Osteomyelitis following arthroscopically assisted anterior cruciate ligament (ACL) reconstruction has rarely been reported in the literature. We report a case of a 20-year-old female who had delayed tibial osteomyelitis and a pretibial cyst with culture-positive, oxacillin sensitive Staphylococcus epidermidis 15 months after an ACL reconstruction with hamstring autograft. Soft tissue fixation w...

To cite: Ponnusamy D, Ramachandra Pai RP. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013202530 DESCRIPTION A 45-year-old African-American woman presented with a 2-month history of bulging eyes, neck swelling, increased appetite and oligomenorrhea. On examination, she had fine hand tremors and bilateral proptosis with lid lag. The thyroid gland was diffusely ...

EMO syndrome is a rare extrathyroid syndrome, seen in only 1% of patients affected by extrathyroid complications of Graves' disease. A 73-year-old woman presented with a 1-year history of asymptomatic local swellings on her legs and feet. Physical examination revealed moderate proptosis and multiple, firm subcutaneous nodules of 1 to 5 cm in diameter located on the anterior and medial aspects o...

A 68-year-old man presented with his left index finger swollen at the proximal interphalangeal joint (Picture 1A). He noticed palpitation, tremor and weight loss 3 months previously. At presentation, atrial fibrillation, pretibial myxedema, exophthalmos, diplopia on upgaze, but not fingernail clubbing were noted. Thyroid function tests were indicative of hyperthyroidism, leading to a diagnosis ...

Introduction Anterior cruciate ligament (ACL) reconstruction is a "daily" surgery. Nevertheless, pretibial cyst formation is a very rare complication and may appear years after the reconstruction. Even more infrequent is the recurrence of this complication. Case Report We present a patient who developed a pretibial cyst 44 months after an ACL reconstruction and who underwent three open surger...

Case 1 showed recurrence of hyperthyroidism accompanied by pretibial myxedema and digital clubbing 14 years after thyroidectomy for Graves' disease. Case 2 had had pretibial myxedema for the past 20 years and myxedema tuberosum at the right shoulder for the past 10 years, and on admission showed exophthalmos and digital clubbing with thyroid gland demonstrating histological picture of chronic t...

BACKGROUND Pretibial myxedema (PTM) is an uncommon dermopathy associated with autoimmune thyroid diseases. Now it is thought to be autoimmune and its treatment with glucocorticoid is helpful. However, it has not been evaluated. METHODS A prospective randomized controlled trial was performed in 110 patients with PTM to evaluate the efficacy and safety of triamcinolone acetonide with intralesio...