Deep Beneath the Skin: An Unusual Causa of Melena

Beneath the Skin

Immigrants are not new to us in Britain. The archaeologist gives evidence of wave after wave of them in the pre-Christian eras. They usually solved their problems of different language, looks and religions by conquering limited areas of land and imposing their culture on the existing people. This rough-and-ready solution was confirmed by the Roman, Scandinavian, Saxon and Norman invasions. Thro...

Skull Beneath the Skin

Skull can be interpreted as an investigation by PD James into the way a classical detective character, stereotypes, crime and setting would be affected by the introduction of modern-world issues and values. Essentially she has placed the manor-house setting within contemporary Britain, and migrated its inhabitants to Courcy Castle as a controlled experiment in sociology. In this way, James succ...

What lies beneath the skin.

To cite: Sahai M, Oliver AM. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013008584 DESCRIPTION A 46-year-old man with a history of hypertension presented with a 6-month history of progressive, diffuse skin thickening. He denied any exposure to new drugs, toxins or contrast material, had no history of Raynaud’s disease or endocrine disorder. Physical examinati...

An unusual skin growth.

An Unusual Case of Metastatatic Renal Cell Carcinoma Presenting as Melena and Duodenal Ulcer, 16 Years After Nephrectomy; a Case Report and Review of the Literature

Renal cell carcinoma comprises about 2% of adult tumors. The overall 10-year survival rate of patients with RCC after nephrectomy is about 18-27%. The incidence of metastasis of initial RCC is about 24-28%, but this rate after nephrectomy is as high as 51%. The most common site of recurrence is the lung, however liver and bone metastases are common.There are many reported cases with late metast...