A 14-year-old female with painless joint effusion in the right knee was referred to our rheumatology department from the orthopaedics department. The patient first noted right joint swelling 20 days prior to referral with no history of trauma or a change in limb function. Prior to referral, the patient received non-steroidal anti-inflammatory drugs after which the joint was aspirated for the pu...

n engl j med 376;20 nejm.org May 18, 2017 recent survey, a majority of physicians indicated that they were very or extremely likely to buy apps extending their EHR system’s capabilities.5 Furthermore, whereas the Meaningful Use program applied only to CMS payments, we encourage private payers to also provide incentives for a standard open API as a mechanism for integrating decision-support apps...

BACKGROUND Weight loss does not necessarily decrease the negative appraisal of a formerly overweight individual. Since past weight history tends to be disclosed in several contexts, this study aims to investigate whether negative appraisals are gender-specific and if they are modulated by the evaluators' own BMI. METHODS 202 young adults (106 male and 96 female) viewed a picture of a young at...

A 17 years female presented with painless progressive swelling of both the parotid regions for last two years. The swelling started first on the left side and within next three months, also appeared on the right side. She also had few episodes of self-limited epistaxis of brief duration during that period. For last few weeks, patient also noticed difficulty in fully opening the mouth and closin...

Retained surgical gauze that was left inside the patient during a surgical procedure is called gossypiboma or textiloma. It is a rare complication of surgery commonly seen after abdominal operations. The symptoms of gossypiboma are non-specific, such as pain, palpable mass and fever, which make clinical diagnosis difficult. We present a case of young female athlete patient with right lower quad...

A variety of systemic drugs including corticosteroids, amiodarone and antipsychotics have been known to cause cataract formation. Typical antipsychotics such as chlorpromazine have been reported to cause cataract formation in varying rates ranging from 22% to 80%. Cataract as an adverse effect resulting from the long term use of atypical antipsychotic has rarely been mentioned in literature, an...

Prajapati S, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-222401 Description Cancer or carcinoma en cuirasse is an infrequent clinical presentation of metastatic cutaneous carcinoma. In this condition, the skin of the chest wall is studded with carcinomatous indurated plaques. It is often seen after a patient of breast cancer undergoes mastectomy operation and develops local recurrence. The p...

A 36 year old woman was seen in the dermatology department because of a mole on her back. On examination, she had an 8 mm uniformly pigmented lesion with regular margin and texture on her midback, which clinically was a benign naevus. The skin was also soft and hyperextensible, with a velvety appearance (fig 1). She also had extensive scars on her legs, forehead, arms, and back (fig 2), which d...

Malakoplakia is a rare granulomatous disease that occurs commonly in the urinary tract and secondarily in the gastrointestinal tract. Most reported cases of malakoplakia are associated with immunosuppressive diseases or chronic prolonged illness. Here, we report a rare case of malakoplakia in a young healthy adolescent without any underlying disease. A 19-year-old female was referred to our hos...