74-Year-Old Man With Palpitations

Palpitations in a 64-year-old man.

A 64-year-old man presented with several weeks of intermittent irregular palpitations. He had no prior history of cardiac disease, hypertension or syncope. A 12-lead ECG revealed sinus rhythm with premature atrial and ventricular contractions and high QRS voltages consistent with LV-hypertrophy. Cardiac MR revealed asymmetrical septal hypertrophy and marked mid-myocardial hyperenhancement of th...

A 40-Year-Old Man with Rashes and Palpitations.

A 40-year-old Singaporean Indian man with no signifi cant past medical history presented with worsening non-pruritic rashes primarily involving his limbs over a 6-month period. He also reported a near fainting episode associated with recurrent palpitations over the past few weeks. Clinical examination revealed the presence of multiple waxy yellowish-brown dermal papules and plaques over his lim...

Self-assessment corner Palpitations in a 43-year-old man

Bacteraemia and intestinal obstruction in a 74-year-old man.

8 Beyt BE, Ortbals DW, Santa Cruz DJ, Kobayashi GS, Eisen AZ, Medoff G. Cutaneous mycobacterioses. Analysis of 34 cases with a new classification of the disease. Medicine (Baltimore) 1980; 60: 95-108. 9 Breathnach A, Levell N, Munro C, Natarajan S, Pedler S. Cutaneous Mycobactenium kansasii infection: case report and review. Clin Infect Dis 1995; 20: 812-7. 10 Witzig RS, Franzblau SG. Susceptib...

Cytophagic histiocytic panniculitis in a 74-year-old man.

Cytophagic histiocytic panniculitis is a chronic histiocytic disease of the subcutaneous adipose tissue characterised by lobular panniculitis with histiocytes containing blood cell fragments. It is also associated with marked systemic features such as fever, pancytopenia, hepatosplenomegaly, liver abnormalities and coagulopathy. We report a case of cytophagic histiocytic panniculitis in a 74-ye...