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https://www.readbyqxmd.com/read/27644948/idiopathic-pulmonary-haemosiderosis-in-paediatric-patients-how-to-make-an-early-diagnosis
#1
Luca Castellazzi, Maria Francesca Patria, Gemma Frati, Andrea Alessandro Esposito, Susanna Esposito
BACKGROUND: Idiopathic pulmonary haemosiderosis (IPH) is a rare but potentially lethal condition in paediatric patients. This condition is considered an immune-mediated disorder, but its pathogenesis is still unknown. Idiopathic pulmonary haemosiderosis is characterized by the classical triad of haemoptysis, iron-deficiency anaemia, and diffuse parenchymal consolidation on chest radiology. Unfortunately, this triad of signs is not frequent in children at the onset of this disease, resulting in a delay in diagnosis and a negative outcome...
September 20, 2016: Italian Journal of Pediatrics
https://www.readbyqxmd.com/read/27520826/nontraumatic-head-and-neck-emergencies-a-clinical-approach-part-1-cervicofacial-swelling-dysphagia-and-dyspnea
#2
B Brea Álvarez, M Tuñón Gómez, L Esteban García, C Y García Hidalgo, R M Ruiz Peralbo
Nontraumatic emergencies of the head and neck represent a challenge in the field of neuroradiology for two reasons: first, they affect an area where the thorax joins the cranial cavity and can thus compromise both structures; second, they are uncommon, so they are not well known. Various publications focus on nontraumatic emergencies of the head and neck from the viewpoints of anatomic location or of particular diseases. However, these are not the most helpful viewpoints for dealing with patients in the emergency department, who present with particular signs and symptoms...
September 2016: Radiología
https://www.readbyqxmd.com/read/27467922/combined-inhibition-of-tgf%C3%AE-and-pdgf-signaling-attenuates-radiation-induced-pulmonary-fibrosis
#3
Monika Dadrich, Nils H Nicolay, Paul Flechsig, Sebastian Bickelhaupt, Line Hoeltgen, Falk Roeder, Kai Hauser, Alexandra Tietz, Jürgen Jenne, Ramon Lopez, Manuel Roehrich, Ute Wirkner, Michael Lahn, Peter E Huber
Background : Radiotherapy (RT) is a mainstay for the treatment of lung cancer, but the effective dose is often limited by the development of radiation-induced pneumonitis and pulmonary fibrosis. Transforming growth factor β (TGFβ) and platelet-derived growth factor (PDGF) play crucial roles in the development of these diseases, but the effects of dual growth factor inhibition on pulmonary fibrosis development remain unclear. Methods : C57BL/6 mice were treated with 20 Gy to the thorax to induce pulmonary fibrosis...
May 2016: Oncoimmunology
https://www.readbyqxmd.com/read/27017733/descending-necrotizing-mediastinitis-secondary-to-retropharyngeal-abscess
#4
Marijan Kovacić, Ivan Kovacić, Boris Dželalija
Descending necrotizing mediastinitis secondary to a nontraumatic retropharyngeal abscess is very rare. This form of mediastinitis in the era of potent antibiotics often ends up with lethal outcome. It usually occurs in immunocompromised patients and requires intensive multidisciplinary treatment approach. We report a case of nontraumatic retropharyngeal abscess complicated by descending necrotizing mediastinitis in a 70-year-old man with insulin dependent diabetes mellitus. The patient was admitted to our hospital after clinical and radiological diagnosis of retropharyngeal abscess...
December 2015: Acta Clinica Croatica
https://www.readbyqxmd.com/read/26193229/single-ectopic-thoracic-renal-artery-associated-with-a-normal-kidney-position-and-renal-artery-stenosis-a-case-report-and-review-of-literature
#5
REVIEW
Petru Matusz, Graţian Dragoslav Miclăuş, Abigail Gabriel, Ilia Catereniuc, Sorin Olariu, R Shane Tubbs, Marios Loukas
There are several reports of multiple ectopic renal arteries (RA) in the literature. However, the ectopic origin of a single RA with a normal kidney position is rare. Knowledge of this variant is extremely important in clinical, surgical and radiological practice. Using MDCT angiography examination, we describe a rare case of a right kidney located in a normal lumbal position with a single ectopic thoracic renal artery originating in the thorax, above the diaphragmatic dome, at the level of the upper one-third of the T12 vertebral body...
2015: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
https://www.readbyqxmd.com/read/26101674/bilateral-adrenal-incidentalomas-a-rare-presentation-of-lung-cancer
#6
Halit Diri, Melih Kiziltepe, Sulbiye Karaburgu, Mehmet Sait Koc, Ersin Ozaslan, Fatih Tanriverdi
Adrenal incidentalomas are found incidentally during a radiologic examination performed for indications other than an adrenal disease, and 15% of them are bilateral adrenal masses. This study describes a 51-year-old male smoker patient admitted with diabetes mellitus. An abdominal ultrasonography performed due to his anemia revealed bilateral adrenal masses. His chest X-ray showed abnormal 10 cm opacity at the right upper lung, and brain, thorax, and abdomen CT scans showed multiple lesions compatible with lung cancer metastases...
2015: Case Reports in Endocrinology
https://www.readbyqxmd.com/read/26046904/manubrioclavicular-and-manubriosternal-reconstruction-after-radical-resection-for-chondrosarcoma-of-manubriosternum-a-modified-surgical-technique
#7
Ikram ul haq Chaudhry, Zahrah Alhajji, Fozan Aldulaijan, Hadi Mutairi, Samir S Amr
Primary chondrosarcoma of the manubriosternum is a rare tumor. We describe the case of a 42 year-old man who presented with a swelling of the anterior chest wall. The computed tomography scan of the thorax showed a manubriosternal mass involving both clavicles. True-cut biopsy revealed a low-grade chondrosarcoma. The manubrium, the medial part of the clavicles, the sternum, and all costal cartilages were excised en bloc with wide, clear margins and reconstructed successfully without any residual deficit regarding the stability of the chest wall and upper arm movements...
June 2015: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/25992177/ortner-s-syndrome-secondary-laryngeal-paralysis-caused-by-a-great-thoracic-aorta-aneurysm
#8
Ana Claudia Alves Zangirolami, Frederico Vieira de Oliveira, Miguel Soares Tepedino
Introduction Recurrent laryngeal nerve injury caused by cardiovascular disease is a rare condition, and often it is the only prominent sign of an imminent break of an aortic artery aneurysm. Objective To report left laryngeal paralysis caused by a great aortic arch aneurysm and to highlight the importance of an otorhinolaryngologic evaluation along with a thoracic radiologic study. Resumed Report A 42-year-old man complained of thickness of his voice and dysphagia for 3 months, but no thoracic pain or other relevant complaints...
April 2015: International Archives of Otorhinolaryngology
https://www.readbyqxmd.com/read/25983619/clinical-and-molecular-characterization-of-a-brazilian-cohort-of-campomelic-dysplasia-patients-and-identification-of-seven-new-sox9-mutations
#9
Eduardo P Mattos, Maria Teresa V Sanseverino, José Antônio A Magalhães, Júlio César L Leite, Temis Maria Félix, Luiz Alberto Todeschini, Denise P Cavalcanti, Lavinia Schüler-Faccini
Campomelic dysplasia (CD) is an autosomal, dominantly inherited, skeletal abnormality belonging to the subgroup of bent bone dysplasias. In addition to bowed lower limbs, CD typically includes the following: disproportionate short stature, flat face, micrognathia, cleft palate, bell-shaped thorax, and club feet. Up to three quarters of 46, XY individuals may be sex-reversed. Radiological signs include scapular and pubic hypoplasia, narrow iliac wings, spaced ischia, and bowed femora and tibiae. Lethal CD is usually due to heterozygous mutations in SOX9, a major regulator of chondrocytic development...
March 2015: Genetics and Molecular Biology
https://www.readbyqxmd.com/read/25810757/the-rib-index-is-not-practically-affected-by-the-distance-between-the-radiation-source-and-the-examined-child
#10
Theodoros B Grivas, Konstantinos C Soultanis, Christina Mazioti, Vasileios Kechagias, Antonios Akriotis, Konstantinos Athanasopoulos, Christos Naskas
BACKGROUND: All lateral spinal radiographs in idiopathic scoliosis (IS) show a Double Rib Contour Sign (DRCS) of the thoracic cage, a radiographic expression of the rib hump. The outline of the convex overlies the contour of the concave ribs. The rib index (RI) method was extracted from the DRCS to evaluate rib hump deformity in IS patients. The RI was calculated by the ratio of spine distances d1/d2 where d1 is the distance between the most extended point of the most extending rib contour and the posterior margin of the corresponding vertebra on the lateral scoliosis films, while d2 is the distance from the least projection rib contour and the posterior margin of the same vertebra, (Grivas et al 2002)...
2015: Scoliosis
https://www.readbyqxmd.com/read/25507379/blunt-trauma-of-thorax-with-subclavian-and-axillary-artery-lesion-case-report
#11
Jurica Fudurić, Željko Erdeljac, Ivan Frketić, Matija Miletić, Ana Soštarić Zadro, Ivan Bacić, Zarko Rašić, Zvonko Zadro, Miran Martinac, Eduard Missoni
We report a rare case of blunt trauma of the axillary artery in a 20-year-old man who was injured as a motorcycle rider and received severe body injuries. Injuries included severe trauma of the left lower leg with contusion and extensive soft tissue and bone trauma of these regions with poor general condition and with the presence of clinical signs of traumatic shock. Upon arrival, we found that in addition to earlier clearly visible trauma to the leg, there was a hematoma of the medial side of the left supraclavicular region and the absence of the radial artery pulse with paralysis of the left arm...
September 2014: Collegium Antropologicum
https://www.readbyqxmd.com/read/25431727/asymptomatic-pellet-migration-to-the-heart-report-of-a-case-and-update-on-proper-management
#12
George Galyfos, Konstantinos Palogos, Nikolaos Kavouras
We report a case of a 42-year-old male patient who was transferred to our emergency department suffering from a gunshot wound in his left lateral thigh. The patient was haemodynamically stable, and the physical examination of the abdomen and thorax was unremarkable. There was no obvious exit point and there were no other injuries. The radiologic control of the left thigh showed an intact femur and multiple pellets within the adjacent soft tissues. Routine X-ray evaluation of the thorax revealed a small-sized round object of metal density-possibly a migrated pellet-in the proximity of the right heart atrium...
2014: Case Reports in Surgery
https://www.readbyqxmd.com/read/25420395/blunt-trauma-of-thorax-with-subclavian-and-axillary-artery-lesion-case-report
#13
Jurica Fudurić, Željko Erdeljac, Ivan Frketić, Matija Miletić, Ana Soštarić Zadro, Ivan Bacić, Zarko Rašić, Zvonko Zadro, Miran Martinac, Eduard Missoni
We report a rare case of blunt trauma of the axillary artery in a 20-year-old man who was injured as a motorcycle rider and received severe body injuries. Injuries included severe trauma of the left lower leg with contusion and extensive soft tissue and bone trauma of these regions with poor general condition and with the presence of clinical signs of traumatic shock. Upon arrival, we found that in addition to earlier clearly visible trauma to the leg, there was a hematoma of the medial side of the left supraclavicular region and the absence of the radial artery pulse with paralysis of the left arm...
September 2014: Collegium Antropologicum
https://www.readbyqxmd.com/read/24974503/squamous-cell-lung-cancer-producing-bilateral-air-bronchograms-on-ct-scan-thorax
#14
Amitabha Sengupta, Kaushik Saha, Debraj Jash, Ankan Bandyopadhyay
A young lady presented with cough for three months and dyspnoea for one month along with clinical signs of bilateral consolidation of lung. On CT scan thorax there were bilateral air bronchograms with alveolar filling opacities predominantly in lower lobes. After bronchoscopy when there was presence of suspicious malignant cells on bronchoalveolar lavage fluid, transbronchial lung biopsy diagnosed the case as squamous cell lung cancer. Radiological presentation of squamous cell lung cancer as air bronchogram is not a very common phenomenon and can present a diagnostic challenge to the clinician...
November 2013: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/24955261/pneumomediastinum-associated-with-pneumopericardium-and-epidural-pneumatosis
#15
Ozlem Bilir, Ozcan Yavasi, Gokhan Ersunan, Kamil Kayayurt, Baris Giakoup
Spontaneous pneumomediastinum is a relatively rare benign condition. It may rarely be associated with one or combination of pneumothorax, epidural pneumatosis, pneumopericardium, or subcutaneous emphysema. We present a unique case with four of the radiological findings in a 9-year-old male child who presented to our emergency department with his parents with complaints of unproductive cough, dyspnea, and swelling on chest wall. Bilateral subcutaneous emphysema was palpated on anterior chest wall from sternum to midaxillary regions...
2014: Case Reports in Emergency Medicine
https://www.readbyqxmd.com/read/24946332/incarcerated-gastro-thorax-a-rare-and-delayed-presentation-of-diaphragmatic-injury-due-to-multiple-stab-wounds
#16
Sanoop Zachariah, Parag Dhamne, Nirmalan Raja
Diaphragmatic injuries due to thoraco-abdominal penetrating trauma may often go unnoticed at the initial admission, especially in patients who are asymptomatic, with stable hemodynamic and respiratory parameters. Such occult diaphragmatic perforations can result in latent morbidity and mortality due to delayed trans-diaphragmatic herniation of the abdominal viscera leading to incarceration, strangulation and perforation. Here we report a case of an initially asymptomatic patient who had sustained multiple truncal stab injuries and presented two months later with a trans-thoracic incarceration of the stomach which was accurately diagnosed and successfully repaired at the time of surgery...
2010: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/24672674/a-dynamic-sign-of-alveolar-consolidation-in-bedside-ultrasonography-air-bronchogram
#17
Erden Erol Unlüer, Arif Karagöz
Acute dyspnoea is one of the most common reasons patients present to the emergency department (ED). In most cases, the physical examination and bedside radiographs are inconclusive, resulting in the need for more sophisticated diagnostics. These diagnostics may delay treatment or expose the patient to unnecessary radiation. Here, we present the case of a dyspnoeic patient. The patient was diagnosed with pneumonia by bedside thoracic ultrasonography (TUS). TUS was performed by the emergency physician and revealed bilateral pleural effusion, which was more significant on the right side of the thorax...
March 2014: Interventional Medicine & Applied Science
https://www.readbyqxmd.com/read/23405534/hydatid-lung-disease-an-analysis-of-five-years-cumulative-data-from-kolkata
#18
A G Ghoshal, Supriya Sarkar, Kaushik Saha, Uday Sarkar, Susmita Kundu, Surajit Chatterjee, Somenath Kundu
BACKGROUND AND OBJECTIVE: There is scarcity of clinical data regarding hydatid lung disease from Indian subcontinent. In this retrospective study we analyzed the cumulative data over five year's period from two tertiary care hospitals of Kolkata to determine the presentation, treatment and outcome of hydatid disease of lung. METHOD: We analyzed 106 patients on the basis of clinical findings, radiological findings [chest X-ray--PA and lateral view, CT scan of thorax and upper abdomen, ultrasonography (USG) of thorax and upper abdomen] and serological test IgG ELISA (enzyme linked immunosorbent assay) against echinococcus granulosus antigen along with the mode of diagnosis, indications and types of surgery, and outcome of treatment with chemotherapy (albendazole), surgery and combined surgery with chemotherapy...
July 2012: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/23120471/an-unusual-complication-of-csom-lateral-sinus-thrombosis-with-lung-abscess-a-clinicoradiological-study
#19
S N Saha, S Chandra, A Srivastava, A Ghosh
AIMS: To present a case report of a child presenting with lateral sinus thrombosis with bilateral multiple lung abscesses as a rare consequence of CSOM with an emphasis on the radiological findings. MATERIAL AND METHODS: An 11-year-old male child with a history of pyrexia of unknown origin, right-sided torticollis, cough with expectoration and right ear discharge was referred to us from department of paediatric medicine. Chest examination revealed dull areas on percussion and areas with bronchial breath sounds on auscultation bilaterally...
December 2007: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/22529510/an-audit-of-3859-preadmission-chest-radiographs-of-apparently-healthy-students-in-a-nigerian-tertiary-institution
#20
O U Ogbeide, A A Adeyekun
BACKGROUND: Chest radiographs are routinely requested as part of the medical screening process prior to admission to institutions. Literature on the yield of such an exercise is sparse especially in the Nigerian setting. This study was therefore carried out to assess the usefulness of routine chest radiography for students at the time of admission. MATERIALS AND METHODS: This was a prospective study of 3859 chest X-rays taken at the department of radiology, University of Benin Teaching Hospital for one admission screening for the 2008/2009 academic year...
October 2011: Nigerian Medical Journal: Journal of the Nigeria Medical Association
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