111 results

Kaposi sarcoma of the penis in an HIV-negative patient

José Francisco Aguilar Guevara ORCID logo , Seila Lacarra Fernández ORCID logo , Oliver Rojas Claros ORCID logo , Pedro Giral Villalta ORCID logo , José Luis Cebrián Lostal ORCID logo , Miguel Angel Resano Abarzuza ORCID logo

DOI: 10.31744/einstein_journal/2019RC4504

ABSTRACT Kaposi sarcoma is an angioproliferative disorder that ranges from a single indolent skin lesion to respiratory and gastrointestinal/visceral involvement. Kaposi sarcoma is rare in non-immunosuppressed patients. Nineteen cases of penile Kaposi sarcoma in HIV-negative patients were reported in 2012. We present the case report of a 48-year-old male patient with no previous medical history, who came to our urology clinic presenting a purple-color papule on the penis glans. Lab tests revealed negative serology for HIV, but tissue PCR was […]

Clinicopathological and immunohistochemical analysis of spindle cell squamous cell carcinoma of the tongue: a rare case

Diego Filipe Bezerra Silva ORCID logo , Hellen Bandeira de Pontes Santos ORCID logo , Jorge Esquiche León ORCID logo , Daliana Queiroga de Castro Gomes ORCID logo , Pollianna Muniz Alves ORCID logo , Cassiano Francisco Weege Nonaka ORCID logo

DOI: 10.31744/einstein_journal/2019RC4610

ABSTRACT Spindle cell squamous cell carcinoma of the tongue is a rare variant of squamous cell carcinoma. This paper reports the case of a spindle cell squamous cell carcinoma of the tongue, in a 64-year-old male patient, and presents a review of the etiopathogenesis, clinicopathological and immunohistochemical features and treatment of the malignancy. The patient presented for evaluation of a painful swelling on his tongue. Extraoral examination revealed palpable submandibular and superior cervical lymph nodes. Based on the presumptive diagnoses […]

Facial nerve hemangioma in the middle ear

Ludmilla Emilia Martins Costa ORCID logo , Rafael Freire de Castro ORCID logo , Fabiolla Maria Martins Costa ORCID logo , Mônica Alcântara de Oliveira Santos ORCID logo

DOI: 10.31744/einstein_journal/2018RC4509

ABSTRACT Facial nerve hemangioma is a rare and benign vascular tumor, and accounts for 0.7% of intratemporal tumors. We report the second case described in the literature of a facial nerve hemangioma in its tympanic segment. A 14-year-old male patient presented with a history of progressive right ear hearing loss with preserved facial mimicry. Pure tone audiometry showed a right ear moderate conductive hearing loss. Magnetic resonance imaging demonstrated an expansive lesion involving the tympanic segment of the right facial […]

Severe iron-deficiency anemia as initial manifestation of pulmonary hemosiderosis in a child

Natália Noronha ORCID logo , Pedro Ramalho ORCID logo , Rogério Barreira ORCID logo , Juliana Roda ORCID logo , Teresa Reis Silva ORCID logo , Miguel Félix ORCID logo

DOI: 10.31744/einstein_journal/2018RC4505

ABSTRACT Idiopathic pulmonary hemosiderosis is a potentially fatal disease that results from episodes of alveolar hemorrhage of unknown origin. The clinical spectrum is varied, and anemia may constitute the only manifestation of illness, preceding other signs and symptoms by several months. We present the case of a 4 year-old child presenting with fever, vomiting and prostration, associated with pallor. He had microcytic and hypochromic anemia refractory to iron therapy. Gastrointestinal bleeding was ruled out after negative extensive etiological investigation. Subsequently, […]

Late secondary urological reconstruction of separated ischiopagus twins with exstrophic bladder and urinary incontinence

Antonio Macedo Jr ORCID logo , Marcela Leal da Cruz ORCID logo

DOI: 10.31744/einstein_journal/2018RC3887

ABSTRACT We report a case of secondary urinary reconstruction of previously separated conjoined twins with exstrophic bladder and urinary incontinence. Patients were male and aged 13-year-old. Twin one had a history of failed enterocystoplasty that extruded and was visible like an exstrophic neobladder. He underwent a procedure to close bladder neck and reconfigure abdominal wall. After the procedure the patient developed a fistula that was treated, but it persisted and, for this reason, a catheterizable pouch was constructed and native […]

Percutaneous drainage of iliopsoas abscess: an effective option in cases not suitable for surgery

Diego Lima Nava Martins ORCID logo , Francisco de Assis Cavalcante Junior ORCID logo , Priscila Mina Falsarella ORCID logo , Antonio Rahal Junior ORCID logo , Rodrigo Gobbo Garcia ORCID logo

DOI: 10.1590/S1679-45082018RC4254

ABSTRACT The aim of this study were to describe the technique of percutaneous drainage of iliopsoas abscess, and to discuss the benefits of using this minimally-invasive tool. A single center study with retrospective analysis of patients with psoas abscess confirmed by imaging scans, sent to the interventional medicine center and submitted to computed tomography and ultrasound-guided percutaneous drainage, from November 2013 to August 2016. Seven patients underwent percutaneous drainage of psoas abscess in this period. The mean initial drained volume […]

Temporomandibular joint disorders as the only manifestation of juvenile idiopathic arthritis: a case report

José Renato Ribeiro Pinto ORCID logo , Irineu Gregnanin Pedron ORCID logo , Estevam Rubens Utumi ORCID logo , Milton Edson Miranda ORCID logo , Elisa Cruz Pereira Pinto ORCID logo , Leopoldo Penteado Nucci ORCID logo

DOI: 10.1590/S1679-45082018RC4003

ABSTRACT Juvenile idiopathic arthritis is a term used to include all chronic childhood arthritis of unknown etiology. It is characterized by chronic inflammation persisting for at least 6 weeks, beginning before 16 years of age. The characteristics present are chronic synovitis, arthralgia, impaired joint mobility in at least one joint, and erosion with destruction of cartilage and subchondral bone, that could be associated or not with systemic involvement, according to each subtype of the disease. During the pathologic process, the […]

X-linked spinal and bulbar muscular atrophy (Kennedy’s disease): the first case described in the Brazilian Amazon

Camila Nascimento Alves, Tiago Kiyoshi Kitabayashi Braga, Danusa Neves Somensi, Bruno Sérgio Vilhena do Nascimento, José Antônio Santos de Lima, Satomi Fujihara

DOI: 10.1590/S1679-45082018RC4011

ABSTRACT The X-linked spinal and bulbar muscular atrophy (Kennedy’s disease) is a rare X-linked, recessive, lower motor neuron disease, characterized by weakness, atrophy, and fasciculations of the appendicular and bulbar muscle. The disease is caused by an expansion of the CAG repetition in the androgen receptor gene. Patients with Kennedy’s disease have more than 39 CAG repetitions. We report a case of 57-year-old man, resident of Monte Dourado (PA, Brazil) who complained of brachiocrural paresis evolving for 3 years along […]

Immunotherapy-induced pneumonitis: cases report

Henrique Alkalay Helber, Aline Lury Hada, Raquel Baptista Pio, Pedro Henrique Zavarize de Moraes, Diogo Bugano Diniz Gomes

DOI: 10.1590/S1679-45082018RC4030

ABSTRACT Immunotherapy-induced pneumonitis is a rare complication with incidence estimated around 3%. This disease is difficult to diagnose and has great morbidity. For this reason, it became a challenge for oncologists and emergencists. We reviewed the case of five patients who used anti-PD1 (program cell death receptor antagonist 1) for antineoplastic treatment and developed treatment-induced pneumonitis. All patients had respiratory problems because of immunotherapy and presence of ground-glass radiologic change. Among all patients, only one had grade 5 pneumonitis, and […]

Influence of growth hormone replacement on neurological and psychomotor development. Case report

Felipe Motta, Adriana Pasmanik Eisencraft, Lindiane Gomes Crisostomo

DOI: 10.1590/S1679-45082018RC3961

ABSTRACT The height response to the use of growth hormone in short height cases has already been confirmed in the literature. The influence of the insulin-like growth factor 1 (GH-IGF1) axis components on development, function, regeneration, neuroprotection, cognition, and motor functions has been evaluated in experimental studies and in adults with central nervous system lesions. However, there is still little research on the clinical impact of hormone replacement on neurological and psychomotor development. This report presents the case of a […]

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