Pub Date : 2024-07-10DOI: 10.36347/sjmcr.2024.v12i07.010
Dr. Z. Alami, Dr. I. Zine- Eddine, Pr. Ass. El Atiqi, Dr. L. Idelkheir, Dr. Y. Lamaalla, Dr. O. Aitbelassel, Dr. I. Yafi, Dr. M. Mahrouch, Dr. M. El Gouatri, Pr. Laamrani, Pr. Y. Bencha
Marjolin's ulceris a well-known, but rare, process of malignant degeneration of traumatized skin, especially burn scars, The predominant malignancy in MU is squamous cell carcinoma. It is characterized by its aggressiveness and its increased risk of recurrences and metastases compared to non-scarrings quamous cell carcinoma. Effect of wires is much more important in African countries, and under-medicalized countries in general. Our work is a retrospective study of 34 cases of Marjolin's ulcer, collected in the plastic surgery department of the CHU Mohammed VI in Marrakech, with the aim of raising the epidemiological, therapeutic and evolutionary aspects of this pathology. Early diagnosis and treatment are essential, without forgetting the important role of prevention which consists of coverage by early skin grafts and regular care of any burn scar.
{"title":"Marjolin's Ulcer: is Radical Surgery Enough? About 34 Cases","authors":"Dr. Z. Alami, Dr. I. Zine- Eddine, Pr. Ass. El Atiqi, Dr. L. Idelkheir, Dr. Y. Lamaalla, Dr. O. Aitbelassel, Dr. I. Yafi, Dr. M. Mahrouch, Dr. M. El Gouatri, Pr. Laamrani, Pr. Y. Bencha","doi":"10.36347/sjmcr.2024.v12i07.010","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i07.010","url":null,"abstract":"Marjolin's ulceris a well-known, but rare, process of malignant degeneration of traumatized skin, especially burn scars, The predominant malignancy in MU is squamous cell carcinoma. It is characterized by its aggressiveness and its increased risk of recurrences and metastases compared to non-scarrings quamous cell carcinoma. Effect of wires is much more important in African countries, and under-medicalized countries in general. Our work is a retrospective study of 34 cases of Marjolin's ulcer, collected in the plastic surgery department of the CHU Mohammed VI in Marrakech, with the aim of raising the epidemiological, therapeutic and evolutionary aspects of this pathology. Early diagnosis and treatment are essential, without forgetting the important role of prevention which consists of coverage by early skin grafts and regular care of any burn scar.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141661473","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 : 2024-07-06DOI: 10.36347/sjmcr.2024.v12i07.007
H. Dahman, K. Lemtouni, C. Ahmanna, B. Zouita, D. Basraoui, H. Jalal
Cystic lymphangioma, also known as cystic hygroma, is a rare congenital malformation of the lymphatic system characterized by congenital blockage of lymphatic channels or sequestered lymphatic sacs. They are frequently observed in childhood, yet their occurrence in the breast is exceedingly uncommon and is more frequently seen in adults, with only a small number of cases documented in children. We report a case of a 4-year-old female who presented with a large right breast lump which has progressively developed since birth and was diagnosed as mammary cystic lymphangioma after local excision. There was no recurrence of the lesion at the 1 year follow-up.
{"title":"Cystic Lymphangioma of the Breast in a 4 Year Old: Case Report","authors":"H. Dahman, K. Lemtouni, C. Ahmanna, B. Zouita, D. Basraoui, H. Jalal","doi":"10.36347/sjmcr.2024.v12i07.007","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i07.007","url":null,"abstract":"Cystic lymphangioma, also known as cystic hygroma, is a rare congenital malformation of the lymphatic system characterized by congenital blockage of lymphatic channels or sequestered lymphatic sacs. They are frequently observed in childhood, yet their occurrence in the breast is exceedingly uncommon and is more frequently seen in adults, with only a small number of cases documented in children. We report a case of a 4-year-old female who presented with a large right breast lump which has progressively developed since birth and was diagnosed as mammary cystic lymphangioma after local excision. There was no recurrence of the lesion at the 1 year follow-up.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141672982","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 : 2024-07-06DOI: 10.36347/sjmcr.2024.v12i07.009
Shinji Makino
A 50-year-old man presented with a nasal visual field defect in the left eye. His medical history was unremarkable. On ophthalmic examination, his best-corrected visual acuity (BCVA) was 1.2 in both eyes. Fundoscopy revealed no abnormalities in either eye. Goldmann visual field test showed a nasal visual field defect in the left eye. The patient was diagnosed with NPION of the left eye and was followed up without treatment. However, four days after the initial visit, his BCVA decreased to counting finger in the left eye. Goldmann visual field test showed a complete nasal visual field defect with central absolute scotoma. Following admission, the patient was treated for 3 days with intravenous methylprednisolone pulse therapy. Three months later, his BCVA was improved to 0.8 in the left eye, but central relative scotoma was remained. Six months later, his BCVA was maintained at 0.8, and central relative scotoma was disappeared. However, the optic disc looked diffusely pale in the left eye. This case highlights that steroid therapy is an option for severe cases with posterior ischemic optic neuropathy.
{"title":"Visual Field Improvement in Non-Arteritic Posterior Ischemic Optic Neuropathy in a Patient Treated with Intravenous Steroids","authors":"Shinji Makino","doi":"10.36347/sjmcr.2024.v12i07.009","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i07.009","url":null,"abstract":"A 50-year-old man presented with a nasal visual field defect in the left eye. His medical history was unremarkable. On ophthalmic examination, his best-corrected visual acuity (BCVA) was 1.2 in both eyes. Fundoscopy revealed no abnormalities in either eye. Goldmann visual field test showed a nasal visual field defect in the left eye. The patient was diagnosed with NPION of the left eye and was followed up without treatment. However, four days after the initial visit, his BCVA decreased to counting finger in the left eye. Goldmann visual field test showed a complete nasal visual field defect with central absolute scotoma. Following admission, the patient was treated for 3 days with intravenous methylprednisolone pulse therapy. Three months later, his BCVA was improved to 0.8 in the left eye, but central relative scotoma was remained. Six months later, his BCVA was maintained at 0.8, and central relative scotoma was disappeared. However, the optic disc looked diffusely pale in the left eye. This case highlights that steroid therapy is an option for severe cases with posterior ischemic optic neuropathy.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141671493","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 : 2024-07-06DOI: 10.36347/sjmcr.2024.v12i07.006
Ovidiu-Angel Matei, L. Matei
Three years post-primary resection of a skin melanoma with right inguinal lymphadenectomy, a 62-year old Caucasian female patient presented with high grade fever episodes and was admitted to Helios Hospital Pforzheim for further medical evaluation. A suspicious mass was unexpectedly discovered in the descending duodenum and head of pancreas during PET-CT scan. Upper endoscopic examination with ultrasonography revealed a 30 mm tumor mass originating from the descending part of the duodenum, which had infiltrated the head of pancreas and caused/resulted in loop obstruction. Endoscopic biopsy confirmed the presence of neoplastic cells with melanin granules and positive for Melan-A/SOX10 staining, indicating the presence of a metastatic malignant melanoma. Importantly, the tumor showed no BRAF-Mutation. These additional staining was evaluated postoperatively, and colonoscopy did not reveal any tumors. After this procedure, the patient was strongly recommended to undergo surgical resection, to which the patient agreed. A pylorus preserving pancreaticoduodenectomy was performed at the Department of General Surgery at Helios Hospital Pforzheim. In the surgically resected Whipple specimen, the mass was 5 x 4 cm large, solid and ulcerated. Histologically the tumor infiltrated all duodenal layers and the tissue around them. Immunocytochemistry and electronic microscopy findings confirmed the diagnosis of malignant melanoma consistent with the skin specimen from the right thigh. Herefore, the duodenal lesion was a metastasizing skin melanoma originating from the skin melanoma in the right thigh. The postoperative course of the patient was favorable, therefore she was discharged from the hospital after 13 days. Subsequently, she underwent immunotherapy with Ipilimumab and Nivoluma, and no recurrence was identified during the close monitoring of the patient in the 5-month follow-up period. The patient’s medical history began three years prior with resection of a skin ...........
{"title":"PET-CT Incidental Finding of Duodenum Late Melanoma Metastasis: A Case Report","authors":"Ovidiu-Angel Matei, L. Matei","doi":"10.36347/sjmcr.2024.v12i07.006","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i07.006","url":null,"abstract":"Three years post-primary resection of a skin melanoma with right inguinal lymphadenectomy, a 62-year old Caucasian female patient presented with high grade fever episodes and was admitted to Helios Hospital Pforzheim for further medical evaluation. A suspicious mass was unexpectedly discovered in the descending duodenum and head of pancreas during PET-CT scan. Upper endoscopic examination with ultrasonography revealed a 30 mm tumor mass originating from the descending part of the duodenum, which had infiltrated the head of pancreas and caused/resulted in loop obstruction. Endoscopic biopsy confirmed the presence of neoplastic cells with melanin granules and positive for Melan-A/SOX10 staining, indicating the presence of a metastatic malignant melanoma. Importantly, the tumor showed no BRAF-Mutation. These additional staining was evaluated postoperatively, and colonoscopy did not reveal any tumors. After this procedure, the patient was strongly recommended to undergo surgical resection, to which the patient agreed. A pylorus preserving pancreaticoduodenectomy was performed at the Department of General Surgery at Helios Hospital Pforzheim. In the surgically resected Whipple specimen, the mass was 5 x 4 cm large, solid and ulcerated. Histologically the tumor infiltrated all duodenal layers and the tissue around them. Immunocytochemistry and electronic microscopy findings confirmed the diagnosis of malignant melanoma consistent with the skin specimen from the right thigh. Herefore, the duodenal lesion was a metastasizing skin melanoma originating from the skin melanoma in the right thigh. The postoperative course of the patient was favorable, therefore she was discharged from the hospital after 13 days. Subsequently, she underwent immunotherapy with Ipilimumab and Nivoluma, and no recurrence was identified during the close monitoring of the patient in the 5-month follow-up period. The patient’s medical history began three years prior with resection of a skin ...........","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141672478","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 : 2024-07-06DOI: 10.36347/sjmcr.2024.v12i07.008
Abdelmounim Boughaleb, Reda Tariqi, Ilyas Soufiani, I. Boualaoui, Ahmed Ibrahimi, H. E. Sayegh, Yassine Nouini
This case report describes a 58-year-old male with a history of chronic smoking who presented with severe hematuria and hemodynamic instability. Initial assessment revealed a massive bladder clot and critically low hemoglobin. Despite initial interventions, the patient suffered cardiac arrest requiring prolonged resuscitation. Emergency cystoscopy was performed, removing a 320-gram clot and resecting a 2 cm bladder tumor. Despite successful surgical intervention and post-operative intensive care, the patient succumbed to multi-organ failure six days later. This case highlights the potential severity of hematuria and the importance of prompt diagnosis and treatment of underlying causes. It also demonstrates the challenges in managing complex cases involving massive hemorrhage, hemodynamic instability, and the sequelae of prolonged cardiac arrest.
{"title":"Urgent Transurethral Resection of a Massive Bladder Clot in a Hemodynamically Unstable Patient","authors":"Abdelmounim Boughaleb, Reda Tariqi, Ilyas Soufiani, I. Boualaoui, Ahmed Ibrahimi, H. E. Sayegh, Yassine Nouini","doi":"10.36347/sjmcr.2024.v12i07.008","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i07.008","url":null,"abstract":"This case report describes a 58-year-old male with a history of chronic smoking who presented with severe hematuria and hemodynamic instability. Initial assessment revealed a massive bladder clot and critically low hemoglobin. Despite initial interventions, the patient suffered cardiac arrest requiring prolonged resuscitation. Emergency cystoscopy was performed, removing a 320-gram clot and resecting a 2 cm bladder tumor. Despite successful surgical intervention and post-operative intensive care, the patient succumbed to multi-organ failure six days later. This case highlights the potential severity of hematuria and the importance of prompt diagnosis and treatment of underlying causes. It also demonstrates the challenges in managing complex cases involving massive hemorrhage, hemodynamic instability, and the sequelae of prolonged cardiac arrest.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141673133","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 : 2024-07-05DOI: 10.36347/sjmcr.2024.v12i07.005
Salma Hassina, H. I, B. B, Hazil Z, B. C., R. L, T. N, A. Y, S. L, Abdallah El Hassan
We present a rare case of bilateral anterior uveitis in a 10-year-old patient, which revealed ocular toxocariasis. The patient complained of blurred vision and bilateral eye pain, and clinical examination showed the presence of synechia and incipient cataract. Serological tests confirmed that the patient was indeed infected with Toxocara. Treatment with local corticosteroids and anthelmintics resulted in significant improvement, highlighting the significance of considering toxocariasis in similar cases.
{"title":"A Rare Case of Bilateral Anterior Uveitis Revealing Ocular Toxocarosis","authors":"Salma Hassina, H. I, B. B, Hazil Z, B. C., R. L, T. N, A. Y, S. L, Abdallah El Hassan","doi":"10.36347/sjmcr.2024.v12i07.005","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i07.005","url":null,"abstract":"We present a rare case of bilateral anterior uveitis in a 10-year-old patient, which revealed ocular toxocariasis. The patient complained of blurred vision and bilateral eye pain, and clinical examination showed the presence of synechia and incipient cataract. Serological tests confirmed that the patient was indeed infected with Toxocara. Treatment with local corticosteroids and anthelmintics resulted in significant improvement, highlighting the significance of considering toxocariasis in similar cases.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141675665","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 : 2024-07-03DOI: 10.36347/sjmcr.2024.v12i07.001
Amine Kessab, Nabil Touihem, Adil Boudhas, Hicham Atefi, Mohamed Sinaa
Thyroid tuberculosis remains a rare clinico-histological entity. The clinical symptomatology is non-specific, mainly made by a goiter or thyroiditis with a subacute or chronic evolution. The diagnosis of certainty is confirmed by pathological examination of the thyroidectomy specimen. Anti-bacillary treatment of classic tuberculosis allows complete cure.
{"title":"Incidental Discovery of Thyroid Tuberculosis on Isthmolobectomy Example: Clinical Case","authors":"Amine Kessab, Nabil Touihem, Adil Boudhas, Hicham Atefi, Mohamed Sinaa","doi":"10.36347/sjmcr.2024.v12i07.001","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i07.001","url":null,"abstract":"Thyroid tuberculosis remains a rare clinico-histological entity. The clinical symptomatology is non-specific, mainly made by a goiter or thyroiditis with a subacute or chronic evolution. The diagnosis of certainty is confirmed by pathological examination of the thyroidectomy specimen. Anti-bacillary treatment of classic tuberculosis allows complete cure.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141680780","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 : 2024-07-03DOI: 10.36347/sjmcr.2024.v12i07.003
Jihane Hamdaoui, Maha EL Maati, K. Senouci
This case report presents a 12-year-old girl with a papule on her cheek that had been evolving for three months. The papule was excised, and histopathological examination revealed a pyogenic granuloma characterized by vascular proliferation in loose conjunctival tissue. This case highlights the importance of considering pyogenic granuloma in the differential diagnosis of persistent skin lesions in pediatric patients.
{"title":"A Case of Pyogenic Granuloma in a 12-Year-Old Girl: Clinical Presentation, Diagnosis, and Treatment","authors":"Jihane Hamdaoui, Maha EL Maati, K. Senouci","doi":"10.36347/sjmcr.2024.v12i07.003","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i07.003","url":null,"abstract":"This case report presents a 12-year-old girl with a papule on her cheek that had been evolving for three months. The papule was excised, and histopathological examination revealed a pyogenic granuloma characterized by vascular proliferation in loose conjunctival tissue. This case highlights the importance of considering pyogenic granuloma in the differential diagnosis of persistent skin lesions in pediatric patients.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141682560","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 : 2024-07-03DOI: 10.36347/sjmcr.2024.v12i07.004
M. Beaouiss, A. Rafik, S. E. Fathi, S. Baziaa, H. Asri, A. Zegmout, H. Souhi, H. Elouazzani, I. Rhorfi
Cancers, especially bronchopulmonary ones, can sometimes be accompanied by paraneoplastic syndrome. These syndromes may appear during a known neoplasia or even be the mode of revelation. Among these manifestations, ophthalmic manifestations, especially retinal, are noted. We report the case of a 71-year-old patient with small cell lung cancer revealed by a decrease in visual acuity.
{"title":"Decrease in Visual Acuity Revealing Lung Cancer: Case Report","authors":"M. Beaouiss, A. Rafik, S. E. Fathi, S. Baziaa, H. Asri, A. Zegmout, H. Souhi, H. Elouazzani, I. Rhorfi","doi":"10.36347/sjmcr.2024.v12i07.004","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i07.004","url":null,"abstract":"Cancers, especially bronchopulmonary ones, can sometimes be accompanied by paraneoplastic syndrome. These syndromes may appear during a known neoplasia or even be the mode of revelation. Among these manifestations, ophthalmic manifestations, especially retinal, are noted. We report the case of a 71-year-old patient with small cell lung cancer revealed by a decrease in visual acuity.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141680995","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 : 2024-06-01DOI: 10.36347/sjmcr.2024.v12i06.003
D. K, A. Koné, Drago Aa, Doumbia Aa, Dollo I, Kamissoko Co, M. A, Diakité M, Camara Bd, Berthé Bb, C. M, C. A, G. H, DS Sow
Introduction: Pubertal delay is defined by the absence of development of secondary sexual characteristics beyond the age of 13 in girls or 14 years in boys. In children of puberty age, delayed puberty is common in long-standing, untreated hypothyroidism. We report a case of delayed puberty revealed by Hashimoto's disease in the hypothyroid phase diagnosed in the Internal Medicine department of the Gabriel Touré University Hospital in Bamako, Mali. Observation: This was a female patient, aged 20 years old, without any particular medico-surgical ATCD or notion of taking medication, who had consulted at the end of 2021, in the Internal Medicine department of the University Hospital Gabriel Touré from Bamako for primary amenorrhea and delayed puberty. At the end of the clinical and paraclinical examination, a hypometabolism syndrome and pubertal delay were noted. On an evolutionary level, development of secondary sexual characteristics (From T1 to T3, and appearance of menstruation) after one year of treatment. Conclusion: Delayed puberty may be the consequence of hypothyroidism. Opotherapy with L Thyroxine helps restore normal pubertal development.
{"title":"Pubertal Delay Secondary to Hashimoto's Disease in the Hypothyroid Phase: About a Case in the Internal Medicine Department of the Gabriel Touré University Hospital in Bamako, Mali","authors":"D. K, A. Koné, Drago Aa, Doumbia Aa, Dollo I, Kamissoko Co, M. A, Diakité M, Camara Bd, Berthé Bb, C. M, C. A, G. H, DS Sow","doi":"10.36347/sjmcr.2024.v12i06.003","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i06.003","url":null,"abstract":"Introduction: Pubertal delay is defined by the absence of development of secondary sexual characteristics beyond the age of 13 in girls or 14 years in boys. In children of puberty age, delayed puberty is common in long-standing, untreated hypothyroidism. We report a case of delayed puberty revealed by Hashimoto's disease in the hypothyroid phase diagnosed in the Internal Medicine department of the Gabriel Touré University Hospital in Bamako, Mali. Observation: This was a female patient, aged 20 years old, without any particular medico-surgical ATCD or notion of taking medication, who had consulted at the end of 2021, in the Internal Medicine department of the University Hospital Gabriel Touré from Bamako for primary amenorrhea and delayed puberty. At the end of the clinical and paraclinical examination, a hypometabolism syndrome and pubertal delay were noted. On an evolutionary level, development of secondary sexual characteristics (From T1 to T3, and appearance of menstruation) after one year of treatment. Conclusion: Delayed puberty may be the consequence of hypothyroidism. Opotherapy with L Thyroxine helps restore normal pubertal development.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141279460","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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