cutaneous leishmaniasis is a common tropical dermatose with diverse clinical presentations. at times, it may appear in unusual shape or unusual site that causes diagnostic challenge. we reported a case of unusual presentation of cutaneous leishmaniasis which appeared as an ulcer on the lower lip of a ten-year-old boy. the diagnosis was confirmed by identifying leishmania parasites at ulcer smea...

hypothyroidism is usually associated with delayed pubertal development but in rare occasions precocious puberty may ensue which is seen in cases of prolonged and untreated hypothyroidism. this is also called the van wyk grumbach syndrome. here we present 4 cases of precocious puberty due to hypothyroidism.

Congenital hypopituitarism is a rare condition associated with possible serious complications and long-term neurological sequelae, if not promptly recognized and treated.1 Neonates with congenital hypopituitarism may present with or without associated developmental defects, such as ocular, midline, and genital abnormalities. They may also present with nonspecific symptoms, including hypoglycemi...

swelling of both ankle joints the next day. He complained of limping. At 16-00 hours on 15 September he developed sudden pain in the left side of the scrotum, which rapidly increased in severity. The purpuric rash now involved both lower extremities, the perineum, the suprapubic region, and both buttocks. The patient was the second of three boys in the family. He was born a: full term, delivere...

A 35-year-old man presented with a 3-year history of arthralgia and purple coloration of the skin of his fingers and feet. Hand and foot radiography showed cystic bone lesions on phalanges suggestive of sarcoidosis. Lab tests revealed increased liver enzymes. Liver MRI evidenced an enlarged liver and retroperitoneal lymphadenopathy. Histological analysis of the finger skin, lymph nodes and live...

Vol. 26, No. 6, 2014 791 Received April 7, 2014, Revised June 25, 2014, Accepted for publication June 27, 2014 Corresponding author: Kun-Yong Sung, Department of Plastic and Reconstructive Surgery, School of Medicine, Kangwon National University, 1 Gangwondaehak-gil, Chuncheon 200-701, Korea. Tel: 82-33-258-9494, Fax: 82-33-258-9437, E-mail: [email protected] This is an Open Access article di...

Leptospirosis is a common zoonosis that is endemic in the tropical Top End of the Northern Territory. Disease ranges from mild to very severe. We report a patient with anicteric leptospirosis who became critically ill, challenging the view that anicteric leptospirosis is less severe than the icteric form. Despite a typical but non-specific presentation and recreational high-risk activities, dia...

BACKGROUND: Choriocarcinoma is an aggressive neoplasm arising in the body of the uterus. The disease normally spreads to lung and brain. CASE REPORT: A case of malignant trophoblastic disease with brain metastasis, raised intra cranial pressure and small bowel metastasis presenting with acute abdomen is reported. CONCLUSIONS: Malignant transformation in a hydatidiform mole is rare event. Involv...

Myiasis is a rare condition, produced by the invasion of tissues by maggots, the larvae of flies. This condition may be seen in wounds, eyes, nasal cavities and even intestinal tract and depends basically upon the random or chance infection of these tissues by eggs, of various flies. Recently a 25 years old man presented of vague abdominal pains, hyperacidity and intermittent passage of small w...