often develops in the head and neck, shoulders, and upper trunk. However, in the oral region, symmetric lipomatosis of the tongue (SLT) is an extremely rare condition related to generalized lipidosis that is often caused by chronic alcoholism. It is characterized by multipl...

INTRODUCTION Airway management is a fundamental practice of anaesthesia and tracheal intubation is frequently required to ensure adequate airway control. Fibre optic techniques represent a dramatic advance in the management of the difficult intubation. The attending anaesthesiologist faces a challenge in managing a difficult airway in emergency situations. The traditional rapid sequence intubat...

Abstract Introduction Amyloidosis and Behcet's syndrome (BS) are systemic diseases that affect multiple systems. Similar mucocutaneous damage occurs in amyloidosis BS, thus causing a delayed or incorrect diagnosis. The prognosis of patients with is poor. Therefore, exclusion other diagnoses important before confirming the presence BS. Case Report We report case 43‐year‐old woman who initially p...

INTRODUCTION Lipomas are among the most common tumors of the human body. However, they are uncommon in the oral cavity and are observed as slow growing, painless, and asymptomatic yellowish submucosal masses. Surgical excision is the treatment of choice and recurrence is not expected. CASE REPORT The case of a 30-year-old woman with a huge lipoma on the tip of her tongue since 3 years, is pre...

BACKGROUND AND OBJECTIVES Pallister-Killian Syndrome (PKS) is a rare genetic disease due to a mosaic anomaly of chromosome 12. There is little information about PKS in the anesthetic literature. This report aimed at discussing aspects of this syndrome that may be relevant to anesthesia. CASE REPORT A 5-year-old male patient with typical PKS characteristics (facial dimorphism, temporal alopeci...

BACKGROUND The incidence of difficult intubations has consistently remained between 8 and 9%. We found a novel approach to the difficult intubation using a Glidescope in the awake spontaneously breathing patient. METHODS In a difficult airway, the same approach for an awake fiberoptic intubation including excellent nerve blocks and sedation can be used with a Glidescope in the same fashion as...

BACKGROUND Sporadic observations suggest a possible taste impairment in AL amyloidosis, but the frequency and intensity of this sensory anomaly are not known. MATERIALS AND METHODS We submitted 21 AL amyloidotic patients, drawn from subjects referred to the Amyloidosis Study Center of the Department of Internal Medicine and Medical Therapy, University of Pavia, to suprathreshold scaling analy...

Obstructive sleep apnea and hypopnea syndrome is characterized by repeated airway collapse during sleep. The literature describes multiple causes of the disease. The main cause is a reduction of the expansion forces of the pharyngeal dilator muscles, as in situations of genioglossal muscle dysfunction, and discoordination between the inspiratory activity of the muscle and respiratory effort, wh...

Volume 82, Number 3 www.aafp.org/afp American Family Physician 279 A 55-year-old black woman presented to the emergency department with acute swelling of the tongue and mild respiratory distress. Her tongue began swelling about three hours earlier, and mild respiratory distress developed during the hour before presentation. She had a history of hypertension, diabetes mellitus, seizure disorder,...