Pub Date : 2020-01-01DOI: 10.5336/caserep.2019-70335
Abdullah Murat Buyruk, C. Çınar, G. Ersoz, O. Ozutemiz
ABS TRACT Ectopic varices (EcV) are portosystemic collaterals that can be observed anywhere in the gastrointestinal tract (GIT) except stomach and esophagus. It was most frequently localised in duodenum while it was rarely observed in ileum. Its etiology is usually associated with portal hypertension. Herein, we present a case of patient with ectopic ileal varices succesfully treated with angiographic coil embolization. In this patient, portal hypertension was not observed in the etiology of EcV.
{"title":"Trauma Associated Ectopic Ileal Varices","authors":"Abdullah Murat Buyruk, C. Çınar, G. Ersoz, O. Ozutemiz","doi":"10.5336/caserep.2019-70335","DOIUrl":"https://doi.org/10.5336/caserep.2019-70335","url":null,"abstract":"ABS TRACT Ectopic varices (EcV) are portosystemic collaterals that can be observed anywhere in the gastrointestinal tract (GIT) except stomach and esophagus. It was most frequently localised in duodenum while it was rarely observed in ileum. Its etiology is usually associated with portal hypertension. Herein, we present a case of patient with ectopic ileal varices succesfully treated with angiographic coil embolization. In this patient, portal hypertension was not observed in the etiology of EcV.","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"77 7","pages":"45-48"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91547079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.5336/caserep.2019-70165
A. Yeşilova, M. Bilge, G. Ayan, R. Bayraktarli, M. Adaş
ABS TRACT We described a rare case of RS3PE associated with DPP-4 inhibitor (saxagliptin) therapy in a diabetic patient with no evidence of another underlying pathology. To the best of our knowledge, this is the first case report of RS3PE associated with saxagliptin. The patient presented with acute onset of swelling and pain in multiple peripheral joints, swelling of the dorsum of the hands and feet occurred a month after the initiation of saxagliptin. Laboratory results were remarkable for elevated acute phase reactants. The diagnosis of RS3PE was made through exclusion and was based on acute onset of pitting edema, synovitis shown by ultrasound and magnetic resonance investigation, absence of joint erosions and negative rheumatoid factor. Patient showed a good response to low dose of steroids with a complete and sustained remission. The development of RS3PE following introduction of drug should suggest this drug as a possible trigger for the development of RS3PE.
{"title":"Remitting Seronegative Symmetrical Synovitis with Pitting Edema in a Patient with Diabetes Mellitus Receiving Saxagliptin","authors":"A. Yeşilova, M. Bilge, G. Ayan, R. Bayraktarli, M. Adaş","doi":"10.5336/caserep.2019-70165","DOIUrl":"https://doi.org/10.5336/caserep.2019-70165","url":null,"abstract":"ABS TRACT We described a rare case of RS3PE associated with DPP-4 inhibitor (saxagliptin) therapy in a diabetic patient with no evidence of another underlying pathology. To the best of our knowledge, this is the first case report of RS3PE associated with saxagliptin. The patient presented with acute onset of swelling and pain in multiple peripheral joints, swelling of the dorsum of the hands and feet occurred a month after the initiation of saxagliptin. Laboratory results were remarkable for elevated acute phase reactants. The diagnosis of RS3PE was made through exclusion and was based on acute onset of pitting edema, synovitis shown by ultrasound and magnetic resonance investigation, absence of joint erosions and negative rheumatoid factor. Patient showed a good response to low dose of steroids with a complete and sustained remission. The development of RS3PE following introduction of drug should suggest this drug as a possible trigger for the development of RS3PE.","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84832112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.5336/caserep.2019-70094
M. Çoban, C. Kaya, A. Cevik, H. Değertekin
ABS TRACT In this paper, we present a case that has been followed with Ankylosing Spondylitis (AS) for forty years and developed diabetes, iridocyclitis, lichen amyloidosis and hypertension over time. A 73-year-old male patient presented to our hospital with dyspnea and massive ascites with portal hypertension in the last one year. Cardiac and hepatic venous pressure measurements revealed mild pericardial thickening and intrahepatic sinusoidal portal hypertension in the liver. An infiltrative reason as metabolic, viral, autoimmune to develop portal hypertension was not found and systemic inflammation and vascular involvement due to AS was thought. TIPS was applied to the patient due to resistant ascites. After this operation, albumin was not needed, acid regressed and general condition improved. We aimed to present a very rarely seen association of AS, lichen amyloidosis and portal hypertension, and the curative result of TIPS operation in this case.
{"title":"An Ankylosing Spondylitis Case Which Accompanies Portal Hypertension and Lichen Amyloidosis","authors":"M. Çoban, C. Kaya, A. Cevik, H. Değertekin","doi":"10.5336/caserep.2019-70094","DOIUrl":"https://doi.org/10.5336/caserep.2019-70094","url":null,"abstract":"ABS TRACT In this paper, we present a case that has been followed with Ankylosing Spondylitis (AS) for forty years and developed diabetes, iridocyclitis, lichen amyloidosis and hypertension over time. A 73-year-old male patient presented to our hospital with dyspnea and massive ascites with portal hypertension in the last one year. Cardiac and hepatic venous pressure measurements revealed mild pericardial thickening and intrahepatic sinusoidal portal hypertension in the liver. An infiltrative reason as metabolic, viral, autoimmune to develop portal hypertension was not found and systemic inflammation and vascular involvement due to AS was thought. TIPS was applied to the patient due to resistant ascites. After this operation, albumin was not needed, acid regressed and general condition improved. We aimed to present a very rarely seen association of AS, lichen amyloidosis and portal hypertension, and the curative result of TIPS operation in this case.","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"35 1","pages":"49-51"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89220583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.5336/caserep.2020-76086
P. Bozdağ, Muammer Akyol
{"title":"Arteriovenous Malformation Which Causes Pelvic Congestion and Mimicking Renal Cyst","authors":"P. Bozdağ, Muammer Akyol","doi":"10.5336/caserep.2020-76086","DOIUrl":"https://doi.org/10.5336/caserep.2020-76086","url":null,"abstract":"","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"98 1","pages":"275-278"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87092824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
91 Schwannomas are rarely seen, benign, well-capsulated tumors which are originated from schwann cells of myelinated peripheral nerves.1 At craniocephalic area twenty five percent of all schwannomas are found.2 Although vagus nerve is the most common affected cranial nerve from schwannoma, facial nerve schwannoma (FNS) can be also rarely detected. It mostly arises at the intratemporal part of the nerve. Incidence of intraparotid FNS is just 10% of all facial nerve schwannomas.3 The most common complaint is chronic asymptomatic single-sided parotid mass. Even though the tumor is related to facial nerve; its dysfunction is seen in only 20% of all patients.4,5 Pleomorfic adenoma, which is the most common benign tumor in parotid gland, has similar clinical features and can cause late diagnose of intraparotid FNS preoperatively. For diagnosis ultrasound, fine needle aspiration biopsy (FNAC), computerized tomography (CT) and magnetic resonance imaging (MRI) can be helpful however intraparotid FNS are usually recognized during surgery. In our study, we present our clinical approach related to the diagnosis and management of a case with intraparotid FNS.
{"title":"Intraparotideal Facial Nerve Schwannoma","authors":"Zeynep Kaptan, Akif Sinan Bilgen, Onur Erçelik, Rahmi Kılıç, Kübra Başarir","doi":"10.5336/caserep.2019-72574","DOIUrl":"https://doi.org/10.5336/caserep.2019-72574","url":null,"abstract":"91 Schwannomas are rarely seen, benign, well-capsulated tumors which are originated from schwann cells of myelinated peripheral nerves.1 At craniocephalic area twenty five percent of all schwannomas are found.2 Although vagus nerve is the most common affected cranial nerve from schwannoma, facial nerve schwannoma (FNS) can be also rarely detected. It mostly arises at the intratemporal part of the nerve. Incidence of intraparotid FNS is just 10% of all facial nerve schwannomas.3 The most common complaint is chronic asymptomatic single-sided parotid mass. Even though the tumor is related to facial nerve; its dysfunction is seen in only 20% of all patients.4,5 Pleomorfic adenoma, which is the most common benign tumor in parotid gland, has similar clinical features and can cause late diagnose of intraparotid FNS preoperatively. For diagnosis ultrasound, fine needle aspiration biopsy (FNAC), computerized tomography (CT) and magnetic resonance imaging (MRI) can be helpful however intraparotid FNS are usually recognized during surgery. In our study, we present our clinical approach related to the diagnosis and management of a case with intraparotid FNS.","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"186 1","pages":"91-94"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80649375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.5336/caserep.2019-72868
G. Bulut
ated, delayed type of drug reactions.1 FDEs are characterized by the appearance of a single or multiple sharply demarcated violaceous erythematous plaques that may blister and is often associated with pruritus.1 The diagnostic characteristic is its recurrence at previously affected sites.1 The lesions usually occur on the hip, lower back, proximal extremities, lips, face, and genitals.2 The lesions usually develop from 30 minutes to eight hours time after taking the responsible drug.3 Generalized bullous FDE (GBFDE) is an extremely rare form of FDE characterized by wide spread red or brown macules or plaques with overlying large flaccid bullae.4 We herein report a case of a GBFDE following the use of paracetamol.
{"title":"Paracetamol-Induced Generalized Bullous Fixed Drug Eruption Proven by Oral Provocation Test","authors":"G. Bulut","doi":"10.5336/caserep.2019-72868","DOIUrl":"https://doi.org/10.5336/caserep.2019-72868","url":null,"abstract":"ated, delayed type of drug reactions.1 FDEs are characterized by the appearance of a single or multiple sharply demarcated violaceous erythematous plaques that may blister and is often associated with pruritus.1 The diagnostic characteristic is its recurrence at previously affected sites.1 The lesions usually occur on the hip, lower back, proximal extremities, lips, face, and genitals.2 The lesions usually develop from 30 minutes to eight hours time after taking the responsible drug.3 Generalized bullous FDE (GBFDE) is an extremely rare form of FDE characterized by wide spread red or brown macules or plaques with overlying large flaccid bullae.4 We herein report a case of a GBFDE following the use of paracetamol.","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"53 1","pages":"189-191"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77341801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.5336/caserep.2019-71948
M. Çakar, Hülya Özkan
192 Involvement of basal ganglia in uremia is a syndrome and was first described in 1998 by Wang et al.1 Central involvement due to uremic encephalopathy is observed as white matter, corticosubcortical and rarely basal gaglionic involvement. Symmetric involvement of bilateral basal ganglia can cause movement disorders such as parkinsonism and chorea as well as speech disorders, epilepsy, gait abnormalities and altered mental status disorders.2
{"title":"Movement Disorder Due to Involvement of Bilateral Basal Ganglia in Diabetic Uremic Patient","authors":"M. Çakar, Hülya Özkan","doi":"10.5336/caserep.2019-71948","DOIUrl":"https://doi.org/10.5336/caserep.2019-71948","url":null,"abstract":"192 Involvement of basal ganglia in uremia is a syndrome and was first described in 1998 by Wang et al.1 Central involvement due to uremic encephalopathy is observed as white matter, corticosubcortical and rarely basal gaglionic involvement. Symmetric involvement of bilateral basal ganglia can cause movement disorders such as parkinsonism and chorea as well as speech disorders, epilepsy, gait abnormalities and altered mental status disorders.2","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"39 6","pages":"192-195"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91479345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.5336/caserep.2020-75626
Mehmet Balbaba, A. Dal, Murat Erdağ, H. Yıldırım, O. Aydemir
{"title":"Diagnosing Misdiagnosed Anterior Chamber Angle Foreign Bodies by Gonioscopy","authors":"Mehmet Balbaba, A. Dal, Murat Erdağ, H. Yıldırım, O. Aydemir","doi":"10.5336/caserep.2020-75626","DOIUrl":"https://doi.org/10.5336/caserep.2020-75626","url":null,"abstract":"","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"1 1","pages":"228-231"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88651138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.5336/caserep.2020-75862
N. Randa
{"title":"The First Turkish Family with Skeletal Abnormality and Novel NPR2 Gene Mutation","authors":"N. Randa","doi":"10.5336/caserep.2020-75862","DOIUrl":"https://doi.org/10.5336/caserep.2020-75862","url":null,"abstract":"","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"8 1","pages":"288-291"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84658692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.5336/caserep.2020-73667
Handan Turgut Semerci, H. B. Çobanoğlu, O. Bahadır
characterized by replacement of normal bone tissue by fibrous connective tissues.1 They are classified into fibrous dysplasia, ossifying fibroma and osseous dysplasia.2 Peripheral ossifying fibroma is benign and it grows slowly.3-5 It occurs when pluripotent cells of periodontal ligament transform into osteoblasts, cementoblasts and fibroblasts.3,5-8 It occurs mostly in women and occurs at the age of 20-40.8-10 Peripheral ossifying fibromas are usually painless lesions smaller than 2 cm.1,3-7,9,11 They are most often located inside the bone. Approximately 60% of them occurs in the anterior part of the maxillary bone. Recurrence of the disease is common after surgical treatment.
{"title":"Peripheral Ossifying Fibroma in Maxillary Bone","authors":"Handan Turgut Semerci, H. B. Çobanoğlu, O. Bahadır","doi":"10.5336/caserep.2020-73667","DOIUrl":"https://doi.org/10.5336/caserep.2020-73667","url":null,"abstract":"characterized by replacement of normal bone tissue by fibrous connective tissues.1 They are classified into fibrous dysplasia, ossifying fibroma and osseous dysplasia.2 Peripheral ossifying fibroma is benign and it grows slowly.3-5 It occurs when pluripotent cells of periodontal ligament transform into osteoblasts, cementoblasts and fibroblasts.3,5-8 It occurs mostly in women and occurs at the age of 20-40.8-10 Peripheral ossifying fibromas are usually painless lesions smaller than 2 cm.1,3-7,9,11 They are most often located inside the bone. Approximately 60% of them occurs in the anterior part of the maxillary bone. Recurrence of the disease is common after surgical treatment.","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"30 1","pages":"141-144"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83423796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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