Pilocytic astrocytomas are typically pediatric brain tumors, and they are rarely diagnosed in older adults, especially in childbearing patients. However, if they present in pregnant women, they have a potentially catastrophic maternal and fetal outcome. In our case study, we describe a case of a young pregnant patient, who initially asked medical help due to therapy-resistant worsening headache, and finally was diagnosed and successfully treated with a decompensated pilocytic astrocytoma. We review the primary diagnostic and therapeutic options of this tumour. And, we can conclude that new-onset headaches should always been taken seriously, especially in pregnant patients.
Issue 5 Articles
A swollen and painful clitoris was noticed by the parents of a 5 year-old-girl. A hair tourniquet was found at the base of the clitoris and mechanically removed in the hospital. Genital hair thread tourniquet syndrome is a rare entity, which can be misdiagnosed and can lead to genital complications if the treatment is delayed.
2. Clinical Image
A 5 year-old girl was admitted in our pediatric emergency ward for a swollen and painful clitoris noticed when waking up. No necrosis was observed. A hair tourniquet was found at the base of the clitoris. After mechanical removal of the hair, the edema of the clitoris disappeared in one hour.
The Differences Between Exfoliative Cheilitis and Factitial Cheilitis, Also Its Association with B12 Deficiency: A Review Article
1.1. Background: Cheilitis is generally an inflammation that occurs in the vermillion border of the lips. Exfoliative Cheilitis is a chronic disease that occurs locally only on the vermillion border of the lips, which until now the exact cause has not been identified. Exfoliative cheilitis often has clinical symptoms similar to other diseases, one of which is Factitial Cheilitis. Factitial Cheilitis often occurs in adolescent to adult women.
1.2. Objectives: Difference Exfoliative cheilitis and Factitial Cheilitis, also its association with B12 deficiency.
1.1. Background: Condyloma acuminata are soft, skin colored, fleshy warts that are caused by the Human Papilloma Virus (HPV), typically HPV 6 and 11 genotypes. The disease is highly contagious, can appear singly, confluent, multiple, small or large. The incubation period may be from 1-6 months. Although anogenital warts are considered to be sexually transmitted in adults, this may not be the case for children. Genital warts in children may result from several modes of transmission: from the maternal genital tract autoinoculation, from finger warts and nonsexual transmission from members/careers. Generally, diagnosis of anogenital warts is usually made on physical examination.
One of the rare presentations of both active pulmonary and extrapulmonary tuberculosis is polyarthropathy in the form of involvement of multiple large and small joints in the body. This reactive arthritis in tuberculosis (TB) is known as Poncet’s disease, a rare aseptic form of arthritis characterized by polyarticular impairment observed in patients with active TB, without any evidence of direct bacillary invasion of the joints. It is a different entity from tuberculous arthritis, which is usually monoarticular and is caused by direct tuberculin infection. Poncet’s disease remains a diagnosis of exclusion.