A 34-year-old nonsmoking African-American woman with a history of childhood asthma presented to her internist with 25 h of right-sided chest pain and shortness of breath. The initial physical examination was remarkable for a respiratory rate of 28; heart rate, 140 bpm; and absent breath sounds on the right. A portable chest radiograph revealed a large right pneumothorax. She was treated with tu...

BACKGROUND AND PURPOSE Although sonographic evaluation of cervical adenopathy by use of size criteria is effective, the sensitivity and specificity fall short of that required to make adequate judgments regarding neck dissection. Therefore, we tested whether the combined use of size criteria and Doppler sonographic findings would improve the predictive ability for metastatic cervical nodes. M...

BACKGROUND AND PURPOSE Morphologic assessment by conventional imaging methods of lymph node metastases in patients with squamous cell carcinoma of the head and neck is, at best, insensitive. Doppler sonography has shown that lymph node metastases exhibit alterations in the number of vessels and blood flow. We assessed the ability of dynamic contrast-enhanced MR imaging to differentiate normal f...

56 PRACTICAL DERMATOLOGY AUGUST 2014 R osai-Dorfman disease (RDD), or sinus histiocytosis with massive lymphadenopathy (SHML) is a benign lympho-histiocytic proliferative disorder initially described with bilateral painless lymphadenopathy (90 percent), fever, leukocytosis, elevated ESR, anemia, and polyclonal hypergammaglobulinemia (90 percent).1 RDD presents with cervical adenopathy most comm...

Fungal infection of the thyroid is rare. Most reported cases have involved Aspergillus, Coccidioides, and Candida species in the setting of disseminated disease. Infection of the thyroid with Histoplasma capsulatum is rarely reported as part of disseminated disease, even in geographic areas where histoplasmosis is endemic. We report a 52-year-old woman with a previous Hashimoto's disease and no...

CLINICAL CASE A 42 year-old male was assessed for a subacute, bilateral and progressive visual loss. His medical history included chronic hepatitis C infection and Evans syndrome. On fundal examination, multiple areas of neurosensorial and retinal pigmented epithelium detachment were observed in the region of both macula. A few days later, his general health deteriorated and he was noted to hav...

First described by a Japanese pediatrician in 1967, Kawasaki disease (KD) is an acute vasculitis of infancy and childhood that has become the leading cause of acquired heart disease in children in the developed world.1,2 No single etiologic agent of KD has been found despite 4 decades of investigation.3 In the absence of a causative agent or definitive laboratory test, its diagnosis is made by ...

Clinically, in young immunocompetent adults, Epstein-Barr virus (EBV) usually manifests as infectious mononucleosis (IM). Typical clinical findings of EBV IM include fever, profound fatigue, pharyngitis, bilateral posterior cervical adenopathy, and splenomegaly. Respiratory involvement with EBV IM may occur, but is distinctly rare. We present a case of a 20 year old female who with classic EBV ...