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https://www.readbyqxmd.com/read/28284967/etiology-treatment-modalities-of-occipital-artery-aneurysms
#1
Nauman S Chaudhry, Brandon G Gaynor, Shahrose Hussain, Paul D Dernbach, Mohammad A Aziz-Sultan
BACKGROUND: Aneurysms of the external carotid artery represent approximately 2% of cervical carotid aneurysms with the majority being traumatic pseudoaneurysms. The diagnosis, treatment, and follow-up of such lesions are completely individualized as there is a paucity of literature available for guidance. CASE DESCRIPTION: We report the case of an 83-year-old woman with an 8-week history of headache in the occipital region, transient episode of gait disturbance, and pulsatile tinnitus on the right...
March 8, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28217165/headband-sign-on-magnetic-resonance-imaging-an-unusual-finding-of-scurvy-in-a-5-year-old-child-described-first-time
#2
Umesh I Patel, Jayendra R Gohil, Alpa N Parekh, Hardik R Chauhan
Scurvy usually presents with tender and painful limbs, swelling of joints, gum bleeding, poor wound healing, and muscle weakness. Here, we report a case of 5-year-old child with global developmental delay who presented with soft swelling of the head over scalp and protrusion of the left eye with extremely irritability. Neuroimaging was suggestive of diffuse extensive soft-tissue swelling involving the entire scalp with large necrotic collections with mild proptosis of the left orbit. It is not mentioned elsewhere, so we are giving name to this magnetic resonance imaging finding as "headband" sign or "turban" sign...
October 2016: Journal of Pediatric Neurosciences
https://www.readbyqxmd.com/read/28041546/-epidural-abscess-secondary-to-sinusitis
#3
Pernille Henriksen, Noushin Yazdanyar, Lisbeth Samsø Schmidt, Marianne Sjølin Frederiksen
Approximately 0.5-2% of upper viral infections are com-licated by secondary acute bacterial sinusitis and may in rare cases evolve into more serious complications such as meningitis and intracranial abscess. Symptoms are often subtle and nonspecific as fever, headache, scalp tenderness, nausea and altered mental status. In this case report of a 12-year-old boy with an epidural abscess secondary to sinusitis we intend to increase the knowledge to these rare, but potentially life-threatening complications to ensure the optimal and timely treatment...
December 26, 2016: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/27994267/widespread-headache-as-the-first-clinical-manifestation-of-giant-cell-arteritis-in-patients-affected-by-polymyalgia-rheumatica
#4
Ciro Manzo
INTRODUCTION: In giant cell arteritis (GCA) headache of new onset due to inflammatory involvement of the temporal artery (TA) represents a diagnostic criterion. A widespread headache (WH) with scalp tenderness due to cranial arteritis can represent another manifestation of GCA. MATERIAL AND METHODS: In 225 elderly patients with polymyalgia rheumatica (PMR) followed in our rheumatologic outpatient clinic from 2004 until June 2016, the frequency of WH as the first clinical manifestation of GCA was evaluated...
2016: Reumatologia
https://www.readbyqxmd.com/read/27990393/subcutaneous-panniculitis-like-t-cell-lymphoma-with-macrophage-activation-syndrome-treated-by-cyclosporine-and-prednisolone
#5
Dinesh P Asati, Vaibhav Ingle, Deepti Joshi, Anurag Tiwari
Subcutaneous panniculitis-like T-cell lymphoma (SPTCL; α/β T-cell subtype) is a distinct variantof cutaneous T-cell lymphomas, which presents as inflammatory subcutaneous nodules. A 17-year-old male presented with recurrent fever with concomitant facial swelling, pedal edema, hepatosplenomegaly, and mildly tender subcutaneous plaques in generalized distribution along with patches of scarring alopecia on scalp. There were features of macrophage activation syndrome in the form of hemophagocytosis in the bone marrow, pancytopenia, high serum lactate dehydrogenase levels, low fibrinogen clotting activity, prolonged activated prothrombine time (aPTT), increased serum ferritin, hypoalbuminemia, and hypertriglyceridemia...
November 2016: Indian Dermatology Online Journal
https://www.readbyqxmd.com/read/27981623/central-centrifugal-cicatricial-alopecia-in-children-a-case-series-and-review-of-the-literature
#6
Ariana N Eginli, Ncoza C Dlova, Amy McMichael
BACKGROUND/OBJECTIVES: Central centrifugal cicatricial alopecia (CCCA) is a form of scarring hair loss most commonly seen in middle-aged African and African American women. It is rarely reported in children. The objective of the current study was to document the presence of CCCA in children and to encourage physicians to recognize early signs of CCCA in children of affected adults. METHODS: Six children presented with biopsy-proven CCCA to the Department of Dermatology at Wake Forest Baptist Health and the Nelson R...
March 2017: Pediatric Dermatology
https://www.readbyqxmd.com/read/27814688/infected-cephalhaematoma-in-a-five-week-old-infant-case-report-and-review-of-the-literature
#7
Petra Zimmermann, Andrea Duppenthaler
BACKGROUND: A cephalhaematoma is usually a benign condition which resolves spontaneously. Nevertheless, there is a small risk of primary or secondary infection and diagnosis of this condition is challenging. The purpose of this article is to summarise risk factors, clinical criteria, pathogenesis, appropriate investigations and treatment methods for infected cephalhaematomas in infants. CASE PRESENTATION: A 5-week-old infant presented with fever and a non-tender cephalhaematoma without local signs of inflammation...
November 4, 2016: BMC Infectious Diseases
https://www.readbyqxmd.com/read/27797882/visual-disturbance-with-systemic-symptoms-old-lessons-revisited
#8
Megan E Hume, Peter M Fernandes, Kirsty MacLean, Euan McRorie, Richard Davenport
We describe a retired physician who presented with visual disturbance and systemic symptoms. The presence of general malaise, headache and scalp tenderness, with raised inflammatory markers, suggested that giant cell arteritis (GCA) was the likely diagnosis. Rapid response to initial steroid therapy and histological evidence of inflammation in the temporal artery supported this diagnosis. The character of these visual symptoms was, however, atypical for GCA. The patient, who had heart valve disease, subsequently deteriorated and developed further symptoms warranting investigation of bacterial endocarditis...
October 25, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27606545/limited-association-between-scalp-psoriasis-and-psoriatic-arthritis-severity-and-treatment-response
#9
Kurt de Vlam, Lotus Mallbris, Annette Szumski, Heather Jones
OBJECTIVES: We evaluated whether scalp psoriasis (PsO) is associated with psoriatic arthritis (PsA) severity and/or with treatment response to etanercept. METHODS: Patients with moderate-to-severe PsO and active PsA received etanercept 50 mg once weekly for 24 weeks. Patients were stratified according to whether scalp PsO was present at baseline. Demographics and disease characteristics were compared at baseline and after 12 and 24 weeks of treatment with etanercept...
August 31, 2016: Clinical and Experimental Rheumatology
https://www.readbyqxmd.com/read/27606478/the-use-of-the-color-doppler-ultrasonography-in-the-diagnosis-and-monitoring-of-an-atypical-case-of-giant-cell-arteritis
#10
N Martins, J Polido-Pereira, A M Rodrigues, F Soares, P Batista, J A Pereira da Silva
Giant Cell Arteritis (GCA) is a large vessels vasculitis that is typically characterised by headache, scalp tenderness, jaw claudication and visual disturbances. Temporal arteries color Doppler ultrasonography (CDUS) is a sensitive and non-invasive image technique used in the diagnosis of this disease. This work highlights the importance of CDUS in the diagnostic workup of GCA and also demonstrates it´s usefullness in the evaluation and documentation of the response to corticosteroids therapy in an atypical case of ACG...
April 2016: Acta Reumatológica Portuguesa
https://www.readbyqxmd.com/read/27354884/tolerability-of-ingenol-mebutate-gel-0-05-for-treating-patients-with-actinic-keratosis-on-the-scalp-in-a-community-dermatology-practice
#11
Miriam S Bettencourt
OBJECTIVE: To describe the safety, tolerability, and efficacy of treatment of actinic keratosis on the scalp with two consecutive, once-daily applications of ingenol mebutate gel, 0.05%. DESIGN: Retrospective chart review. SETTING: Community dermatology practice. PARTICIPANTS: Male patients (N=78) with a long history of recurrent and relapsed scalp actinic keratosis. MEASUREMENTS: This chart review extracted non-identifying information on patients' medical history, pertinent history of actinic keratosis and skin cancer, and prior actinic keratosis treatments...
March 2016: Journal of Clinical and Aesthetic Dermatology
https://www.readbyqxmd.com/read/27289543/-breast-lesions-as-the-presenting-feature-of-giant-cell-arteritis
#12
E Meriglier, R Belhadj Chaidi, O Debouverie, L Luca, P Roblot
INTRODUCTION: Giant cell arteritis most commonly involves the external carotid branches. Although they are less typical, extra-cephalic forms have also been reported. CASE REPORT: We report the case of a 59-year-old female patient who developed bilateral, painful breast nodules with fever and altered general status since two months. Two weeks later, she presented frontal headache and scalp tenderness. A colour duplex ultrasound of the temporal artery showed a halo sign...
August 2016: La Revue de Médecine Interne
https://www.readbyqxmd.com/read/27224742/varicella-zoster-virus-triggers-the-immunopathology-of-giant-cell-arteritis
#13
Don Gilden, Maria A Nagel
PURPOSE OF REVIEW: Giant cell arteritis (GCA) is a severe form of vasculitis in the elderly. The recent discovery of varicella zoster virus (VZV) in the temporal arteries and adjacent skeletal muscle of patients with GCA, and the rationale and strategy for antiviral and corticosteroid treatment for GCA are reviewed. RECENT FINDINGS: The clinical features of GCA include excruciating headache/head pain, often with scalp tenderness, a nodular temporal arteries and decreased temporal artery pulsations...
July 2016: Current Opinion in Rheumatology
https://www.readbyqxmd.com/read/27166845/-calvarial-intraosseous-schwannoma-of-the-frontoparietal-bone-a-case-report
#14
REVIEW
Shinichi Kawai, Hitoshi Tsugu, Yoko Hirata, Hiroshi Abe, Tooru Inoue, Kazuki Nabeshima, Koichi Takano
Calvarial intraosseous schwannoma is very rare bone tumor. Herein we report the case of a 24-year-old woman with an intraosseous schwannoma of the right frontoparietal bone. The patient had a minor head trauma caused by a traffic accident. The patient was examined by a brain computed tomography (CT) and accidentally found a calvarial bone tumor. On local examination, there was no scalp swelling and tenderness. Magnetic resonance imaging (MRI) showed isointensity of the tumor within the brain cortex on T1-weighted image (WI) and high intensity on T2-WI...
May 2016: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/27155169/the-use-of-the-color-doppler-ultrasonography-in-the-diagnosis-and-monitoring-of-an-atypical-case-of-giant-cell-arteritis
#15
Nádia Martins, Joaquim Polido-Pereira, Ana Maria Rodrigues, Fátima Soares, Paulo Batista, José Alberto Pereira da Silva
Giant Cell Arteritis (GCA) is a large vessels vasculitis that is typically characterised by headache, scalp tenderness, jaw claudication and visual disturbances. Temporal arteries color Doppler ultrasonography (CDUS) is a sensitive and non-invasive image technique used in the diagnosis of this disease. This work highlights the importance of CDUS in the diagnostic workup of GCA and also demonstrates it´s usefullness in the evaluation and documentation of the response to corticosteroids therapy in an atypical case of ACG...
November 16, 2015: Acta Reumatológica Portuguesa
https://www.readbyqxmd.com/read/27043686/a-retrospective-study-of-chinese-patients-with-giant-cell-arteritis-gca-clinical-features-and-factors-associated-with-severe-ischemic-manifestations
#16
Fei Sun, Sha Ma, Wenjie Zheng, Xinping Tian, Xiaofeng Zeng
A retrospective study was performed on 70 giant cell arteritis (GCA) patients in Peking Union Medical College Hospital (PUMCH). The aim of this study was to describe the clinical features of these Chinese GCA patients and explore the possible associated factors for severe ischemic manifestations. Medical charts of all patients were reviewed, and the demographic, clinical, and laboratory data were analyzed. The mean age at disease onset was 65.2 years old, and the ratio of male to female was 1:1. Fever and headache were most prominent symptoms at onset, which occurred in 51...
March 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26937893/description-and-validation-of-histological-patterns-and-proposal-of-a-dynamic-model-of-inflammatory-infiltration-in-giant-cell-arteritis
#17
José Hernández-Rodríguez, Giuseppe Murgia, Irama Villar, Elías Campo, Sarah L Mackie, Aruna Chakrabarty, Elizabeth M A Hensor, Ann W Morgan, Carme Font, Sergio Prieto-González, Georgina Espígol-Frigolé, Josep M Grau, Maria C Cid
The extent of inflammatory infiltrates in arteries from patients with giant-cell arteritis (GCA) have been described using different terms and definitions. Studies investigating the relationship between GCA histological features and clinical manifestations have produced controversial results. The aims of this study were to characterize and validate histological patterns in temporal artery biopsies (TABs) from GCA patients, to explore additional histological features, including the coexistence of different patterns, and also to investigate the relationship of the inflammatory patterns with clinical and laboratory features...
February 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26937302/a-rare-complication-of-follicular-hair-unit-extraction-kaposi-s-varicelliform-eruption
#18
A Tulin Mansur, Gulsen T Demirci, M Adnan Uzunismail, Semsi Yildiz
Follicular hair unit extraction (FUE) is becoming a popular type of hair transplantation recently. Kaposi's varicelliform eruption (KVE) is an uncommon skin emergency due to cutaneous dissemination of several types of viruses, most notably herpes virus, over the lesions of preexisting skin disorders. A 34-year-old man visited our dermatology outpatient clinic with a blistering, itchy and tender eruption on his head and body. He had undergone follicular FUE for androgenic alopecia 12 days previously, and 5 days after the procedure, umbilicated and/or hemorrhagic vesiculopustules appeared firstly on the occipital scalp skin where the hair units were taken...
January 2016: Dermatology Practical & Conceptual
https://www.readbyqxmd.com/read/26871403/varicella-zoster-virus-and-giant-cell-arteritis
#19
Don Gilden, Maria A Nagel
PURPOSE OF REVIEW: Giant cell arteritis (GCA) is a serious disease and the most common cause of vasculitis in the elderly. Here, studies describing the recent discovery of varicella zoster virus (VZV) in the temporal arteries of patients with GCA are reviewed. RECENT FINDINGS: GCA is characterized by severe headache/head pain and scalp tenderness. Many patients also have a history of vision loss, jaw claudication, polymyalgia rheumatica, fever, night sweats, weight loss, and fatigue...
June 2016: Current Opinion in Infectious Diseases
https://www.readbyqxmd.com/read/26835662/apical-orbital-aspergillosis-complicating-giant-cell-arteritis
#20
Yang Zhou, Michael L Morgan, Sumayya J Almarzouqi, Patricia Chevez-Barrios, Andrew G Lee
A 75-year-old woman with new onset headaches and left vision loss, temporal scalp tenderness, and jaw claudication was found to have biopsy-proven giant cell arteritis (GCA). Despite treatment and improvement with prednisone, she later developed left orbital apex syndrome, and an orbital biopsy revealed aspergillosis. After antifungal treatment, extraocular motility improved although vision in the left eye remained no light perception. Clinicians should be aware that fungal orbital apex disease may mimic or complicate steroid-treated GCA...
June 2016: Journal of Neuro-ophthalmology: the Official Journal of the North American Neuro-Ophthalmology Society
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