简介:AbstractThoracic splenosis is the autotransplantation of splenic tissue in the left thoracic cavity as a result of a splenic injury. This rare pathology is usually asymptomatic and may be discovered on incidental imaging, but the diagnosis often requires invasive procedures such as surgery in order to eliminate a neoplasic origin. We report a rare symptomatic case of a 39-year-old man presenting with chest pain and multiple nodules revealed on a computed tomography scan. The patient underwent a surgical exploration and the pathological studies concluded to a thoracic splenosis. Indeed, the previous medical history of the patient revealed a left thoraco-abdominal traumatism during childhood. The aim of this paper is to emphasize that the diagnosis can now be performed using only imaging techniques such as technetium-99 sulfur colloid or labelled heat-denatured red blood cell scintigraphy to avoid unnecessary invasive procedures including thoracotomy.
简介:SometimeagoIdiscoveredthatoneofthechairsinmyfronthallhadabrokenleg.Ididn’tforeseeanygreatdifficultyingettingitmended,asthereareawholelotofantiqueshopsinthePimlicoRoadwhichisthreeminutes’walkfrommyflat,soIsetforthonemorningcarryingthechairwithme.Iwentintothefirstshopconfidentlyexpectingafriendlyrecep-
简介:KafangTownship,XinxianCountyofHenanProvinceislocatedinthehinterlandoftheDabieMountainborderingHenanandHubeiprovinces.Thistown...
简介:XixiaCountyissituatedinthesouthwestborderareaofHenanProvinceandtheuppervaleyoftheDanjiangRiverwiththeFuniushanMountaintothes...
简介:Asthepaceofurbanizationisaccelerating,increasingamountoffloodplainhasbeenprojectedasthefuturecities.Subsequently,urbanfloodingisbeingstudiedbyglobalemergencymanagementexportsduetoitsincreasinglysignificantimpactonus.Someexistingresearchonfloodingemergencymanagementbasedonthecase-basedreasoning(CBR)methodhavemadetremendousprogress,buttheurbanfloodingcasewithitsstratifieddatacharacteristicsisrequiredanewmethodologywhichisdifferentfromtheonesappliedtoflashfloods.So,basedonthecase-basedreasoning(CBR)method,thispaperproposedaCPIE-CBRmodelwithfourlayers,classificationfiltration,punctiformsimilarity,intervalsimilarityandentropyweightmethod,tocalculatethecasesimilarityamongtheurbanfloodingcasewithstratifieddatacharacteristics.ThenwecarryoutthenumericalsimulationwiththerealdataaboutChinaandconductsomecomparisonwithoriginalwayssothatweobservethevalidityandefficiencyofourmodelintheend.
简介:MACEDONANDGREECE:THECASEOFTHEBES①W.Z.Rubinsohn,TelAvivUniversityTheProblemOntheroadthathadledtheGrekworldtoChaeroneaithadben...
简介:AbstractIntroduction:Histiocytoses are localized or systemic diseases that can broadly be classified into Langerhans cell histiocytosis and non-Langerhans cell histiocytosis. Juvenile Xanthogranuloma (JXG) belongs to the latter group, which occurs in around 0.5% population younger than 5 years, and presents as solitary or multiple lesions.Here, we present a case of disseminated JXG in an infant with the lesions regressing spontaneously.Case presentation:A 7-month-old boy presented with multiple erythematous nodular lesions over the body excluding limbs for 3 months. Initial laboratory work up was normal. Skin histopathology showed a dermal nodule with sheets of histiocytes exhibiting grooved vesicular nuclei and pale eosinophilic cytoplasm along with touton giant cells. Immunohistochemistry markers further confirmed the diagnosis. Lesions healed completely with symptomatic relief in 1.5 years and no recurrence occurred.Discussion:Disseminated JXG is a benign childhood disorder that can sometimes be associated with internal organs involvement mainly bones, eyes, and brain. Serious complications may follow in case of extracutaneous spread. Most frequently, JXG follows the occurrence of another neoplastic disorder but can sometimes appear de novo. Skin biopsy is required for the diagnosis and better education of the family.Conclusion:JXG in infancy is a rarity in South Asia. Therefore, along with the clinical judgment, clinicians must also get histological confirmation in order to manage this disorder successfully. Close surveillance for multiorgan involvement is also required to avoid any irreversible sequalae.
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简介:AbstractIntroduction:Trichofolliculoma characterized clinically by the presence of acentral dilated pore with tufted hairs and corresponds histologically to a central primary follicle and many secondary vellus hair follicles originating from it. Thus far, dermoscopy description of trichofolliculoma has been lacking.Here, we describe a typical case of trichofolliculoma, particularly the special manifestation under the dermoscopy.Case presentation:A 29-year-old man complained a five-year history of a nodule containing a central whitish hair plug on his left tempus. Dermoscopic examination revealed a well-defined, yellow macule with a central whitish hair plug surrounded by dilated capillaries, and histopathological analysis was consistent with trichofolliculoma.Discussion:The findings of dermoscopy were also vary, which may be affected by the origin of the disease, various phases of the hair cycle, depth of the lesion, and even external stimulus.Conclusion:Diagnosis of trichofolliculoma is sometimes difficult because the presence of the central crater and visible hairs is low, and dermoscopy examination may be a potentially useful diagnostic tool.