Excessive gingival pigmentation is a major esthetic concern for many people. Melanin pigmentation is known to be caused by melanin granules within the gingival epithelium. Though it is not a medical pathology, many people complain of dark gums as unesthetic. A case is reported here of hyperpigmentation treated with scalpel, diode laser and electrosurgical procedure in a split mouth design with ...

Eccrine spiradenoma is an uncommon benign adnexal tumor originating from the eccrine sweat gland. We diagnosed a eccrine spiradenoma on a 55-year-old man with histopathologic confirmation upon biopsy followed by complete resection, who had visited our clinic with a chief complain of occipital scalp mass. The solitary eccrine spiradenoma occurring in the scalp is rarely to be seen and should be ...

Despite its rarity, PRES may affect other areas than posterior lobe. Some reported the atypical variant of PRES in which the main lesion was in the brainstem [2-6]. The patients show various combinations of neurological symptoms including visual symptoms, but rarely complain of diplopia [2]. Here we report a man with isolated concomitant strabismus, who was initially suspected as having brainst...

A 44-year-old woman presented at the Western Eye Hospital, London, with a 3-month history of gradual, painless, bilateral deterioration of her vision. She had no other ocular symptoms and no previous ocular history. Review of systems was unrevealing, and her medical history was unremarkable: she did not complain of headaches or anosmia, nor was she taking any regular medication. She was of norm...

Once upon a time, not too long ago, long waits and delays in the office were seen as something of a status symbol. A physician who had a long wait list for appointments or a long delay in the waiting room must have been an awfully good physician to have such “demand.” Even when patients began to complain, many groups were hardly eager to tackle the problem because there was a certain amount of ...

most are not serious. Reactions are more likely to happen when the daily dosage is high or when administration is prolonged. Most of the untoward effects occur in the gastro-intestinal tract and this system seems more susceptible in women than in men. Other systems of the body are affected far less frequently. With oral therapy about forty per cent of patients develop some symptoms of signs in ...

Congenital diaphragmatic hernia presentation in adults is extremely rare. Patients who present with late diaphragmatic hernias complain of a wide variety of symptoms and diagnosis can be difficult. We report a case of a 64 year old male who presented with a six month history of cough, shortness of breath and weight loss. The most common strategy to treat a Bochdalek hernia is via a thoracotomy ...

To fulfill the vitamin B12 requirement in chronic strict vegetarian or vegan fortified supplement foods are must essential as it is exclusive component of animal based food, potential neurohematological symptoms generally with anemia but could be the one without anemia in some rare cases of vitamin B12 deficiency status. This case report visualizes the common strict vegetarian neurological rela...

The cause and nature of bladder symptoms in patients with genuine Parkinson’s disease (PD) may be difficult to establish and treatment is often unsatisfactory. Typically patients present with longstanding neurological disease, the bladder symptoms coming on some years after treatment for PD was started. A recent study has shown that the severity of urinary symptoms is related to the neurologica...