Despite the huge technical possibilities for perinatal diagnostics, congenital disorders of the respiratory tract including pulmonary anomalies continue to raise difficulties concerning the differential diagnosis.
We present a case of a two-year-old boy who had a history of prolonged dry, non-productive cough, good overall condition, adequate growth and absence of lung and heart auscultatory changes. An X-ray of the lungs and a CT scan with virtual bronchographic image were performed. As a result, congenital lobar emphysema of the left upper lung lobe was diagnosed. It was caused by a slit-like narrowing of the left upper lobar bronchus. The approach with active observation turned out to be the most useful for this patient with asymptomatic emphysema.
Eccrine poroma is described as a benign neoplasm originating from the intraepidermal eccrine duct of sweat glands. Typical distribution of the tumour is on sites where there is the highest concentration of sweat glands, such as palms and soles. If the tumour is untreated it can cause the risk of malignant transformation towards porocarcinoma. Here, we report a case of 48-year-old female, who presented with a nodule on the right palm. After excisional biopsy, specimen was sent for histopathological examination and it was diagnosed as Eccrine poroma.
Incomplete regression of the foetal urachus results in formation of urachal abnormalities. They are more common in children than in adults, due to urachal obliteration in early infancy.
In adults, even though urachal cyst (UC) remains the commonest variety among them, diagnosis remains challenging due to the rarity of this lesion and the non-specific nature of its symptomatology. Since the first description of urachal abnormality by 1550, few cases have been reported in literature.
We here describe a case of urachal cyst presenting with umbilical discharge, in a previously healthy person.
Tuberculous pericarditis is a complication of TB with pericardial fluid with elevated interferon –gamma > 50 pg/ml being highly specific for tuberculous pericarditis.
For Tuberculous pericarditis definite diagnosis is based on the presence of tubercle bacilli in pericardial fluid or on a histological section of the pericardium. ”probable” tuberculous pericarditis is based on the proof of a lymphocytic pericardial exudates with elevated adenosine deaminase levels, and/or appropriate response to anti tuberculosis chemotherapy. Treatment consists of 4-drug antituberculosis regimen for 6 months. Appropriate treatment for constrictive pericarditis is surgical rresection of the pericardium.
At present the effect of monoclonal antibodies on rheumatoid nodules remains poorly understood. Several cases of development or enlargement of rheumatoid nodules in association with TNF-α inhibitors have been described in the medical literature. Recently three cases of regression of rheumatoid nodules following tocilizumab have been published. We describe a 55-year-old female patient with long-standing rheumatoid arthritis, who developed an olecranon nodule during tocilizumab-induced rheumatoid arthritis remission.
