confuLsing, especially since little atteml)t is made to give the old terms, which might have been done by putting them in brackets after the newv ones. If the student confines himself to this teaching no doubt it will be easy enough to understand, but one feels that he will be greatly confused if he tries to correlate P'rofessor Percival's terminology with that most commonly taught outside Edin...

Background: Cutaneous granulomatous dermatoses usually are a diagnostic challenge with tuberculosis (TB) on top of them. TB is a universal health problem and considered by WHO at the top of 6 common and dangerous infectious diseases. Objective: To determine the clinical, laboratory and histopathological findings in 45 patients with the diagnosis of cutaneous TB over a 10-year period in Ahwaz. P...

Dear Editor, A 23-year-old Malay woman with no past medical illness was admitted for a 4-day history of epigastric pain, vomiting and drowsiness. Investigations showed a high anion-gap metabolic acidosis with elevated serum ketones and hyperglycaemia, consistent with diabetic ketoacidosis (DKA). Anti-glutamic acid decarboxylase autoantibodies were positive, consistent with type 1 diabetes melli...

Diagnosis: Disseminated tuberculosis with skin involvement. Bacterial blood and urine cultures were negative. The chest radiograph, which showed bilateral hilar lymphadenopathy and bilateral nodular pulmonary infiltrates, raised the suspicion of disseminated tuberculosis (Figure 1). The patient’s cough was unproductive and sputum could not be obtained for tuberculosis (TB) investigations. A ski...

To cite: He A, Kwatra SG, Kazi N, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016215335 DESCRIPTION A woman aged 45 years presented for evaluation of skin lesions. She reported an 8–9-year history of occasionally tender, waxing-and-waning skin nodules refractory to dapsone, prednisone and methotrexate. Examination revealed multiple indurated subcutaneo...

Background: There is not yet a pathognomonic laboratory test for the diagnosis of Behcet’s Disease (BD). The diagnosis is therefore based on clinical manifestations. Mucocutaneous lesions are the most important and the most frequent clinical manifestations of BD. Objective: To study the mucocutaneous lesions systematically. In a great number of patients. Some of these clinical pictures are poor...

Retroverted uterine incarceration with sacculation of the anterior wall is reported to occur approximately in 1/3000 pregnancies. A literature search identified only 1 case report of incarceration of an anteflexed gravid uterus and 6 reported cases of recurrent incarceration and/or sacculation. We present a case of an incarceration of an anteflexed uterus in the first pregnancy, followed by a r...