Tuberous sclerosis-could it be?

Could it be Lyme neuroborreliosis?

hoarseness: could be presentation of multiple sclerosis?

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Hoarseness: could be presentation of multiple sclerosis?

n the latest issue of the Journal of Research in Medical Sciences, Dr. Shaygannejad et al1 described a patient with diagnosis of multiple sclerosis (MS) accompanying by hoarseness. Herein, I shall consider some points on the subject of this exciting case report. It goes without saying that hoarseness as a manifestation of neurologic disease, after excluding local lesions such as laryngitis or t...

Could it be a secondary hypertension?

• No family history of hypertension in a thin child • Age younger than 10 years and prepubertal stage • Acute rise in blood pressure previously normal • Severe hypertension (SBP/DBP ≥ 99th percentile plus 5 mmHg) • Mild hypertension (SBP/DBP ≥ 95th percentile plus 5 mmHg) in systemic disease • Nocturnal hypertension, reduced nocturnal dipping or diastolic hypertension at 24-hour BP monitoring •...

Chronic heel pain: It could be tuberculosis.

INTRODUCTION Heel pain is a common presentation at a primary care setting. The majority of these cases are benign and self limiting in nature. Common differential diagnoses include plantar fasciitis and peroneal muscle sprains. However, certain conditions-if undetected early-may cause significant morbidity to the patient. A high index of suspicion and early referral for further investigations a...