Clinical Image

Skin involvement is a clearly recognized phenomenon in non-Hodgkin’slymphomas, but it is extremely uncommon in Hodgkin’s lymphoma (HL). Various routes of skin involvement may include direct extension from underlying nodes, retrograde lymphatic spread and hematogenous dissemination [1]. Male, 22 years old, presented with a 4-month history of a painless macular skin rash (Figure 1).It had […]

Primary lymphoma of the colon accounts for only 0.2-1.2% of all malignant colonic tumours. The gastrointestinal tract is affected in 30-40% of all primary extra-nodal lymphomas [1, 2]. Early diagnosis may preclude severe complications, such as perforation, haemorrhage or intestinal obstruction [3]. However, in most cases, the diagnosis is late, due to the unspecific signs

Superior vena cava (SVC) syndrome is a medical emergency and it’s commonly associated with thoracic malignancies, either because of direct invasion or extrinsic compression. With the increased use of intravascular devices, the overall incidence of device-related SVC syndrome has risen [1] A 48-year-old male with a history of colon adenocarcinoma under intravenous chemotherapy, presented in

A retropharyngeal haematoma may constitute an immediately life threatening emergency due to airway compromise. In 1991, Thomas et al found only 29 cases described in the literature since1966. The most common cause istheblunt cervical trauma (in 38% of the cases) [1]. Other causes are the cervical hyperextension injury, cervical vertebrae fracture, cough, sneeze, strain, blunt

A 52-year-old man was admitted to the emergency department for penetratingtrauma in the upper part of his left thigh. This man was a shepherd and the circumstance of the trauma was a horn injury by a bull of his flock. His blood pressure was normal. The examination found an oblique linear wound with a length

Rib fracture isthe most common injury in the setting of thoracic trauma and is associated with ahighermorbimortality.In thelast 60years, positive pressuremechanical ventilation wasthe first line treatment of respiratory insufficiency caused by rib fractures. However, severe complications associated with prolongedmechanical ventilation, have elicited the rising implementation of open rib reduction and internal fixation techniques. The most

Deep burns that reach the subfascial planes of the limbs, increase the pressure in the muscular compartments, and may progress to a Compartment Syndrome. There is no specific cut-off value of pressure forthis diagnosis; consequently, the final decision to proceed with a fasciotomy relies on the clinical experience. Surgical debridement and fasciotomy may result in

Cryptococcosis; idiopathic CD4+ T-cell lymphocytopenia; Opportunistic Infections 2. Clinical Image A 50-year-old male with a past medical history of psoriasis presented with a two-week history of progressively worsening fatigue, low-grade fevers and throbbing frontal headaches, and several ulcerated papules of varying size (1-5mm) with central crusting and surrounding erythema noted on the forearms, chest, back

A 54 year-old man, HIV seropositive since 2011, with highly active antiretroviral therapy (HAART) and a previous diagnosis of pulmonary tuberculosis presented with a history of fever, productive cough and weight loss of 15 days duration. Physical examination revealed a temperature of 38 °C, cachectic status, dyspnea, hemoptysis, tachycardia, and tachypnea and disseminated bilateral crackles.

Achalasia is the most common primary motor disturbance of the oesophagus, whose prevalence is 1 patient for every 10.000, and its aetiology remains unknown. It is classified in 3 types, according to the contraction pattern of the oesophageal body; in its more extreme type, there is no oesophageal contraction at all. It may present with