Non-traumatic splenic rupture in a patient with Kasabach–Merritt syndrome

Jitesh Parmar,1 Behnam Shaygi,2 and Mike Nelson1 BMJ Case Rep. 2009; 2009: bcr08.2008.0792.Published online 2009 Mar 5. doi: 10.1136/bcr.08.2008.0792 PMCID: PMC3027749 PMID: 21686627 BACKGROUND Haemangiomas are vascular lesions resulting from abnormal proliferation of blood vessels. They are the most common paediatric neoplasm. Kasabach–Merritt syndrome (KMS) is a rare type of vascular lesion with peculiar characteristics. The diagnosis is based upon three basic findings: […]

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Orf infection

A 45-year-old man presented to the emergency department with an enlarging lesion on the left thumb. The lesion had first manifested as a targetoid papule 2 weeks earlier (Panel A) and had progressively enlarged (Panel B) without associated pain or sensory deficits. He reported that 3 weeks earlier he had had direct contact with sheep […]

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Neutrophilic Dermatosis

A 7-year-old girl presented to the emergency department with a 2-week history of fever and with several days of painful blisters on her arms, legs, and face. Two weeks earlier, she had completed a course of penicillin for tonsillitis. On examination, there were multiple bullae with erythematous bases on the legs (Panel A) and well-demarcated, […]

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Scalp expansion for giant cutis verticis gyrata secondary to cerebriform intradermal nevus

Wenfang Dong, Huan Wang, and Fei Fan Case report A 27-year-old woman was admitted to the hospital for evaluation of a huge black scalp macule (20 × 18 cm) with thinning of the overlying hair (Figure 1). The asymptomatic scalp macule first appeared upon her birth and gradually increased in size. On physical examination, the scalp macule was characterized by […]

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The Woman With No Face

A SEVERE untreated facial condition has left a woman in India with large hanging growths which eclipse her entire face – causing local children to be scared of her. Khadija Khatoon, 23, from Kolkata, India, has what doctors believe to be neurofibromatosis – a catch-all term for a number of genetic disorders which cause tumours […]

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Strawberry Tongue in Streptococcal Pharyngitis

A 5-year-old girl presented to the pediatric clinic with a 3-day history of fever, sore throat, and pain with swallowing. She had no associated cough, rhinorrhea, or hoarseness. The temperature was 40°C. On examination, she appeared to be ill, with dry mucous membranes and tender anterior cervical lymphadenopathy. She had fissured lips and a red […]

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Use of Fish Skin for burn treatment

Researchers in Brazil are experimenting with a new treatment for severe burns using the skin of tilapia fish, an unorthodox procedure they say can ease the pain of victims and cut medical costs. Scientists at the Federal University of Ceara in northern Brazil have found that tilapia skin has moisture, collagen and disease resistance at […]

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Management of the Burn Patient

Case Presentation A 58-year-old female patient was activated as a Level 1 trauma alert after being involved in a house explosion with resultant fire. She was awake and alert with no loss of consciousness at the scene but sustained significant thermal injuries per EMS report. She was intubated pre-hospital for “airway protection” out of concern […]

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Case report of Wolfe grafting for the management of bilateral cicatricial eyelid ectropion following severe burn injuries

Case Report 31-year-old Caucasian man was referred for treatment at our institution for surgical treatment of the cicatricial ectropion of both lower eyelids and exposure keratopathy due to severe deep dermal burns that affected minimally 60% of the TBSA (Fig. 1). Eight months prior to this presentation, patient sustained thermal burn injuries. Mechanism of the […]

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A case of a young woman with a Necrotic Sarcoma of the back

Sarcoma is a type of cancer that develops in bones and soft tissues, such as fat, muscles blood vessels, etc. Tissue becomes necrotic when substantial areas of tissue lack a blood supply, which then causes gangrene, or death of the tissue, in the area. This particular case was very vascular, so there was no way […]

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A woman working on a farm got her hair caught in a thresher machine and it ripped it right off her scalp.

Replantation is the treatment of choice in scalping injuries and should always be considered, even in case of a badly damaged scalp. Specific procedures regarding pre-, intra- and postoperative care are crucial to success in replantation. These include: haemodynamic stabilization of the patient without causing damage to possible donor vessels; cooling, cleaning and further proper […]

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The Youngest Patient in United States to Receive Face Transplant

Katie Stubblefield’s wit shows through when she describes her face transplant surgery. “Longest nap of my entire life,” she says. Those unfamiliar with Katie’s still-developing speech pattern may not easily make out those words, but her parents are usually there to interpret. Robb and Alesia Stubblefield have been by her side – helping her “take […]

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Scalp burn that occurred during hair coloring

Abstract Full-thickness scalp burns secondary to hair coloring are rare; however, such defects can be large and complex reconstruction of hair-bearing tissue may be necessary. Many skin-stretching devices that use gradual traction have been applied to take advantage of the viscoelastic properties of the skin. A 21-year-old female patient was seen with a burn defect […]

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A Case of Aplasia Cutis Congenita Type VI: Bart Syndrome

Yasmin Alfayez, Sahar Alsharif,* and Adel Santli Case Report A 4-h-old male newborn presented with complete absence of skin over the anteromedial aspect of both lower legs since birth. The baby was born to a 23-year-old primigravida mother via normal vaginal delivery. Both pregnancy and delivery were uncomplicated. The mother denied any history of exposure to medications or […]

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Elephantiasis – lower limb lymphoedema

Case Report We described a case of a 49-year-old obese Chinese man with no known medical illness who had been under close observation for the bilateral lower limbs swelling and disfigurement for 2 years. The lesions started 30 years ago, initially described as skin thickening, worsening into nodules and thick plaque formation, but he did […]

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Kerion and tinea capitis

Hidenori Nakagawa,a,⁎ Masato Nishihara,a and Takashi Nakamurab A 9-year-old boy (Patient 1) with no past medical history presented to the pediatric emergency department with a 1-month history of tender erythematous lesions on his scalp. The lesions had gradually enlarged despite the use of topical antibacterials and corticosteroids. His temperature upon presentation was 38.0℃, and physical examination showed multiple […]

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Carbamzepine-induced toxic epidermal necrolysis

Nithyananda K. Chowta, Mukta N. Chowta,1 John Ramapuram, Pramod Kumar,2 and Abul Fazil Case Report A 38-year-old Asian Indian male patient presented with a rapidly progressive generalized eruption with fever. Patient was diagnosed as having secondarily generalized complex partial seizures 3 weeks prior to the current illness and was prescribed carbamazepine at the dose of […]

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