hemophagocytic syndrome (hps) is an uncommon manifestation in systemic lupus erythematosus (sle). clinical features of hps include fever, pancytopenia, abnormal liver enzyme, hepatosplenomegaly, lymphadenopathy, and coagulation disorder. hps comprises primary and reactive forms. herein, we describe a case of untreated sle with hps as one of the first manifestations of systemic lupus.

fat embolism syndrome refers to a constellation of symptoms secondary to the presence of fat globules in the lung parenchyma and/or peripheral blood circulation. the syndrome is most often seen in association with long bone or pelvic fractures and can cause significant morbidity and mortality. the present randomized double blind placebo-controlled trial was conducted to evaluate the efficacy of...

abstract chromosomal translocations constitute one of the most important, yet uncommon, causes of primary amenorrhea and gonadal dysgenesis. although x-autosome translocations are frequently associated with streak gonads and clinical features of the turner syndrome, the majority of x-autosome carriers may present with a variable phenotype, developmental delay, and recognizable x-linked syndrome...

Gilbert syndrome (GS) is an autosomal recessive inherited bilirubin metabolism disorder characterized by chronic unconjugated hyperbilirubinemia in the absence of hemolysis and liver disease. Primary Sjogren's (pSS), mainly occurring women, a common connective tissue disease (CTD) wherein levels are generally reduced. We report rare case pSS coexisting with GS. A 35-year-old female patient pres...

  Distal renal tubular acidosis is a syndrome of abnormal urine acidification and is characterized by hyperchloremic metabolic acidosis, hypokalemia, hypercalciurea, nephrocalcinosis and nephrolithiasis. Despite the presence of persistent hypokalemia, acute muscular paralysis is rarely encountered in males.Here, we will report an eighteen year old male patient who presented with flaccid quadrip...

Male breast cancer is one of the rare malignancies. Clinically it usually a fixed mass in the breast in the seventh decade of life. Metabolic disorders and gyneco­mastia and Klinefelter's syndrome are important predis­r,osing factors.  Primary management is simple mastectomy plus re­gio:ial lymph node irradiation. In late cases or metastatic disease, orchidectomy, adrenalectomy, and hypophysec...