Primary pulmonary lymphoma (PPL) is a rare neoplasm. We report case of 45-year-old men who was admitted to hospital for multiple nodules and masses in both lungs. The contrast enhanced chest CT scans revealed varying sizes right upper middle lobes lower lobes. CT-guided percutaneous transthoracic needle biopsy performed. diagnosis PPL confirmed by histopathological examination Immunohistochemic...

Two patients on long-term lithium therapy for manic-depressive psychosis developed serious toxicity within days of being prescribed a combination of triamterene (50 mg) and hydrochlorothiazide (25 mg) for mild symptomless hypertension. Reduced clearance of lithium has been reported to follow its concurrent administration with diuretics that deplete both sodium and potassium. A combination of tr...

Dehiscence of the valve is a serious complication of prosthetic heart valve replacement. It has grave consequences unless promptly diagnosed and corrected by surgery. We report the case of a symptomless patient with near-complete detachment of the aortic prosthesis, diagnosed by radiography and two-dimensional echocardiography. This was confirmed at surgery and the dehisced prosthetic valve was...

Ms L is a 47-year-old lady who was referred with severe, left-sided pleuritic chest pain and painful left arm weakness that occurred predictably during consecutive commercial flights. Subsequent investigations diagnosed a large left-sided, isolated bulla. A VATS bullectomy was performed with no complications, and a symptomless flight followed. We discuss here the physiological explanation for h...

Many of the sclerosing bone dystrophies fall within the classification employed by Fairbank (1951). However, patients occasionally present features suggesting a possible relationship between osteopoikilosis (spotted bones), osteopathia striata (striated bones, Voorhoeve’s disease), melorheostosis (running wax bones) and osteopetrosis (dense or marble bones). Areas of dense bone arranged in diff...

Hereditary hyperparathyroidism, occurring as an isolated endocrinopathy was first described by Goldman and Smyth in 1936. They described primary hyperparathyroidism in two siblings. Jackson and Boonstra (1967) collected 21 families with 107 hyperparathyroid members from the literature, including eight unrelated families of their own, all discovered in a single centre over a 10-year period. This...