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 June 2015

Volume 1 Issue 2

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Case Report

Traumatic Central Retinal Artery Occlusion: Case Report and Review of the Literature

Alon Zahavi*, MD and Irit Rosenblat, MD

Central retinal artery occlusion (CRAO) is an uncommon entity in ophthalmic practice. Reported etiologies are numerous, andinvolve systemic and ocular preexisting pathologies. A traumatic etiology for CRAO is rare with anecdotal reports and poor visual outcomes. No specific treatment guidelines exist to date. We report a case of traumatic CRAO in a young female without anysystemic vascular risk factors; it is clinical course and management. Physician awareness to this rare condition is important for prompt diagnosis and treatment while the retinal tissue is viable and visual restoration is possible.                                                                                                                                                                                                                                                                                                               

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Case Report

Excision of an Extrathoracic Chest Wall Benign Schwannoma Associated with an Insulin Injection

George Paul Liao* MD, Dr. Adel Irani

Thoracic schwannomas are uncommon benign or malignant tumors arising from the mediastinum. Thoracic shwannomas arising from intercostal nerves are even rarer. While the intrinsic etiology of these tumors is unknown, the extrinsic causes of schwannomas have been associated with repetitive trauma or foreign bodies. We describe a 53 year old diabetic male who presented with a large chest wall mass which had grown in size over a five year period. The mass was found on surgical excision and pathological analysis to be a benign schwannoma arising from an intercostal nerve due to a previous insulin needle injury.                                                                                                                                                                                                                                                                                                            

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Case Report

Heterophile Antibody Interference with TSH Assay

Thanh D. Hoang DO*; Alfred F. Shwayhat DO; Mohamed K.M. Shakir M.D.

Interference of heterophile antibodies with thyroid assays may lead to misinterpretation of the results, unnecessary investigations and wrong course of treatment. It is important to recognize the discordance between the clinical presentation and the biochemical data and to reconcile the disparity. We present a 29-year-old female with falsely low TSH level due to heterophile antibody interference.                                                                                                                                                                                                                                                                                                           

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Case Report

Blastic Plasmacytoid Dendritic Cell Neoplasm: A Diagnostic and Therapeutic Challenge. Report of two cases

Morales-Polanco M, Murillo-Meza E*, Ortiz-Hidalgo C, Silva-Michel L

Blastic plasmacytoid dendritic cell neoplasm (BPDC) is a rare and aggressive entity with poor prognosis; since the first case report, this neoplasm has had a number of different names such as hematodermic neoplasm, plasmacytoid dendritic cell tumor, NK-cell lymphoma. Until recently this entity was recognized as a distinct disease derived from precursors of plasmacytoid dendritic cells, thanks to the advances on the immunological classification of hematologic malignancies. We present the clinical cases of two patients of advance age with this disease, with particular attention to the dismal results of the different chemotherapy regimens employed for their treatment.

                                                                                                                                                                                                                                                                                                   Full textDownload PDF

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