An 82 years old patient was admitted to the emergency department complaining since 15 days of fatigue, dizziness and lipothymia. He had a history of hypertension and diabetes; and had undergone a coronary bypass in 2005. His physical examination showed a blood pressure at 160/50mmHg, a heart rate at 26cycles/min, and he was afebrile. On admission the ECG showed a third degree atrioventricular b...

Herpes zoster (HZ) is a neurocutaneous disorder due to endogenous reactivation of the varicella-zoster virus (VZV). The typical clinical manifestation is an acute segmental eruption of herpetiform umbilicated vesicles associated with malaise, pain, dysaesthesia, allodynia and probably fever. This review focuses on other possible clinical manifestations of the disease to sensitize physicians not...

To cite: Baba A, Ojiri H, Takahashi S, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015213401 DESCRIPTIONF A 47-year-old man was referred to our hospital due to symptoms of trismus and exacerbation of palmoplantar pustulosis. He had been presenting, for 20 years, with refractory and recurrent mandibular osteomyelitis accompanied by palmoplantar pustulos...

Chemical ileurodesis has been used with good results in spontaneous pneumothorax in patients with diffuse parenchymal lung diseases such as cystic fibrosis, and several reports have indicated success in patients who are at high surgical risk, particularly the elderly. We had similar success in our patient with tetracycline pleurodesis. This patient did have a history oftwo spontaneous episodes ...

Homocysteine has been recognized as a risk factor for various cardiovascular manifestations including thrombosis of arterial and venous system, spontaneous dissection involving various vessels in the body including coronaries and aneurysms. Here we report a young gentleman who was diagnosed as stroke in young and found to have dilated cardiomyopathy, with left ventricular dysfunction and hyperh...

At Extreme 2003 a “late breaking” presentation by members of the UIUC/GSLIS Electronic Publishing Research group argued that XML Documents could not be assigned to either of the two plausible FRBR entity classes, manifestation or expression, since XML Documents appear to both have and lack some characteristics of each class. A “double aspect” theory was proposed where a single XML Document can ...

Acquired ichthyosis is a known paraneoplastic sign of lymphoproliferative malignancies with non‌specific histopathologic findings revealing no implication of the underlying neoplasm. However, ichthyosiform eruption is considered as a specific manifestation of mycosis fungoides (MF), i.e., ichthyosiform MF. There are a few reports of ichthyotic manifestation of MF, but only one report of t...

there is a number of syndromes, associated with proptosis, micrognathia, low-set ear and chest deformity. herein, we report a 9-year-old female with such phenotype who was presented with a vaginal neuroma. the result of karyotype showed 47xx, with extra marker chromosome 22. although such a manifestation had not been reported in the literature, it should be considered as a very rare manifestati...

Two patients with recurrent paroxysmal cardio-vascular symptoms are described. The first, an adult, suffered from syncopal events which did not respond to carbamazepine treatment and had a normal interictal EEG and ECG. The second, a child, presented with attacks of cyanosis, apnoea, and non-responsiveness in clusters, with normal interictal examinations. In both patients, prolonged simultaneou...