A Young Woman with Thrombocytosis

A young woman with multiple hypopigmented patches

A 33–year-old woman was visited at the dermatological clinic of Loghman-e-Hakim Hospital with multiple hypopigmented patches on her right arm, buttocks and flanks. Her lesions developed over the past year with no regression. Lesions were resistant to multiple antifungal therapies. Clinical examination revealed multiple circular or oval patches on the right arm, flank and sacral area. There was ...

A 53-year-old woman with thrombocytosis and pulmonary embolism

A 53-year-old woman was referred to our cardiology clinic for evaluation of severe exertional breathlessness of 3 months duration, after an episode of pulmonary embolism. Her medical history began in 1995 when the diagnosis of essential thrombocythemia was established, treated with hydroxyurea. The diagnosis was based on bone marrow biopsy. The specimen showed proliferation mainly of the megaka...

a young woman with multiple liver cysts

a 29-year-old housewife presented with abdominal pain and abnormal results on liver function tests (table 1). the patient was from a rural area (garmsar, iran) and there was no family history of a similar disease. her family owned various animals most notably jackals, dogs, and cats. the animals were not receiving regular veterinary check-ups, preventive care, or even vaccinations.

A pink papule on the forehead of a young woman

A young woman with myalgia.

We describe the case of a young female presenting with myalgia, mildly raised creatine kinase and a rash. The discussion emphasises the importance of a systematic approach to muscle symptoms, the value of a detailed hand examination and the importance of magnetic resonance imaging in the investigation of muscular symptoms.