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By Hamza Malik, Sajid Iqbal Nayyar, Wajeeh Ur Rehman, Faryal Iqbal, Nabila Talat
Page #: 126-127
ABSTRACT Achalasia cardia is a rare condition in the paediatric population, and familial occurrences are even rarer. The authors herein report a case of three siblings diagnosed with familial achalasia cardia. The first case was a 12-year male who presented with progressive dysphagia to solids and l...
By Shahid Sarwar, Muhammad Moeed Akram, Sabeen Farhan, Ghulam Abbas, Yasir Mahmud
Page #: 128-130
ABSTRACT Tuberculosis (TB) of the pancreas is a rare form of extra-pulmonary tuberculosis that needs a high index of clinical suspicion and in most cases is wrongly diagnosed as pancreatic carcinoma due to the presence of space-occupying lesions in the majority of these patients. Hence, diagnosis of...
By Ke-Ping Han, Li-Hua Li, Lin Yang
Page #: 131-133
ABSTRACT Rifampicin, the medicine used for the treatment of tuberculosis (TB), has the potential to causekidney damage, most commonly manifested as acute interstitial nephritis. The potential of causing minimal change disease (MCD) of the kidney is very rare, and it is often relieved after the use o...
By Ahmed Siddique Ammar, Faryal Ufaq, Mehvish Irshad, Muhammad Shoaib, Muhammad Saud Iqbal
Page #: 134-136
ABSTRACT Rapunzel syndrome (RS) is a condition defined as the presence of trichobezoar in the form of hair. It is found in patients with psychiatric disorders called trichotillomania (the habit of pulling hair) and trichophagia (repeated ingestion of hair). Children with pica eat non- digestible thi...
By Cheng Xie, Ye Song, Qianliang Huang
Page #: 137-139
ABSTRACT Ewing sarcoma (ES) with brain metastasis is an uncommon clinical occurrence, generally arising from primary tumours located in the skull or the long bones of the extremities. This report documents an extraordinarily rare instance of brain metastatic ES (BMES), with the primary neoplasm situ...
By Ruqin Yi, Zhaokun Fan
Page #: 140-143
ABSTRACT This paper presents a rare case of acute respiratory distress syndrome (ARDS) induced by drowning in a 24-year male student with a history of congenital heart disease (CHD), who showed substantial neurological recovery after receiving cardiopulmonary resuscitation (CPR) and veno-venous extr...
By Murtaza Sameen, Zahra Arsalan, Huda Mir, Fariha Taimur, Tayyab Afghani
Page #: 144-146
ABSTRACT Progressive unilateral primary proptosis is extremely rare in a newborn. There are different points to differentiate between inflammatory disease process, infectious cause, vascular lesion, endocrine lesion, and neoplastic lesion. The presented case will further elaborate on the features of...
By Atiya Rahman, Samra Iram, Nazia Rashid
Page #: 147-149
ABSTRACT Myiasis is a rare infestation caused by the larvae (maggots) of fly species. Due to frequent travelling, diseases previously restricted to certain parts of the world are being encountered in non-endemic areas. We report a case of a young Pakistani who had a history of travelling to Africa. ...
By Talha Mahmud, Syed Naveed Tahir
Page #: 150-152
ABSTRACT This case report presents a rare example of a benign inflammatory myofibroblastic tumour (IMT) in the bronchus, highlighting the importance of a thorough diagnostic work-up and successful bronchoscopic resection without surgery. A 25-year female patient presented with low-grade fever, progr...
By Zhen Liu, Lu Ren, Enrui Liu, Xingang Peng
Page #: 153-155
ABSTRACT We report a rare case of a 16-year male teenager who initially presented with abdominal bloating as the result of a self-inserted cylindrical- shaped metal tin in his sigmoid colon. The patient denied any history of psychiatric disease. He also denied any drug abuse or previous comorbiditie...
By Mariam Shah, Aroosa Kanwal, Laiba Masood, Sajida Shah
Page #: 156-158
ABSTRACT Choledochal cysts are rare congenital cystic dilatations of the biliary tree. Pancreatic divisum is the most common anomaly of the pancreatic ductal system, characterised by the dorsal pancreatic duct functioning as the primary drainage channel, with the majority of secretions draining thro...
By Ayesha Zahir, Sadaf Ahmed Asim, Madiha Sajid
Page #: 159-161
ABSTRACT Papules located over the face have a wide range of differential diagnoses. Differentiation on clinical grounds is often difficult requiring histopathological correlation. Despite diagnostic and therapeutic advancements in dermatology, certain conditions continue to pose diagnostic challenge...
By Zhuohan Xu, Lingzhi He
Page #: 162-164
Abstract IgA nephropathy (IgAN) represents the most widespread type of primary glomerulonephritis across the globe, notable for the deposition of IgA within the glomerular mesangial region. Infliximab, a monoclonal antibody developed to precisely target tumour necrosis factor alpha (TNF-α), ha...
By Madiha Sajid, Ayesha Zahir, Sadaf Ahmed Asim, Eraj Aman, Sharmin Nasir
Page #: 165-167
ABSTRACT Lucio’s leprosy is a distinct form of lepromatous leprosy characterised by non-nodular diffuse cutaneous involvement. Despite being endemic in underdeveloped countries, this particular form of leprosy is rarely reported outside the Mexico and Costa Rica. Owing to the absence of speci...
By Sana Viqar, Sadia Asmat Burki, Muhammad Amjad Chaudhary
Page #: 168-170
ABSTRACT Currarino syndrome is a hereditary disorder characterised by a triad of anorectal malformation (ARM), sacral vertebral defect, and pre-sacral mass. An incomplete triad may also be present due to a variable phenotype. Presacral masses in children often include a number of differential diagno...
By Arshad Mehmood, Muhammad Abdul Rehman Siddiqui
Page #: 171-173
ABSTRACT Optic disc pit (ODP) is a rare ocular congenital anomaly. Fluid from the optic disc enters retinal layers, causing retinoschisis and inverse lamellar holes. This results in gradual visual loss. Various treatments have been tried in ODP-maculopathy (ODP-M). An early adolescent female present...
By Aleena Kashif, Kashif Mumtaz Bhatti, Jodat Saleem, Sami Ur Rehman, Zeeshan Kashif
Page #: 174-177
ABSTRACT Mitral regurgitation affects 2% of the world’s population. Patients with pulmonary hypertension (PH) and right heart failure indicate a poor prognosis, which necessitates the need for early surgical intervention. The authors present a case of a patient with severe mitral regurgitation...
By Sami Ur Rehman, Ahmed Masood, Asim Razaaq, Khawar Ali
Page #: 178-180
ABSTRACT The authors present the anaesthesia management of a 12-year female patient who underwent corrective surgery for kyphoscoliosis under general anaesthesia. The patient had congenital idiopathic kyphoscoliosis with left lateral curvature (left convex), C7-hemivertebrae, large atrial septal def...
By Atiya Rahman, Madeeha Asrar, Lalain Masood
Page #: 181-184
ABSTRACT Cutaneous disorders can run a chronic course and can be quite disfiguring on the exposed body parts, such as the face and hands. Due to the low prevalence of cutaneous tuberculosis, physicians might be unfamiliar with unusual presentations, leading to such infections going undiagnosed for y...
By Tiantian Zhang, Yufo Chen, Yumei Li, Yang Liu, Rui Wang
Page #: 185-188
ABSTRACT Melanoma of unknown primary (MUP) is a rare subtype of melanoma, accounting for approximately 3% of cases and characterised by metastasis in the absence of a detectable primary lesion. This report describes the case of a stage IV MUP patient with a BRAF V600E mutation who developed vitiligo...
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