Deceptive appearances

[Dyspnea in aortic stenosis: appearances can be deceptive].

Valvular aortic stenosis is the most common valvular disorder in Europe. Although recommended, stress exams are still underused in its evaluation. We report the case of a 60-year-old man who, following a routine electrocardiogram with abnormal ventricular repolarization, underwent stress testing, which was positive for myocardial ischemia, and an echocardiogram that revealed moderate aortic ste...

Misclassification of obesity in CKD: appearances are deceptive.

In the short span of a century, obesity has transitioned frombeingviewed as a sign of goodhealth to becoming one of themajor health challenges ofmodern society. In 1832, the Belgian astronomer and statistician Adolphe Quetelet (1796–1874) noted that “other than the spurts of growth after birth and during puberty, the weight increases as the square of the height” (1). The Quetelet index of bodyw...

First impressions are good, but appearances can be deceptive!

Zahn et al. publish the latest analyses from the Carotid Artery Stent (CAS) Registry of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausartzte (ALKK) of Germany. This reports outcomes following CAS in octogenarians (n 1⁄4 321) compared with younger patients (n 1⁄4 2557). As indicated in the introduction, this analysis was prompted by conflicting published data regarding the safety of...

Appearances are Deceptive: Staphylococcus Superinfection of Clavicular Tuberculous Osteomyelitis.

A man, aged 25 years, presented with pain, swelling, and drainage from the right clavicular area. He had a past history of abscess at the sternoclavicular joint. The cultures from the drainage site grew methicillin-sensitive Staphylococcus aureus, and he was placed on appropriate antibiotics. As S. aureus infection of the clavicle is often secondary in nature, particularly in adults, a thorough...

Ulcerative colitis extent varies with time but endoscopic appearances may be deceptive.