Before 1983 physicians diagnosed cat-scratch disease by its clinical manifestations and a positive Hanger-Rose skin test. Three out of four criteria, as outlined by Warwick, 1 were required for diagnosis. In 1983 Wear, et al.2 reported that they found gram-negative pleomorphic organisms using the Warthin-Starry stain on lymph nodes from patients with cat-scratch disease. The organism was then i...

Neuralgic Amyotrophy (NA) is generally conceived as a multifocal neuropathy of the brachial plexus. However, different atypical forms with the involvement of other peripheral nerves, such as the lumbosacral plexus, the intercostal and the phrenic nerve and the cranial nerves (CNs), have been reported in the literature. In an attempt to shed more light on the atypical presentation of NA with CN ...

LINGUAL INFARCTION is an atypical manifestation of temporal arteritis, with fewer than 30 cases reported since 1966.1 Temporal arteritis causes inflammation of mediumto large-sized arteries, particularly branches of the carotid artery. It occurs predominantly in white women over 55 years old and is associated with polymyalgia rheumatica. The two conditions are considered to be part of the spect...

Small intestinal tumor is a rare disease, with atypical symptoms, difficult for early diagnosis, with Controversial treatment. This study was to provide reference for prevention, diagnosis and treatment of this tumor. 57 cases of small intestinal tumor were reviewed. Clinicopathological features, survival and prognosis were followed up. Rates were compared using chi-square test, means between m...

T umefactive demyelinating lesion (TDL) is defined as a solitary de myelin ating lesion greater than 2 cm. Mass effect and contrast enhancement on neuroimaging make it difficult to distinguish this type of lesion from high-grade gliomas. Multiple sclerosis (MS) accounts for most cases of TDL. Even in patients with established MS, an atypical manifestation of a large lesion can suggest concurren...

At the beginning of a new millennium, syphilis incidence has been increasing worldwide, occurring primarily among men who have sex with men (MSM). The clinical features of primary syphilis among MSM is described, a case-note review of the primary syphilis (PS) patients who attended the Institute of Skin and Venereal Diseases. The diagnosis was assessed based upon the clinical features and posit...

Non-squamous cell carcinoma (SCC) is a rare cancer in the larynx. Although atypical carcinoid tumor is the most common one, it is frequently unrecognized. We present a 55-year-old man with laryngeal atypical carcinoid tumor in the supraglottic region with initial manifestation of neck metastases. Two diagnostic biopsies revealed malignancy of different cell origins. The final pathologic report ...

Coronavirus disease 2019 (COVID-19) emerged in China at the end of and spread worldwide. A sixty-three-year-old female patient was admitted to hospital six days after she tested positive for SARS-CoV-2 with complaints cough, shortness breath, myalgia. After seven days, both parotid gland sites developed swelling, tenderness, pain. The ultrasonography revealed acute parotitis bilaterally. Viral ...

We report a case of systemic mastocytosis (SM) presenting as ascites and portal hypertension. The haematological picture at presentation was suggestive of chronic myelomonocytic leukaemia. Initial difficulties in making a diagnosis of SM were encountered as the cutaneous signs were atypical. The correct diagnosis was established only after tissue sections were appropriately stained for mast cel...

BACKGROUND Hydrocephalus is an under-recognized presentation of progressive supranuclear palsy (PSP) and dementia with Lewy bodies (DLB). METHODS We describe four normal pressure hydrocephalus (NPH)-like presentations of pathology-proven PSP (n = 3) and DLB (n = 1) and review the literature on the hydrocephalic presentation of these atypical parkinsonisms. RESULTS Despite the presence of ve...