Medicine
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IgG4-related disease (IgG4-RD) is a chronic fibro-inflammatory disorder which is characterized by elevated levels of serum IgG4 and infiltration of IgG4-bearing plasma cells in the involved organs. Primary biliary cirrhosis (PBC) and Primary Sjögren's syndrome (pSS) are both distinct from IgG4-related disease. We herein describe a Chinese patient with IgG4-related RPF overlapping with PBC and pSS. ⋯ This rare clinical condition has seldom been reported in the literature, which suggests that common immunogenetic factors may be involved in the development of IgG-related RPF, PBC and pSS.
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Case Reports
Obstructive bronchitis and recurrent pneumonia in esophageal achalasia in a child: A CARE compliant case report.
Esophageal achalasia is characterized by impaired relaxation of the cardia and dilation of the intrathoracic part of the esophagus. We describe the late presentation of achalasia in an 11-year old girl. ⋯ Late presentation of achalasia in children can mimic respiratory and gastrointestinal diseases. Laparoscopic Heller myotomy combined with Dor fundoplication is feasible and advisable in children suffering from achalasia of the cardia.
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Case Reports
Familial exudative vitreoretinopathy complicated with full thickness macular hole: A case report.
To report a case of familial exudative vitreoretinopathy (FEVR) complicated with full-thickness macular hole (FTMH). ⋯ In this present case, an IMH developed via traction by a thick PVM, characteristic of FEVR, with FTMH then developing via traction by a thin ERM. Our findings reveal that it is vital to fully understand these anatomical features before performing vitreous surgery for FTMH complicated with FEVR.
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Case Reports
Continuous radiofrequency thermocoagulation under CT-guidance for glossopharyngeal neuralgia: Two case reports.
Glosssopharyngeal neuralgia (GPN) is a painful syndrome characterized by paroxysmal neuropathic pain in the pharynx, tonsil, posterior base of tongue, inner ear, and mandibular angle. The traditional therapies of GPN, including medication and surgical operation, are not always effective in pain controlling. Radiofrequency therapy is a minimally interventional technique to provide analgesia in chronic pain. ⋯ The CRF thermocoagulation produced no complications or side effects in the two cases, and was proved effective in the treatment of GPN.
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Case Reports
Transient ischemic attack characterized by external strabismus of the left eye: A case report.
Patients rarely display eye movement dysfunctions as the primary symptom in transient ischemic attack. ⋯ Atypical symptoms of transient ischemic attack are easy to be overlooked. Early diagnosis and timely treatments are keys to reverse the neurological symptoms and can be highly beneficial for patients with this condition.