Acute onset of generalised pruritus as presenting symptom of Klatskin tumour

Acute headache as a presenting symptom of tacrolimus encephalopathy.

A 24 year old woman presented with a sudden excruciating headache mimicking an acute vascular event. She had undergone a lung transplantation because of cystic fibrosis and was receiving maintenance treatment with tacrolimus and prednisone. Ancillary investigation excluded vascular causes. Magnetic resonance imaging demonstrated hyperintense lesions in the infratentorial and parieto-occipital r...

Headache as the sole presenting symptom of acute myocardial infarction.

www.japi.org 83 Headache as the Sole Presenting Symptom of Acute Myocardial Infarction Sir, The International Classification of Headache Disorders does not include Acute Myocardial Infarction (AMI) or Acute Coronary Syndrome (ACS) as one of the rare causes of headache.1 On review of the literature it has been observed that it is very rare for patients with AMI or ACS to present with headache as...

Polycystic liver disease presenting as pruritus

Polycystic liver disease (PCLD) is a rare autosomal dominant disorder which usually occurs in association with autosomal dominant polycystic kidney disease. Biliary obstruction is a rare complication of PCLD. Treatment options include percutaneous aspiration and sclerosis, surgical deroofing of cysts, liver resection or liver transplantation. Medical treatment involves the use of somatostatin a...

[Brachioradial pruritus as a symptom of cervical radiculopathy].

Brachioradial pruritus is characterized by the presence of pruritus on the lateral aspect of the arms. The etiology of this enigmatic entity is the subject of some debate some authors claim that brachioradial pruritus is a photodermatosis whereas others attribute it to the presence of underlying cervical radiculopathy. In these case reports, we present our experience with brachioradial pruritus...

Pancreatic Metastasis of Alveolar Rhabdomyosarcoma Presenting as Acute Pancreatitis