Ann Clin Case Stud. 2023;5(5):ACCS-05-1091 | Open Access
German Azahares Leala, Celia Yamile Rodriguez Delis, Ramon Andres Ramirez Calas, Mundashiro Yahaya and Charles Doku
The study conducted a retrospective and prospective analysis of 22 patients diagnosed with anorectal malformation between January 2009 and June 2016, continuing until June 2020, in the surgical departments of the Regional Hospitals of Sunyani, Wa, and Tamale Teaching Hospital in northern Ghana. The findings revealed that 59.1% of cases exhibited low birth weights, with a predominance of male cases. Associated malformations were present in 35.2% ... Read more
RESEARCH ARTICLE Updated Nov 16, 2023 PDF
Ann Clin Case Stud. 2023;5(5):ACCS-05-1090 | Open Access
Igbal Abelati and Sami A Alshammary
OPINION Updated Sep 01, 2023 PDF
Ann Clin Case Stud. 2023;5(5):ACCS-05-1089 | Open Access
Behari Madhuri and Renu Achtani
Though tremors are most common of the movement disorders, orthostatic tremor is a rare form of tremor seen commonly in adult between ages of 13 years-85 years, most commonly around 60 years. It is so rare that only case report or some small case series have been reported so far. It is one of the most poorly understood of movement disorders.
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CASE REPORT Updated Jul 03, 2023 PDF
Ann Clin Case Stud. 2023;5(5):ACCS-05-1088 | Open Access
Marina F. de Mattias; Rodrigo S. Kojima; Agnaldo B. Chies; Igor R.C. Bienert; Eduardo A. Donadi; Pedro B. Andrade; Priscilla B. Oliveira; Antonio Fabron JR.; Marcelo O. Ruiz; Ana C. P. Latini and Wilson Baleotti JR.
Introduction: Acute Coronary Syndrome (ACS) is a consequence of long-term endothelial dysfunction, which has been associated with decreased vasodilator mediators, such as nitric oxide and Acetylcholine (ACh). Acetylcholinesterase (ACHE) degrades ACh and plays an important role on the control of the anti-inflammatory cholinergic pathway.
Objective: To assess the relationship between the ACHE YT polymorphism (rs1799805) on the severity of ... Read more
RESEARCH ARTICLE Updated Jul 03, 2023 PDF
Ann Clin Case Stud. 2023;5(5):ACCS-05-1087 | Open Access
Funmilola Favour Anjorin
EDITORIAL Updated May 26, 2023 PDF
Ann Clin Case Stud. 2023;5(4):ACCS-05-1086 | Open Access
Oumayma Lahnaoui, Nezha El bahaoui, Echcherab E, Absi M, Alami M, Ouanani M and Errougani M
Pyometra is a rare condition defined by accumulation of purulent fluid in the uterine cavity resulting from the obstruction of cervical canal drainage.
This exceptional condition can yield major and possibly lethal complications, namely spontaneous perforation of the uterus and subsequent diffuse peritonitis.
We present the case of a diabetic 60 years old patient with recent diagnosis of cervical ... Read more
CASE REPORT Updated May 20, 2023 PDF
Ann Clin Case Stud. 2023;5(4):ACCS-05-1085 | Open Access
Schilke ED, Remoli G, Da Re F, Stefanoni G, Appollonio IM, Frigo M and Ferrarese C
A 77-years old female patient was admitted for subacute onset of choreiform movements affecting the limbs of the left side of the body associated with dystonic contracture of the homolateral hemiface.
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CASE REPORT Updated Apr 03, 2023 PDF
Ann Clin Case Stud. 2023;5(4):ACCS-05-1084 | Open Access
Abdelkrim Hablal, Mohand Amoura, Hakim Chater, Meriem Mokhbi, Lydie Bounoua, Selma Yahyaoui, Manel Amri, Rania-Sihem Boussa, Imene Soufli, Chafia Touil-Boukoffa and Nassim Sid-Idris
Echinococcosis is an endemic zoonosis in Algeria. It induces the formation of cysts in several organs with a predilection for the liver and the lungs. Hydatid cysts can grow to an extremely large size. In this case, they are often associated with additional symptoms due to organ compression. Although only a few cases have been reported in the literature, the ... Read more
CASE REPORT Updated Mar 30, 2023 PDF
Ann Clin Case Stud. 2023;5(4):ACCS-05-1083 | Open Access
Krishna Dayal B, Udaykumar J. Khasage, Praveen Kumar and Veeresh Balkal
Introduction: Triaging patients in the Emergency Departments (EDs) is crucial in providing sufficient care. Several triage systems have been developed in the ED, like the Emergency Severity Index (ESI) and the Manchester Triage Scale (MTS). These systems render a way of categorising all incoming ED patients by level of understanding ranging from life-threatening to non-urgent and dictate how quickly patients ... Read more
RESEARCH ARTICLE Updated Apr 29, 2023 PDF
Ann Clin Case Stud. 2023;5(4):ACCS-05-1082 | Open Access
Saura C Sahu
Human exposure to engineered nanomaterials in the modern world is extensive. Use of nanotechnology in food, medicine, cosmetics and environment is widespread and is expected to increase in the future. This new technology holds great promise. However, it faces many challenges that need to be overcome. Our understanding of the effect of nanotechnology on human health is limited. Therefore, its ... Read more
MINI REVIEW Updated Mar 20, 2023 PDF
Ann Clin Case Stud. 2023;5(3):ACCS-05-1081 | Open Access
Saura C Sahu
The Holy Basil, commonly known as Tulsi, is a perennial plant in India. It is well known in India for its medicinal properties since ancient Vedic times. Its botanical name is Ocimum Sanctum. It belongs to the plant family of Lamiaceae. Its leaves demonstrate multiple medicinal properties. It has been used in Ayurvedic medicine in India from ancient times for ... Read more
MINI REVIEW Updated Mar 20, 2023 PDF
Ann Clin Case Stud. 2023;5(3):ACCS-05-1080 | Open Access
Saura C Sahu
The human microbiome has long been recognized as playing critical roles in human health and disease. Nanotechnology interacts with the human microbiome. Human exposure to engineered nanomaterials is extensive in the modern world. However, our understanding of the effect of nanotechnology on human microbiome is limited. It is of public concern. Therefore, the impact of nanotechnology on human microbiomes is ... Read more
MINI REVIEW Updated Mar 20, 2023 PDF
Ann Clin Case Stud. 2023;5(3):ACCS-05-1079 | Open Access
Iván Pérez-Sáncheza, Salvador Ausina-Gómeza, Laura Izquierdo-Plazasa and Nicolás Cerrolaza-Juristoa
Introduction: Schwannoma is the most common peripheral nerve sheath tumour. However, its localization in the foot is rare, affecting primarily the posterior tibial nerve. Although it usually occurs as a solitary idiopathic lesion, detection of multiple schwannomas has been described and requires a diagnostic study to rule out Neurofibromatosis, given the association between these two entities.
Case presentation: We ... Read more
CASE REPORT Updated Mar 17, 2023 PDF
Ann Clin Case Stud. 2023;5(3):ACCS-05-1078 | Open Access
Ranesh Palan, David Singer and Simon Parys
Aim: Rectal Foreign Body (RFB) is a common presentation to emergency with a broad spectrum of clinic severity from emergency department removal to surgical intervention. Research on the severe end of the clinical spectrum is lacking and our aim was to investigate RFB presentations requiring admission and surgical intervention.
Results: A total of 16 patients met inclusion and exclusion criteria. ... Read more
CASE SERIES Updated Mar 17, 2023 PDF
Ann Clin Case Stud. 2023;5(3):ACCS-05-1077 | Open Access
Garcia Expósito P, Stacey Ruales F and Montraveta-Querol M
Chilaiditi's syndrome is a rare cause of abdominal pain that due to its highly variable presentation it is mostly diagnosed as an incidental finding while performing ancillary studies.
We present 3 cases of Chilaiditi's syndrome in paediatric patients. First case is a 13-year-old patient consulting initially for diffuse chest and abdominal pain of approximately 3 weeks. Chilaiditi's syndrome ... Read more
CASE REPORT Updated Mar 03, 2023 PDF
Ann Clin Case Stud. 2023;5(2):ACCS-05-1076 | Open Access
Maria Felizardo de Gouveia
IMAGE ARTICLE Updated Mar 02, 2023 PDF
Ann Clin Case Stud. 2023;5(2):ACCS-05-1075 | Open Access
Suhayla Hamad Shareef, Zaenah Zuhair Alamri, Ahmed Salim Al-Rashdi, Lailan Nadhim Ismael, Nabaz Fisal Shakir Agha and Mahmood Ameen Abdulla
Typhonium flagelliforme (T. flagelliforme) was utilized in outdated medication for handling numerous syndromes. This study aimed to investigate the hepatoprotection effects of T. flagelliforme against Thioacetamide (TAA) hepatotoxicity in rats. Thirty rats have arbitrarily separated into five groups. Collection 1 was intraperitoneal injected with distilled water thrice /week and fed (p.o) daily with 10% Tween 20 to eight weeks. Collection 2 to 5 i.... Read more
RESEARCH ARTICLE Updated Mar 02, 2023 PDF
Ann Clin Case Stud. 2023;5(2):ACCS-05-1074 | Open Access
Ali L Alhouri and Shahm L Alhouri
Hepatitis A is an infectious viral disease that affects all ages. Since September 2022, a large spread of hepatitis A cases has been reported in a Syrian city called Masyaf and its countryside as well, which recorded mass infections with the disease. Most of the cases were suffering from abdominal pain accompanied by fatigue, fatigue and vomiting, according to the Syrian ... Read more
SHORT COMMUNICATION Updated Feb 23, 2023 PDF
Ann Clin Case Stud. 2023;5(2):ACCS-05-1073 | Open Access
Terracciano Fulvia, Marra Antonella, Covelli Claudia and Perri Francesco
We report a case of primary hepatic PEComa presenting as a single mass in a 48-year-old woman.
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CASE REPORT Updated Feb 08, 2023 PDF
Ann Clin Case Stud. 2023;5(2):ACCS-05-1072 | Open Access
Nale Djordje, Babic Uros, Nale Petar, Stankovic Branko and Vukovic Ivan
Objectives: To present a case of a patient with sacral agenesis and chronic renal failure in whom enterocystoplasty was used to treat vesico-ureteral reflux and impaired storage function of neurogenic bladder.
Methods: To describe the clinical characteristics of an adult patient with sacral agenesis, who presented at emergency department with urinary fistula on the left flank and sepsis syndrome. ... Read more
CASE REPORT Updated Feb 08, 2023 PDF
Ann Clin Case Stud. 2023;5(1):ACCS-05-1071 | Open Access
Bijal P Nisraiyya, David Ruiz, Gregory Woodhead, Hugh McGregor and Mikin V Patel
Attempts to retrieve IVC filters with prolonged dwell times often require advanced techniques. Additionally, cylindrical filters such as the OPTEASE present unique challenges to retrieval. This report details the use of endobronchial forceps from bidirectional approaches to generate the shear force necessary to remove an OPTEASE filter.
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CASE REPORT Updated Feb 02, 2023 PDF
Ann Clin Case Stud. 2023;5(1):ACCS-05-1070 | Open Access
Akram Heidari, Seyedhassan Adeli and Morteza Heidari
OPINION Updated Feb 02, 2023 PDF
Ann Clin Case Stud. 2023;5(1):ACCS-05-1069 | Open Access
Sarah Sukkariyeh, Caren Latouf and Rim Harfouch
Iron deficiency is one of the most common nutrient deficiencies in the world. The aim of our research was to identify the most common causes of iron deficiency anemia and the associated factors of lifestyle, dietary habits and menstrual cycle.
We selected a random sample of women attending the gynecology department at Tishreen University Hospital, and obtained the results of ... Read more
RESEARCH ARTICLE Updated Jan 30, 2023 PDF
Ann Clin Case Stud. 2023;5(1):ACCS-05-1068 | Open Access
Fatima Yasin, Nukhbat Ullah Awan, Shahzaib Ahmad, Qasim Mehmood and Talha Haq Nawaz
Aim and objective: To determine the frequency/percentage of patients presenting in the ENT OPD of a hospital [blinded for review] with an ear problem that requires suctioning.
Introduction: Despite a larger frequency of OPD patients requiring treatment, why is it not done in OPD should be addressed. Because there is no suction equipment in the ENT OPD, these patients ... Read more
RESEARCH ARTICLE Updated Jan 20, 2023 PDF
Ann Clin Case Stud. 2023;5(1):ACCS-05-1067 | Open Access
Sangeetha Menon, Sandhya Kizhakke Neelamana, Anita Balan, Tinky Bose, Sunu Ramachndran and Girija KL
In some cases, oral lesions appear to be the primary manifestation of disease. We report one such case of oral histoplasmosis in a bisexual man who was seen with ulcerations on the gingiva and proved to be infected by HIV.
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CASE REPORT Updated Jan 20, 2023 PDF
Ann Clin Case Stud. 2022;4(4):ACCS-04-1066 | Open Access
Flavia Vrenna, Anastasia Nocita, Giuseppina Alberto, Rosanna Patarino and Federico Tallarigo
Colorectal cancer is the second most common cancer in both men and women. However colorectal cancer is not a single type of cancer. Its pathogenesis depends on the anatomical location of the tumor and differs from the right side and the left side of the colon. Tumors of the right-sided proximal colon and left-sided distal colon have different molecular and ... Read more
RESEARCH ARTICLE Updated Dec 29, 2022 PDF
Ann Clin Case Stud. 2022;4(4):ACCS-04-1065 | Open Access
Rim M Harfouch, Ali L Alhouri, Shahm L Alhouri and Yahya Elshimali
Cholera is an infectious intestinal disease caused by strains of the bacterium Vibrio cholerae. Since late August 2022, cases of severe acute watery diarrhea have been increasingly reported across Syria, concentrated particularly along the Euphrates River. These were later confirmed to be cholera cases. According to Syrian Ministry of Health the outbreak of cholera in several regions has killed 29 people until ... Read more
SHORT COMMUNICATION Updated Nov 28, 2022 PDF
Ann Clin Case Stud. 2022;4(4):ACCS-04-1064 | Open Access
Alejandro Flores Uribe, Jorge Alberto González Arévalo, Ricardo Tello Mendoza, Arturo Reyes Esparza and Diego Bolaños Maya
A 71-year-old female patient with Guillain-Barré symptoms treated by internal medicine and referred to general surgery to place a Mahurkar-type central venous access for treatment with plasmapheresis. In the control chest X-ray, mediastinal widening is observed; it is complemented with angiotomography, visualizing an aortic dissection from the arch to the abdominal aorta. He was scheduled for placement of an ... Read more
CASE REPORT Updated Nov 25, 2022 PDF
Ann Clin Case Stud. 2022;4(4):ACCS-04-1063 | Open Access
Rancan A, Garcia Magne M, Battistel M, Parolin M, Barbiero G, Gamba P and De Corti F
Background and aim: Spontaneous Lumbar Artery Rupture (LAR) is a rare event that seems particularly associated with old age, renal failure requiring dialysis, anti-coagulant treatment and iatrogenic or accidental trauma. Only one case has been reported after renal transplantation. The aim of this study is to present the first reported case of LAR in children.
Case presentation: An 8-months ... Read more
CASE REPORT Updated Nov 18, 2022 PDF
Ann Clin Case Stud. 2022;4(4):ACCS-04-1062 | Open Access
Ting Liu, Jian AO, Li X, Fang R, Chen H, Liang X and Haoran LV
In general, it is accepted that diet has one of the greatest impacts on the Gut Microbiota (GM). Diets cooked with various flavor might cause GM shifts. In addition, the effect of diet and flavor might diverge depending on the genotype, sex and age of the host. Clarifying these interactions can reveal the potential health implications associated with diet changes. ... Read more
RESEARCH ARTICLE Updated Oct 14, 2022 PDF
Ann Clin Case Stud. 2022;4(4):ACCS-04-1061 | Open Access
Seema, Harish Kumar Singhal, Vyas PP and Dinesh Kumar Rai
Among nutritional disorders, Iron Deficiency Anaemia (IDA) is one of the most common diseases in all age groups especially in children and teenagers. Anaemia is well defined from Vedic period as Pandu Roga. It defines as Pitta dominant Tridoshaja disease of Rasavaha Strotas, where the colour of skin becomes pallor (Vaivarna). Ayurvedic system of medicine suggests many herbo mineral drugs ... Read more
RESEARCH ARTICLE Updated Oct 10, 2022 PDF
Ann Clin Case Stud. 2022;4(3):ACCS-04-1060 | Open Access
Joanna Jasińska and Katarzyna Barna
Background: Patient safety is an undeniable important aspect in the context of improving the quality of the entire health system. Improving patient’s safety should be comprehensive and include two dimensions of safety technical and functional. One source of information about the level of patient’s safety are medical staff, but there is a gap here, which is ... Read more
RESEARCH ARTICLE Updated Sep 26, 2022 PDF
Ann Clin Case Stud. 2022;4(3):ACCS-04-1059 | Open Access
Vishwajeet Singh, Mohit Pandey and Gyanendra Singh
Vesical calculi are common in pediatric population especially in the Indian subcontinent. Spontaneous vesicovaginal fistula formation as a complication of long standing recurrent vesical calculus in a young girl has seldom been reported in the literature. We hereby report a case of 15 year young girl who had a history of recurrent, impacted vesical calculus disease. She now presented with complaint ... Read more
CASE REPORT Updated Sep 19, 2022 PDF
Ann Clin Case Stud. 2022;4(3):ACCS-04-1058 | Open Access
Vishwajeet Singh, Nitish Dev, Mohit Pandey, Sandeep Kumar Patel, Jayant Maurya, Ravi Mishra and Mukul Kumar Singh
A 12 years young girl presented with cyclical lower abdominal pain and primary amenorrhoea. Her clinical and radiological examination revealed it as a case of hematometra, hematocolpos (proximal vagina) with thick transverse vaginal septum and distal vaginal atresia. She was managed initially by excision of the transverse vaginal septum and distal vaginoplasty. She had left distal ureteric injury following this operation ... Read more
CASE REPORT Updated Sep 19, 2022 PDF
Ann Clin Case Stud. 2022;4(3):ACCS-04-1057 | Open Access
Mais Yassin, Isabell Mohanna, Rafah Jamouz and Mohammad Juneidi
We report an interesting case of COVID-19 infection filled by complications (tuberculosis, pulmonary embolism, post COVID-19 lung fibrosis and Peripheral neuropathy). The patient was a 58 years old Syrian male. He reported to us in the emergency department with chief complaints of cough with expectoration associated with fever, chest pain, sore throat, headache, shortness of breath. His complaint started 10 days ago.<... Read more
CASE REPORT Updated Aug 16, 2022 PDF
Ann Clin Case Stud. 2022;4(3):ACCS-04-1056 | Open Access
Halima Salisu Kabara
Implementing Sepsis Care Bundles (SCB) is one of the fundamental pathways to sepsis quality improvement programme.
Guidelines and protocols have been put in place in order to give guidance and support to the clinicians at patient bedside, however, the notion “from bench to bedside” is far-fetched in our environment (Africa). Sepsis morbidity/mortality could be significantly decreased ... Read more
MINI REVIEW Updated Aug 12, 2022 PDF
Ann Clin Case Stud. 2022;4(2):ACCS-04-1055 | Open Access
Sadana P* and Sharma P
Coronary Angiography (CAG) is the most common modality for the assessment of coronary stenosis and intraprocedural guidance of Percutaneous Transluminal Coronary (PTCA). However, CAG has some limitations. It mainly shows luminal dimensions. CAG is limited in characterization of tissue or plaque morphology (except for calcium, coarse ulcerations, or large dissections) and assessing characteristics associated with suboptimal stent deployment. Optical Coherence ... Read more
CASE REPORT Updated Jul 15, 2022 PDF
Ann Clin Case Stud. 2022;4(2):ACCS-04-1054 | Open Access
Chawla NS and Vijayanand PJ
Background: Congenital C2-C3 synostosis or block vertebra is usually an incidental finding in patients with unrelated complaints. The condition may lead to biomechanical changes in the cervical spine. It may even result in a variety of symptoms such as neck pain and upper limb weakness.
Case presentation: A case of 30 year old female with neck pain was diagnosed ... Read more
CASE REPORT Updated Jun 19, 2022 PDF
Ann Clin Case Stud. 2022;4(2):ACCS-04-1053 | Open Access
Chawla NS, Gandhi DBC and Kohli P
Multiple sclerosis is a progressive demyelinating disease of the Central Nervous System (CNS). It presents with a wide variety of motor and sensory symptoms. Often, as the disease progresses, it can cause debilitating handicap of the patient rendering them unable to carry out their activities of daily living. Along with the medical treatment support, physio-therapeutic rehabilitation can help in reducing ... Read more
CASE REPORT Updated May 17, 2022 PDF
Ann Clin Case Stud. 2022;4(2):ACCS-04-1052 | Open Access
Aghajanzadeh M, Hedayati MH, Mohammadi F, Delshad MSE, Jafroudi EH, Mousazadeh M and Youshapourahmadi
Skin metastasis, neurosis and bleeding from of Papillary Thyroid Carcinoma (PTC) are rare. Here, we present one case of skin metastases, neurosis and bleeding of PTC are. The patient was females with 75 years old. The patients were admitted to the hospital with a, neurosis and bleeding on anterior-inferior of neck region. Free T3, T4 and TSH levels were in normal ... Read more
CASE REPORT Updated May 13, 2022 PDF
Ann Clin Case Stud. 2022;4(2):ACCS-04-1051 | Open Access
Aghajanzadeh M, Shafaghi A, Mashhor MY, Pourahmadi Y, Asli RH1 and MahasM
A 68 year old man presented to the emergency department with the complaint of sudden onset dysphagia while swallowing sausage with bread which has been over the past 4 hours. He had not been able to swallow any solids or semisolids but hardly could take small quantities of liquid diet.
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IMAGE ARTICLE Updated Feb 28, 2022 PDF
Ann Clin Case Stud. 2022;4(1):ACCS-04-1050 | Open Access
Abeysinghe AHMGB, Wimalasena GADNB and Herath MTD
We describe a case of a 30 year old female patient presented with a one day history of right lower abdominal pain with ultrasound evidence of free peritoneal fluid. Radiologically it was suspected to have perforated appendix. Ultimately perforated Merkel’s diverticulum was diagnosed at the laparotomy. Purpose of this article is to emphasize that perforated Merkel’s diverticulum ... Read more
CASE REPORT Updated Feb 28, 2022 PDF
Ann Clin Case Stud. 2022;4(1):ACCS-04-1049 | Open Access
Abeysinghe AHMGB, Wimalasena GADNB and Herath MTD
Fecaloma is a mass of accumulated fecal matter. It is usually found in the rectosigmoid area in patient with chronic constipation. They generally present with mechanical obstruction of the colon. This phenomenon is rare in the right side of the colon and small intestine. This reporting patient presented with small bowel obstruction due to fecaloma at the distal ileum.
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CASE REPORT Updated Mar 24, 2022 PDF
Ann Clin Case Stud. 2022;4(1):ACCS-04-1048 | Open Access
Bharathy KGS, Balachandran G, Tandon AS and Sikora SS
A Neuroendocrine Tumor (NET) diffusely infiltrating and replacing most of the pancreas is a rare entity and requires a high index of suspicion for diagnosis. This report discusses the presentation, findings on computed tomography scan and key aspects of management of a patient with a non-functioning diffuse pancreatic NET.
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CASE REPORT Updated Feb 17, 2022 PDF
Ann Clin Case Stud. 2022;4(1):ACCS-04-1047 | Open Access
Monique Powell, Steven Wronski and Joshua A Wilt
Background: Generalized Anxiety Disorder is a common and debilitating mental illness that may be treated successfully with Cognitive Behavioral Therapy. This study aims to explore how people with symptoms of Generalized Anxiety Disorder respond to an app-based intervention to reduce anxiety based on Cognitive Behavioral Therapy techniques.
Case presentation: A case-study was conducted that included three individuals with symptoms ... Read more
CASE STUDY Updated Feb 16, 2022 PDF
Ann Clin Case Stud. 2022;4(1):ACCS-04-1046 | Open Access
PK Roy, Urvashi Hada* and Kalpana Mahadik
To report a rare case of squamous cell vulvar cancer in a menopausal women.
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CASE REPORT Updated Jan 07, 2022 PDF
Ann Clin Case Stud. 2021;3(2):ACCS-03-1045 | Open Access
Leandro de Holanda da Rocha, Milena Nunes Alves de Sousa, Paulo Roberto Veiga Quemelo and Paulo Antônio Farias Lucena
Hallervorden-Spatz syndrome is a rare neurodegenerative disease, related to mutations in a gene located on chromosome 20p13. Hallervorden-Spatz syndrome is characterized by iron accumulation in the basal ganglia, which leads to variable neurologic manifestations. It is reported the case of a 6 years old male patient, with history of neuro psycho motor development involution noticed since 1 year and 5 months of age ... Read more
CASE REPORT Updated Dec 03, 2021 PDF
Ann Clin Case Stud. 2021;3(2):ACCS-03-1044 | Open Access
Sathya Sri Areti, Husna M Siddiqui, Asim Syed and Van Warren
Macrophage Activation Syndrome (MAS) is a form of Hemophagocytic Lymphohistiocytosis (HLH), a condition defined by
overactive immune response causing tissue destruction and excessive inflammation. It has been seen in rheumatologic conditions, mainly juvenile-idiopathic-arthritis and systemic lupus erythematosus.
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IMAGE ARTICLE Updated Nov 17, 2021 PDF
Ann Clin Case Stud. 2021;3(2):ACCS-03-1043 | Open Access
Andrew McDonough, Thomas Dawson, ZafNaqui, Bilal Barkatali and Angela Coumbarides
The objective of this case series was to establish the ability of advanced practice physiotherapists in safely and effectively performing manipulation under anaesthetic of displaced distal radius fractures in the emergency department setting. A competency pathway of work-based learning, training and supervised practice is described, and 10 cases managed by an advanced practice physiotherapist are reviewed focusing on acceptability of the ... Read more
SHORT COMMUNICATION Updated Oct 21, 2021 PDF
Ann Clin Case Stud. 2021;3(2):ACCS-03-1042 | Open Access
Laura Chapman and Ahmed Al-Mukhtar
A 64-year-old male with known moderately differentiated adenocarcinoma, was being investigated for metastases. There were multiple liver metastases seen on Computed Tomography (CT) scan. The primary tumour was resectable and a Positron Emission Tomography (PET) CT scan was recommended to complete staging.
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SHORT COMMUNICATION Updated Sep 03, 2021 PDF
Ann Clin Case Stud. 2021;3(1):ACCS-03-1041 | Open Access
Sayani Banerjee, Sujoy Das Thakur and Aishwarya Nandy
Introduction: We are in the era of novel coronavirus pandemic. Each wave is teaching us something new about the disease pathology, long term prognosis. Nonetheless, COVID-19 is giving rise to new challenges to the clinicians every day with its new found complications, long haul Covid symptoms. Secondary spontaneous pneumothorax has been reported to be a rare complication, seen in 1%-2% ... Read more
CASE SERIES Updated Aug 12, 2021 PDF
Ann Clin Case Stud. 2021;3(1):ACCS-03-1040 | Open Access
Abdulraheem S, AlMutairi S, Alyahya Y and Alduraie A
Background: Kennedy disease is a rare inherited X-linked recessive disorder that manifests mainly as muscle weakness leading to difficulty in speech and swallowing.
Objective: The purpose of this report is to present an orthodontic intervention that improved the quality of life for a patient with Kennedy disease.
Methods: The treatment method used employed orthodontic ... Read more
CASE REPORT Updated Apr 16, 2021 PDF
Ann Clin Case Stud. 2021;3(1):ACCS-03-1039 | Open Access
Maphosa T, van den Berk GEL, Blok WL and Engelen JWM
A16 year old man presented to our department in Mutare, Zimbabwe, with ulcers and crusts covering his nose and upper lip for 2 years (Figure 1). The lesions started as a small pimple spreading to his nose and upper lip causing nasal congestion. He was HIV positive and on first line antiretroviral therapy for 6 years. At presentation he had weight loss, intermittent ... Read more
IMAGE ARTICLE Updated Apr 09, 2021 PDF
Ann Clin Case Stud. 2021;3(1):ACCS-03-1038 | Open Access
George Baldwin
A case report is presented of Penny, aged 28, who was referred to the psychology pathway in the chronic pain service after reporting feeling anxious and low during a physiotherapy appointment for neck pain. An initial assessment highlighted Penny experienced anxiety in social situations and had a pervasive low mood stemming from her childhood and being maintained by her difficulties now. ... Read more
CASE STUDY Updated Mar 16, 2021 PDF
Ann Clin Case Stud. 2020;3(1):ACCS-03-1037 | Open Access
Felipe dos Santos Souza, Matheus Furlan Chaves, Nicolle dos Santos Moraes Nunes, Jacqueline Stephanie Fernandes do Nascimento, Marco Antonio Alves Azizi, Marco Orsini and Antônio Marcos da Silva Catharino
Tremor is a frequent movement disorder manifestation, whose etiology varies from common causes to rarer syndromes that are part of the differential diagnosis. Risperidone intervention in dopaminergic transmission can affect the motor control performed by the striatum, generating the so-called extrapyramidal syndromes. Among these syndromes, we have the rabbit syndrome, which is manifested by the chronic use of antipsychotics and ... Read more
CLINICAL VIDEO Updated Jan 18, 2021 PDF
Ann Clin Case Stud. 2020;2(4):ACCS-02-1036 | Open Access
Farinacci-Vilaró Marlene, Mendez-Ramirez Keren, Garcia-Puebla Juan, Fernández-Gonzalez Ricardo, Fernández-Medero Rosangela, Gerena- Montano Luis and Rodriguez-Velez Jose
Angioimmunoblastic T Cell Lymphoma (AITL) is an aggressive subtype of Peripheral T Cell Lymphomas (PTCL) with a high mortality rate. AITL may present with a wide range of nonspecific symptoms and clinical findings for which reason it is difficult to diagnose. Rarely, patients present with lymphoproliferative lung involvement. We describe a case of a patient with recurrent pleural effusion masquerading ... Read more
CASE REPORT Updated Dec 07, 2020 PDF
Ann Clin Case Stud. 2020;2(4):ACCS-02-1035 | Open Access
Ata Tayefeh, Afsoon Asadollahi and Maedeh Vakili Saatloo
Lymphangiomas are rare benign lymphatic abnormalities which mostly occur in the head and neck region and in mouth the preferred area of Involvement is the anterior two-thirds of dorsal tongue. Here an acquired oral lymphangioma of the buccal mucosa in a 50-year-old woman complaining of the presence of a mass in her mouth is presented. Pathologic examination of the specimen ... Read more
CASE REPORT Updated Sep 16, 2020 PDF
Ann Clin Case Stud. 2020;2(4):ACCS-02-1034 | Open Access
Xuedong Wang, Lei li1 and Xu Sun
Background: Desmoid Fibromatosis (DF) is clonal fibroblast hyperplasia that occurs in deep soft tissue and is a type of fibroblast tumor with local invasion potential.
Case presentation: A 52-year-old woman visited a hospital and a physical examination revealed retroperitoneal mass that had been present for more than 1 month. Three years prior, left hemangioma of the ... Read more
CASE REPORT Updated Sep 13, 2020 PDF
Ann Clin Case Stud. 2020;2(4):ACCS-02-1032 | Open Access
Shimon Shatzmiller
The public health crisis COVID-19 has led to general recommendations from officials to contain its spread. Anxiety about contracting the virus is prominent among the public. Specific pathways for anxiety due to contractile disease examined. People expected that a contributing trait of fear of being infected with COVID-19 involves a tendency to tenderness and sensitivity, emotional responses that are part ... Read more
LETTER TO EDITOR Updated Aug 20, 2020 PDF
Ann Clin Case Stud. 2020;2(3):ACCS-02-1031 | Open Access
Kumar RN, Zaheer S, Ahluwalia C and Arora R
Sex Cord Tumor with Annular Tubules (SCTAT) is a rare type of ovarian sex cord-stromal tumor which accounts for <1% of all ovarian sex cord stromal tumors. Cytologic features of this tumor have been described very rarely in the literature. Here we present a rare case of SCTAT on fine needle aspiration cytology with histological correlation.
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CASE REPORT Updated Jul 15, 2020 PDF
Ann Clin Case Stud. 2020;2(3):ACCS-02-1030 | Open Access
Beghdad M, Laachoubi M, Oukessou Y, Rouadi S, Abada R, Roubal M and Mahtar M
Pleomorphic adenoma is defined like a heterogeneous benign tumor of the salivary glands. The parotid gland is its principal localization. Pleomorphic adenoma in the minor salivary glands of the cheek represented an exceptional finding. We report a rare case of extraparotid pleomorphic adenoma developing at the salivary glands of cheek in a 50 year old man patient.
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CASE REPORT Updated Jun 24, 2020 PDF
Ann Clin Case Stud. 2020;2(2):ACCS-02-1029 | Open Access
Beghdad M, Ballage A, Mkhatri A, Chaouki A, Oukessou Y, Rouadi S, Abada R, Roubal M and Mahtar M
Introduction: Dermoid cysts are benign tumors that originate from aberrant primordial tissues. About 7% of all dermoid cysts are located in the head and neck region. We present here the case of a periorbital dermoid cyst in a 34 years old patient, involving the frontal bone.
Case presentation: We report the case of a 34 years old female patient, ... Read more
CASE REPORT Updated Jun 18, 2020 PDF
Ann Clin Case Stud. 2020;2(3):ACCS-02-1028 | Open Access
Faraone A, Tomasi D and Fortini A
Tuberculous peritonitis is an uncommon disease in countries with low Tuberculosis (TB) incidence, most often affecting non-white race, foreign-born individuals. We describe a case of TB with peritoneal involvement in a 32-year-old man immigrated to Italy from Burkina Faso, who presented with a history of fever, malaise, abdominal pain and abdominal swelling. Due to its nonspecific clinical presentation and paucibacillary ... Read more
CASE REPORT Updated Jun 13, 2020 PDF
Ann Clin Case Stud. 2020;2(2):ACCS-02-1027 | Open Access
Orgun LT, Arhan E, Rzayeva T, Ucar HK, Aydin K and Serdaroglu A
Opercular Syndrome (OS) is described as a clinical syndrome of bilateral corticobulbar involvement with facio-labio-pharyngo-glosso-laryngo-brachial paralysis. Opercular syndrome occurs due to lesions at cortical or subcortical region involving the anterior opercular area. The causes of OS in childhood period are most of the time congenital or developmental pathologies. Herpes Simplex Encephalitis (HSE) is known to be a rare acquired cause ... Read more
CASE REPORT Updated Jun 11, 2020 PDF
Ann Clin Case Stud. 2020;2(2):ACCS-02-1026 | Open Access
Kramer DG, Germano BCC, Mendes AS, Victor LS, Cavalcanti Júnior GB and Oliveira LS
Coronaviruses are enveloped and positive-stranded RNA genome, responsible for the current pandemic, with millions of infected and tens of thousands of deaths. The clinical course of the disease may change with laboratory parameters such as: hypoalbuminemia, increase in C-reactive protein, serum ferritin, lymphopenia, leukopenia, thrombocytopenia, increase in prothrombin time, increase in the level of D-dimers, increase in alanine and aspartate ... Read more
REVIEW ARTICLE Updated Jun 05, 2020 PDF
Ann Clin Case Stud. 2020;2(2):ACCS-02-1025 | Open Access
Fuerte S, Hernández A, Cendrero M, García-Quijada J and Ruiz de Adana JC
Introduction: Different systems for closing and sealing off the appendiceal stump and the mesoappendix can be used when performing appendectomies laparoscopically. The object of this study was to evaluate procedure costs attaching to the different systems used.
Methods: This was a prospective, non-randomized study of 20 laparoscopic appendectomies using endoloops and endoclips instead of endostaplers to ... Read more
SHORT COMMUNICATION Updated May 23, 2020 PDF
Ann Clin Case Stud. 2020;2(2):ACCS-02-1024 | Open Access
Tommasi C, Balsano R and Garajova I
We present the clinical case of a young man with sudden neurological and hematological symptoms. The analyses revealed meningeal and bone infiltration of cells compatible with primitive neuroectodermal tumor without a mass at the imaging.
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CASE REPORT Updated May 18, 2020 PDF
Ann Clin Case Stud. 2020;2(2):ACCS-02-1023 | Open Access
Wang CM, Xu ZF, Wu WX and Pan AZ
Objective: To analyse clinical data of two couples with Coronavirus Disease 2019 (COVID-19) in order to get familiar with the clinical features of the disease.
Methods: Two couples with COVID-19 admitted to the first Foshan people's hospital were enrolled from January 20 to February 25, 2020, and their clinical and imaging data were analysed.
Results: ... Read more
CASE REPORT Updated Apr 23, 2020 PDF
Ann Clin Case Stud. 2020;2(2):ACCS-02-1022 | Open Access
Rasso A, ziani J, baybay H, Elloudi S and Mernissi FZ
A 14 year old boy with no pathological condition consults after the appearance of a lesion on the upper lip, dermatological and dermoscopic examination found a wart, the location of the wart on the oral mucosa is rare, so dermoscopy is rarely described in the literature. We report a new dermoscopic image of the oral mucosa wart.
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IMAGE ARTICLE Updated Apr 16, 2020 PDF
Ann Clin Case Stud. 2020;2(1):ACCS-02-1021 | Open Access
Sudha Karayil, Namboothiri CNT, Parameswaran MP and Haridas M
This report is the result of palliative treatment reviews of cancer patients who were, at first, treated as per the protocols of modern medicine. As all the options of modern medicine were exhausted and the patients were not shown disease-free, they were sent home for palliative care. Some of such patients were treated by a qualified physician of modern medicine ... Read more
REVIEW ARTICLE Updated Apr 15, 2020 PDF
Ann Clin Case Stud. 2020;2(1):ACCS-02-1020 | Open Access
James P. Dworkin Valenti
This tutorial demonstrates the power and complexity of a single-subject treatment design for children with Moebius Syndrome (MS) who suffer from associated oral-neuromotor speech and swallowing difficulties. This suggested treatment protocol was constructed for a team of Speech-Language Pathologists (SLPs) interested in determining with confidence whether use of a unique oral stimulation tool actually results in reliable and valid improvements ... Read more
REVIEW ARTICLE Updated Mar 28, 2020 PDF
Ann Clin Case Stud. 2020;2(1):ACCS-02-1019 | Open Access
Alpert EA, Gavriel D and Koslowsky B
Gastroenterologists frequently encounter foreign body ingestions. Most accidental ingestions in adults are secondary to impactions of food boluses, primarily meat. Intentional ingestions in adults are usually by patients with psychiatric problems or drug abuse. Foreign bodies can enter the rectum either secondary to ingestion or by direct anal insertion. A few case reports of telephone ingestions have been reported by ... Read more
CASE REPORT Updated Mar 18, 2020 PDF
Ann Clin Case Stud. 2020;2(1):ACCS-02-1018 | Open Access
Alper Sami Kunt* and Mahmut Bicer
Objective: Acute type A aortic dissection represents an emergency that requires immediate open-heart surgery to prevent aortic rupture and eventually death. The purpose of this study is to investigate the results of Teflon felt reinforcement sandwich technique for acute type A aortic dissection.
Methods: Thirty-eight patients who underwent surgery acute type A aortic dissection between 2015 and 2019 were examined retrospectively. ... Read more
SHORT COMMUNICATION Updated Mar 06, 2020 PDF
Ann Clin Case Stud. 2020;2(1):ACCS-02-1017 | Open Access
Genovese C, Scarpaci KS, D’angeli F, Caserta G and Nicolosi D
Morus alba L. is a plant belonging to the moraceae family knows as white mulberry. It is a species native to China and used in silk production, in traditional Chinese medicine and its fruits are used for fresh consumption. The different parts of the plant contain considerable amounts of amino acids, vitamins, minerals, steroids, saponins, alkaloids, glycosides, and phenolic compounds ... Read more
SHORT COMMUNICATION Updated Feb 24, 2020 PDF
Ann Clin Case Stud. 2019;1(4):ACCS-01-1016 | Open Access
Adelina Silvana Gheorghe, Andreea Mihaela Radu, Isabela Anda Komporaly, Alina Luminiţa Bodilcu and Dana Lucia Stănculeanu
A 64 year-old patient diagnosed in 2018 with triple-positive metastatic breast cancer presented at our clinic for the 19th administration of the targeted/chemotherapy treatment (Pertuzumab, Trastuzumab, Docetaxel and Zoledronic Acid) with erosion of the entire skin on top of the port for central vein access placed in the subclavicular area of her right chest wall, exposing the infusion port in the ... Read more
IMAGE ARTICLE Updated Dec 16, 2019 PDF
Ann Clin Case Stud. 2019;1(3):ACCS-01-1015 | Open Access
Chaoui R, Bennani M, Oukarfi S, El Kadiri S, Elloudi S, Baybay H, Gallouj S and Fatima Zahra Mernissi
Venous lakes are defined as frequent and benign venous ectasia. They commonly affect sun-exposed areas in the elderly people. We report a case of 82-year-old women with a multiple venous lakes of the face.
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CASE REPORT Updated Oct 26, 2019 PDF
Ann Clin Case Stud. 2019;1(3):ACCS-01-1014 | Open Access
Ekong Raymond Eworo, Chinyere Augusta Nsonwu-Anyanwu, Ikoidem Bassey Uduak, Zibril A. Okhormhe and Edet Atim Itinam
Cigarette smoking has been linked to health challenges of global concern. This study determined Body Mass Index (BMI), serum cotinine and C-reactive protein levels of smokers. Forty-five smokers and forty-five aged-matched non-smokers were recruited into the study. Informed consents were obtained from the participants. Ethical consideration was granted by Cross River State Ministry of Health. Blood samples were collected by ... Read more
RESEARCH ARTICLE Updated Sep 30, 2019 PDF
Ann Clin Case Stud. 2019;1(3):ACCS-01-1013 | Open Access
Khan S and Fatima Shad K
Inflammasomes are multiprotein complexes consist of having nucleotide binding domain and leucine rich repeat with the pyrin and HIN domain family. The NLRP3 inflmmmasome one of these members of family it is form upon sensing microbes or danger associated molecular pattern. NLRP3 inflmmmasome activation leads to activation of caspase 1 which is in turn activate proinflammatory cytokines/chemomokines
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EDITORIAL Updated Aug 29, 2019 PDF
Ann Clin Case Stud. 2019;1(3):ACCS-01-1012 | Open Access
Vishal Chavda
An Annals of Clinical Case Studies is a wonderful online-open access medico scientific journal which publishes the case studies of different medical novel investigations in numerous medical subspecialties. The journal sticks with the broad scope of medical therapeutics and Innovations. Journal supports review, research, original case report and case report series, important medical investigations and much more. This research reports ... Read more
EDITORIAL Updated Aug 07, 2019 PDF
Ann Clin Case Stud. 2019;1(3):ACCS-01-1011 | Open Access
Prabin Shrestha, Isha Dhungana, Manish Kolakshyapati and Anish M Singh
Common Carotid Artery (CCA) anomaly is a relatively rarer entity in medical field. Rarely do we come across such cases but more commonly detected incidentally.
Here we present a 55-year-old male patient presented with repeated brief episodes of stroke like features possibly Transient Ischemic Attack (TIA). He was taking medicines for hypertension; otherwise he didn’t have any ... Read more
CASE REPORT Updated Aug 07, 2019 PDF
Ann Clin Case Stud. 2019;1(2):ACCS-01-1010 | Open Access
Fanfan Chen, Hongbin Ju, Hui Lyu, Jing Lu and Ling Li
For patients with breast cancer, an alter native to unreliable imaging methods and un necessary debilitating invasive procedures is required that might predict the status of axillary lymph nodes and risk of metastasis. This retrospective study developed a nomogram model for such evaluation, based on readily available clinical variables. The records of 1730 women patients with breast cancer were reviewed. Patients ... Read more
RESEARCH ARTICLE Updated Jul 23, 2019 PDF
Ann Clin Case Stud. 2019;1(2):ACCS-01-1009 | Open Access
Nalini Tomar, Bhakti Patil Soman, Kuldeep Singh Bhadauria, Deepa Das and Pratik Malusare
Pyogenic tumor or pregnancy tumor or lobular capillary hemangioma is an inflammatory hyper plasia occurs in oral cavity, due to hormonal effects on blood vessels. It is not a true granuloma or infection, and caused by localised irritation, hormones, trauma seen in between 2nd to 5th decade, more common in pregnant females occurs in gingiva most commonly, then lip, buccal ... Read more
CASE REPORT Updated Jul 23, 2019 PDF
Ann Clin Case Stud. 2019;1(2):ACCS-01-1008 | Open Access
Gaurav Kumar, Meera Ekka, Nayar Jamshed and Praveen Aggarwal
The uvula is a fleshy projection hanging at the back of the throat from posterior margin of the soft palate. Congenital absence of uvula is a very rare entity in general population. Congenital absence of uvula has been seen to be associated with other congenital abnormalities such as cleft palate, various genetic conditions, and immunodeficiencies states. This case report concerns ... Read more
CASE REPORT Updated Jul 12, 2019 PDF
Ann Clin Case Stud. 2019;1(2):ACCS-01-1007 | Open Access
Sen Wang, Jin Qian, Zakaria lyan and Di Xu
Many studies have confirmed significant determinant role of plasma amino-terminal pro-B type natriuretic peptide (NT-proBNP) concentrations in the patients with acute dyspnea. It was recommended to differentiate cardiac asthma and non-cardiac asthma. We discuss the case of an old male patient who presented with acute heart failure secondary to pulmonary infection without early obvious elevated NT-proBNP concentration. The NT-proBNP concentration ... Read more
CASE REPORT Updated Jul 11, 2019 PDF
Ann Clin Case Stud. 2019;1(2):ACCS-01-1006 | Open Access
Giuliani A, Romano L, Schietroma M and Carlei F
A rectovaginal fistula is a communication between theanterior wall of the rectum and the posterior wall of the vagina. Many surgical approacheshave been proposed, but its treatment is still considered complicated. A 34-year-old patient presented with a low rectovaginal fistula of about 2.5 cm, resulting from obstetric injury during eutocic delivery. The patient was already treated with conservative therapies. We decided ... Read more
IMAGE ARTICLE Updated Jun 06, 2019 PDF
Ann Clin Case Stud. 2019;1(1):ACCS-01-1005 | Open Access
Umit Sayin H
“Pleasure principal” is one of the most important driving forces of the human psyche. Pleasures in human beings include various satisfactions, such as food intake for the survival, satisfaction of the ego and higher cortical cognitive functions, sexual satisfaction and orgasm, satisfaction of basic physiological needs. Female orgasm, which does not happen in other animal species (other than ... Read more
CASE REPORT Updated May 20, 2019 PDF
Ann Clin Case Stud. 2019;1(1):ACCS-01-1004 | Open Access
Yi-Guo Feng
Cutaneous horns hard conical projections from the skin, whose height need to be at least half the widest diameter of its base. A 46-year-old female presented with a long keratotic, solitary outgrowth on lower-eyelid for 5 months (Figure 1). The lesion is asymptomatic. It is removed by surgical operation. The histological sections showed it is made of compact keratin. The surrounding epidermis ... Read more
IMAGE ARTICLE Updated Mar 25, 2019 PDF
Ann Clin Case Stud. 2018;1(1):ACCS-01-1003 | Open Access
Alaattin Ozen, Ata Ozen , Ilknur Ak Sivrikoz , Yagmur Uluhan4 and Cavit Can
Although, there is consensus on local, locally advanced and metastatic prostate cancer therapy, there is no consensus on oligometastatic (≤ 3 metastasis) prostate cancer treatment. Active follow-up is an effective treatment option in asymptomatic cases. It has been reported in various retrospective studies that regional treatment may be effective even though there is a systemic spread in the presence of isolated ... Read more
CASE REPORT Updated Oct 19, 2018 PDF
Ann Clin Case Stud. 2018;1(1):ACCS-01-1002 | Open Access
Aileen K Larson, Esmael H Amjad and Michael RAulicino
Both giant cell tumors and giant cell granulomas are uncommon lesions of the head and neck and are even more uncommon lesions in the sinonasal cavity. We present a case report of a 77-year-old woman with complaints of nasal congestion and intermittent epistaxis from the right nasal cavity for about a year. Following our biopsy, the histological specimen demonstrated unevenly ... Read more
CASE REPORT Updated Sep 25, 2018 PDF
Ann Clin Case Stud. 2018;1(1):ACCS-01-1001 | Open Access
James P Dworkin-Valenti
A case study offers an intensive overview of a subject, group, event, or community with an interesting or complex condition that merits further informal review and discussion.
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EDITORIAL Updated Sep 25, 2018 PDF