{"title":"Ivan Barry Pless","authors":"B. Foster, Robert W. Platt, Michael S. Kramer","doi":"10.1136/bmj.p1913","DOIUrl":"https://doi.org/10.1136/bmj.p1913","url":null,"abstract":"","PeriodicalId":72433,"journal":{"name":"BMJ medicine","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88936706","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}
{"title":"Jim Loughran: GP and founder member of the Irish family planning movement","authors":"Rebecca Wallersteiner","doi":"10.1136/bmj.p1912","DOIUrl":"https://doi.org/10.1136/bmj.p1912","url":null,"abstract":"","PeriodicalId":72433,"journal":{"name":"BMJ medicine","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73573686","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}
While being investigated for tonsillar malignancy, this woman in her 60s was found to have a purple plaque on her right shin (fig 1, left) and multiple small, tender, bluish subcutaneous nodules that had arisen on both legs over the preceding two weeks (fig 1, right). She had a mild sore throat but no fever, weight loss, or night sweats. Histology of the left tonsil after tonsillectomy and biopsy samples from the skin on both legs showed primary tonsillar diffuse large B cell lymphoma (DLBCL) with secondary cutaneous involvement. Differential diagnoses include Kaposi sarcoma, sarcoidosis, and leukaemia cutis, which were ruled out on the basis of histopathology and immunohistochemistry. DLBCL is the most common type of non-Hodgkin’s lymphoma.1 Primary cutaneous DLBCL on the leg tends to occur in older women.2 Secondary cutaneous involvement in DLBCL may occur with more extensive skin lesions and indicates poorer prognosis compared with primary cutaneous DLBCL.3 4
{"title":"Purple plaques on the shin","authors":"Hsi-Ling Liu, Chih-Tsung Hung","doi":"10.1136/bmj-2023-075625","DOIUrl":"https://doi.org/10.1136/bmj-2023-075625","url":null,"abstract":"While being investigated for tonsillar malignancy, this woman in her 60s was found to have a purple plaque on her right shin (fig 1, left) and multiple small, tender, bluish subcutaneous nodules that had arisen on both legs over the preceding two weeks (fig 1, right). She had a mild sore throat but no fever, weight loss, or night sweats. Histology of the left tonsil after tonsillectomy and biopsy samples from the skin on both legs showed primary tonsillar diffuse large B cell lymphoma (DLBCL) with secondary cutaneous involvement. Differential diagnoses include Kaposi sarcoma, sarcoidosis, and leukaemia cutis, which were ruled out on the basis of histopathology and immunohistochemistry. DLBCL is the most common type of non-Hodgkin’s lymphoma.1 Primary cutaneous DLBCL on the leg tends to occur in older women.2 Secondary cutaneous involvement in DLBCL may occur with more extensive skin lesions and indicates poorer prognosis compared with primary cutaneous DLBCL.3 4","PeriodicalId":72433,"journal":{"name":"BMJ medicine","volume":"358 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76365127","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}
{"title":"Where now in the danse macabre of covid-19 and misinformation?","authors":"K. Abbasi","doi":"10.1136/bmj.p1884","DOIUrl":"https://doi.org/10.1136/bmj.p1884","url":null,"abstract":"","PeriodicalId":72433,"journal":{"name":"BMJ medicine","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81001091","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}
How long a course of antibiotics is needed for children with urinary tract infections? A randomised trial failed to reach a definite answer. Among 650 children aged 2 months to 10 years who showed clinical improvement after fivedaysof antimicrobials, half were allocated to another five days of antimicrobials and the other half to five days of placebo. Recurrence of symptomswasmore common in those receiving placebo, but the absolute rate of treatment failure was low (JAMA Pediatr doi:10.1001/jamapediatrics.2023.1979).
{"title":"Antibiotics for UTI in children . . . and other stories","authors":"","doi":"10.1136/bmj.p1830","DOIUrl":"https://doi.org/10.1136/bmj.p1830","url":null,"abstract":"How long a course of antibiotics is needed for children with urinary tract infections? A randomised trial failed to reach a definite answer. Among 650 children aged 2 months to 10 years who showed clinical improvement after fivedaysof antimicrobials, half were allocated to another five days of antimicrobials and the other half to five days of placebo. Recurrence of symptomswasmore common in those receiving placebo, but the absolute rate of treatment failure was low (JAMA Pediatr doi:10.1001/jamapediatrics.2023.1979).","PeriodicalId":72433,"journal":{"name":"BMJ medicine","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87353861","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}
{"title":"Hans Steiner: paediatrician who escaped the Holocaust","authors":"J. Beesley, A. Colver, A. Craft","doi":"10.1136/bmj.p1889","DOIUrl":"https://doi.org/10.1136/bmj.p1889","url":null,"abstract":"","PeriodicalId":72433,"journal":{"name":"BMJ medicine","volume":"70 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76031372","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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