SM Case Reports

Archive Articles

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Acrokeratosis Verruciformis of Hopf Associated With Epidermolytic Hyperkeratosis - A Rare Case Report

Acrokeratosis verruciformis of Hopf is a rare genetic disorder with autosomal dominant inheritance. It is characterized by the presence of multiple lightly pigmented or flesh colored papules on the dorsum of the hands, feet, knees and elbows. Lesions consistent with acrokeratosis verruciformis are been associated with HaileyHailey, hypertrophic lichen planus, naevoid basal cell carcinoma, multiple keratoacanthoma. We report a case of acrokeratosis verruciformis in a 65 years old patient who came with complaints of itchy skin lesions over both the legs and dorsum of the right hand for the past 2 years and histologically with features of epidermolytic hyperkeratosis.

R.G. Sharada¹ and Jayakar Thomas¹*


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Phytobezoar-Presenting as Small Bowel Obstruction: A Case Report

Ingestion of indigestible or poorly digestible substances may accumulate in the gastrointestinal tract in the form of a bezoar. On the basis of their composition, bezoars are classified into various types. Phytobezoars (concretions of vegetable matters) are commonly found in the gastrointestinal tract, including stomach and small intestine. Most cases are asymptomatic but intestinal obstruction had been reported in the literature, accounting for only 0.4 to 4%. Here we report a case in which phytobezoar was presented with small intestinal obstruction.

Sant Prakash Kataria¹, Gajender Singh¹, Padam Parmar¹, Sanjay Kumar¹, and Kamal Nain Rattan²*


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Arnold Chiari Malformation Type I without Syringomyelia in a 24-Year-Old Woman Admitted With Dull Pain in Her Upper Limbs: Case Report

Report of a case of a young patient with progressive onset of Arnold Chiari malformation type I without syringomyelia who debuted with a dull pain in her right upper limb and was treated with foramen magnum decompression showing a remarkably improvement on her symptoms.

Objective: To report this case along with a literature review

Methods: A 24-year-old woman with a year history of dull pain in herrightarm was referred to the clinic. After physical and radiographical examinations, she was diagnosed with Arnold Chiari malformation type I without syringomyelia. A foramen magnum decompression by the removal of the outer layer of the duramater was performed.

Conclusions: A case of symptomatic Arnold Chiari malformation type I without syringomyelia in ayoung woman was successfully treated with foramen magnum decompression by the removal of the outer layer of the dura mater

 

Manuel Bassanini¹, Joyce Jiménez², and Pablo Dueñas²*


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Atypical Case of Asherman Syndrome (Fritsch Syndrome) Due To Prolonged Retained Fragment of Cu-T in Myometrium

Asherman or Fritsch syndrome is also known as intrauterine adhesions. It can lead to partial or complete dysfunction of the endometrium. It affects women of all races and ages equally suggesting no underlying genetic predisposition for its development. The incidence is 40% after D and C. It is mostly due to vigorous curettage of endometrium causes scarring and occlusion in the uterine cavity or it may also be due to pelvic infections. Often patients experiences menstrual irregularities, recurrent abortions and infertility. A female married woman aged about 41 years came to Gynaecology OPD, National Institute of Unani Medicine (NIUM) hospital, Bangalore in 2015 with the complaints of menstrual irregularities and infertility. On the basis of signs, symptoms and imaging techniques such as USG, X-ray, Hysteroscopy and Laparoscopy the case was diagnosed as Asherman or Fritsch syndrome due to prolonged retained fragment of Cu-T in the myometrium

Amera Anjum and Tabassum K*


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A Complete Pathologic Response of Triple Negative Invasive Ductal Carcinoma and Inflammatory Breast Cancer Following Neoadjuvant Chemotherapy

Neoadjuvant chemotherapy is a mainstay in therapy for Triple Negative Breast Cancer (TNBC) and is found to decrease the nodal metastasis of the disease prior to surgical excision. Triple negative breast cancer is typically aggressive with rapid growth and poor outcomes, having high recurrence rates as well as short intervals from recurrence to death. Chemotherapy is the only systemic treatment available for TNBC patients. These patients that are treated with neoadjuvant chemotherapy successfully and attain a complete pathological response demonstrate improved survival. Inflammatory Breast Cancer (IBC) is also typically very aggressive, and rare, accounting for only 1-6% of breast cancers diagnosed in the United States. Inflammatory breast cancer is a clinical diagnosis and is typically hormone receptor negative, and HER2 positive [1]. This case presentation is that of a combination of rare, aggressive breast cancers which obtained a complete pathological response to neoadjuvant chemotherapy

Alice A. Higdon¹, Rajiv V. Datta¹, Robert Amajoyi¹, and Eric Seitelman¹*