purpose: to report three cases of alport syndrome in one  family with anterior lenticonus and retinal flecks. patients and findings: three members of one family with consanguineous parents are presented who had renal and ocular involvement. they had anterior lenticonus and a beaten bronze appearance in the macula. reduced visual acuity and photophobia were the chief complaints of these patients...

an 80-year-old man developed nightmares while using citalopram for mild depression. during the first two weeks of treatment with citalopram (10 mg daily), he didn’t experience any adverse reactions. after two weeks, he developed nightmaresand vivid dreams that were repeated every night and awakened him in midnight. although the signs of depression were relatively disappeared, the patient was an...

while carcinoma of breast is common condition, stromal sarcomas are rare tumors of breast, amongst which fibrosarcoma accounts for 16% of cases. only a few case reports are available in the international literature. we report a case of fibrosarcoma of breast, which presented as an un-encapsulated mass in the right breast of a 60-year-old female. this case was diagnosed after exclusion of all po...

purpose: to present a case of acute myopia secondary to usage of topiramate. patient and findings: a 26-year-old female presented with 6-diopter myopia after two weeks of using topiramate for migraine headache. she improved after 3 days of cessation of this medicine. conclusion: when a patient present with acute onset visual loss secondary to refractive error, history of drug usage can help for...

leiomyomas are benign tumors that originate from smooth muscle cells. leiomyomas are well known to be the commonest neoplasm arising from the uterus but leiomyomas originating from the scrotum is a rare entity. they originate from the subcutaneous tissue or tunica dartos and can be solitary or multiple. we present a case of solitary scrotal leiomyoma in a 75 years old male who presented with a ...

kindler syndrome (ks) is a rare, autosomal recessive genodermatosis characterized by skin blistering and photosensitivity in infancy, progressive poikiloderma, and diffuse cutaneous atrophy. it affects the skin, mucous membranes, and oral cavity and is caused by mutations in the kind1 gene on 20p12.3. the first case of ks associated with periodontitis was reported in 1996, and have been infrequ...

lumbar hernias (lh) accounts for less than 1.5% of total hernia incidence. it can occur in two separate triangular areas of the flank. about 300 cases have been reported in the literature. here, we report a 55-year old man with acute painful left side flank mass and final diagnosis of lh. the mass was appeared about three hours before admission and his pain was slight at first but became more s...

proliferating pilomatricoma is a distinctive rare variant of pilomatricoma first described in 1997.very few cases of proliferating pilomatricoma have been reported in the literature until date. this report is a case of 65 years old male presenting with hard nodular lump on the right side of neck slowly increasing in size for the last 8 months. wide excision of the lump was performed with clear ...

conclusions patient characteristics has important role in suture material degradation. impaired suture hydrolysis in uterus incision may cause abnormal uterine bleeding. it is interesting to demonstrate whethersuture degradation in previous cesarean section has a role in formation of placenta accrete or not .this issue needs more investigation. because there is no similar case in literature, we...