SM Case Reports

Archive Articles

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Dialysis Disequilibrium Syndrome: The Changes of Intracranial Pressure

Dialysis disequilibrium syndrome is a rare but well-known serious complication of dialysis. Cerebral edema associated with increase intracranial pressure has been considered to be main reason of dialysis disequilibrium syndrome. However, the direct evident of intracranial pressure changes in dialysis disequilibrium syndrome has been rarely described. Here, we reported a case of dialysis disequilibrium syndrome in a patient with acute stroke and intermittent hemodialysis. The changes of intracranial pressure levels before and during hemodialysis were analyzed and the results provided a significant evident to support the previous hypothesis.

Kai-Chao Yang¹, Chih-Ju Chang¹², and Cheng-Ta Hsieh¹²³*


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An Unusual Clinical Case of Cysticercosis Mimicking a Triceps Enthesitis

We present a case report of a middle age female with a cysticercosis with a clinical feature resembling a triceps enthesitis. The absence of improvement with conventional enthesitis treatment and the inflammatory signs conducted to perform an ultrasound scan. It demonstrated two rounded lesions and an intense inflammatory reaction. Two cysticerci were surgical removed after antibiotic and antiparasitary treatment.

Carlos A Guillen-Astete¹ and Mónica Luque-Alarcon²*


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Fatal-Hair-Dye-Poisoning

Suicide is the 10th leading cause of death worldwide with an increasing trend and accounted for 187,000 deaths in 2010 in India. Super Vasmol 33™ is a low cost, freely available, emulsion based hair dye used with main components of Paraphenylene Diamine (PPD), resorcinol, propylene glycol and sodium Ethylene Diamine Tetra Acetic Acid (EDTA). We report hair dye poisoning in a 50 year old male patient who consumed around 50 ml of Super Vasmol 33™ and expired on day 3. PPD component of hair dye can cause rhabdomyolysis, laryngeal edema, severe metabolic acidosis, Acute Kidney Injury (AKI) and myocarditis. No known specific antidote is available at present and treatment is supportive. Public awareness of the toxic potential and regulating the PPD concentration in hair dyes is to be done

Sreenivasa Rao Sudulagunta¹, Jayadevappa Gonivada², Mahesh Babu Sodalagunta³, and Zahra Noroozpour²*


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Chondrodermatitis-Nodularis-Chronica-Helicis-et-Antihelicis-in-a-63-Year-Old-Man

Chondrodermatitis nodularis helicis also known as Chondrodermatitis Nodularis Chronicus Helicis (CNCH), typically presents as a tender, solitary, firm, well-demarcated, dome-shaped, erythematous or skin-colored papule/nodule on the pinna. The condition is usually unilateral, although cases of bilateral CNCH have also been described. Bilateral CNCH lesions are usually symmetrical. We herewith report a 63-year-old man with a CNCH lesion on the right antihelix and another CNCH lesion on the left helix.

Alexander KC Leung¹ and Benjamin Barankin²*


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The Disreputable History of Case Reports in Ophthalmology

Only authors know how tough is today to publish an interest case report in ophthalmology. Even the case is not previously described and for sure its publication will help other clinicians to better treat their patients, many submitted case reports are rejected quickly by most clinical journals.

Although it’s noticeable that some case reports still make a valuable contribution to medical literature [1], there is a trend to think that the reputation of the journal depends on the lower case report published. Often, you will find them at the end of the journal, after the editorials and scientific studies. It is true that the description of a case report takes less time that the design and the performance of a prospective study. Besides, the impact factor of the journal might easily grow publishing scientific studies. However, the reader will find more information to use in clinical practice in case reports, as it’s a challenge way to learn more about its specialty

Alfonso Casado1 *