In spite of high incidence pulmonary embolism (PE), its diagnosis can be challenging due to vagaries symptoms. Conversely, right shoulder pain is a relatively easy clinical presentation which mostly musculoskeletal in nature. But only case PE, has proven difficult correlation make. We here describe patient with no prior history DVT or prolonged bed rest recent surgery but admitted emergency dep...

conclusions kd should be kept in mind as one of the causes of childhood acalculous cholestasis, abdominal discomfort and prolonged fever. case presentation we report a four-year-old boy with fever, abdominal pain, vomiting, jaundice and mild liver enlargement who gradually developed other signs of kd. he was treated by aspirin, intravenous immunoglobulin and finally methylprednisolone pulse the...

Primary malignant neoplasms of the pericardium are rare and are predominantly mesotheliomas, followed by benign localized fibrous mesothelioma, malignant fibrosarcoma, angiosarcoma and benign and malignant teratomas. 1 This article concerns an atypical presentation of this malignant tumor with symptoms and signs of pericardial effusion. This unusual feature was complete encasement of the h...

  Cutaneous Leishmaniasis may present with clinical presentation such as zosteriform, sporotrichoid and erysipeloid. The eczema variant has rarely been reported. We report a 27- year- old patient with atypical cutaneous leishmaniasis resembling eczema on the hand of a man in Yazd province in the central of Iran.  

INTRODUCTION Knowledge of the characteristics of patients with atypical presentation of acute coronary syndromes may contribute to increased sensitivity in diagnosis in a given population. The purpose of this study is to quantify the prevalence of atypical presentation, to identify its determinants, and to describe the presenting symptoms in cases of acute coronary syndrome at the emergency dep...

Background: Stiff person syndrome (SPS) is a rare neurological disease resulting in stiffness and spasm of muscles. It initially affects the axial muscles and then spread to limb muscles. Emotional stress exacerbated the symptoms and signs of the disease. The pathophysiology of the disease is caused by the decreased level of the glutamic acid decarboxylase (GAD) activity due to an autoantibody ...