Two patients with concomitant vitiligo and autoimmune atrophic gastritis a comparative histological study on skin and gastric mucosa were preformed.Common findings were seen in both specimens .Down expression of E-Cadherin and Collagen IV leading to detachment of melanocytes and parietal cells in addition to CD8 and CD4 Infiltration were detected.

Duodenal diverticula perforation due to an impacted bezoar is a rare disease. Surgical treatment is associated with high rates of complications and mortality; therefore, treatment strategies must be carefully decided. Endoscopic treatment offers significant benefits to patients over surgery.

Nervous system involvement in IgG4-related systemic disease (IgG4-RD) is rarely reported and manifests as hypertrophic pachymeningitis and hypophysitis. In this report, a 33-year-old woman with neurological manifestations was diagnosed with IgG4-RD by biopsy. The patient showed improvement in symptoms after the treatment.

POLR3A is a main subunit encoding RNA polymerase III which is involved in transcription of many RNA structures. Here we report a new presentation of c.1771-6C>G intronic variant presenting as developmental regression, seizure and dystonia in a 6-year-old boy associated with striatum involvement in the brain MRI.

Ondansetron is an FDA-approved selective serotonin 5-HT3 receptor commonly indicated as an anti-emetic agent for nausea and vomiting. It is rare to observe fatal reactions from ondansetron despite having no allergies or previous exposure. We report a case of anaphylactoid reaction with spontaneous coronary vasospasms in response to intravenous ondansetron.

Herpes simplex encephalitis (HSE) is the most common type of sporadic encephalitis that inflicts high rates of morbidity and mortality. Differentiating a progressing encephalitis syndrome from a lobar hemorrhage as a complication presents a challenge and requires great vigilance and insight on part of the treating physician.

Fibrolipoma is a variant of lipoma that is relatively uncommon in the mouth tissues, especially the attached gingiva. It is diagnosed by histopathologic and immunohistochemistry evaluation and treated by total excision. A case of a patient with attached gingiva fibrolipoma, treated by surgical excision under local anesthesia is reported.

Tuberous sclerosis complex (TSC) is an autosomal dominant genetic disorder. TSC consists of a wide variety of clinical manifestations, with neurological and dermatological symptoms being the most frequent. This study aims to describe the clinical characteristics and management of a pregnant patient incidentally diagnosed with TSC.

Statins are a widely used class of drug, usually safe and well-tolerated. Their cutaneous side effects are exceedingly rare. We describe a case of photoexposed purpuric eruption mediated by rosuvastatin.

Guillain-Barré syndrome is an acute immune-mediated demyelinating disease. Typical features include progressive ascending lower extremity weakness and areflexia. Several variants have been described which can make the diagnosis challenging . Here, we report a case of GBS presenting with progressive lower limb weakness and T6 sensory level.

Iatrogenic pseudoaneurysm is common vascular complications of angiographic procedures. Patients with uncomplicated pseudoaneurysms can be managed with ultrasound-guided techniques. However, for complicated pseudoaneurysms, surgical repair of the artery is mandatory. We report a case of successful repair of complicated pseudoaneurysm using access-site closure device, Perclose ProglideTM without surgical approach.

A document by Elias Tsakos. Click on the document to view its contents.

Progressive familial intrahepatic cholestasis (PFIC) is an abnormality in the formation and secretion of bile components and bile acids.We present a case of a 6-years-old female with Type 3 of PFIC which was confirmed via detecting pathogenic variants in the ABCB4 gene.

Harlequin ichthyosis is a rare autosomal recessive congenital ichthyosis with a distinct phenotypic appearance. We report a male baby with harlequin ichthyosis who was born to consanguineous parents that have a previous female baby who was diagnosed with harlequin ichthyosis.

Bladder cancer treatment remains a challenge to every oncologist. We report the case of a 57-year-old man with BCG-refractory bladder cancer, who had a complete response to the intravesical Gemcitabine to shine the light on the role of Gemcitabine as a bladder sparing treatment in BCG-failure patients.

A 69-year-old man presented with bloody pleural fluid effusion with elevated human chorionic gonadotropin (hCG) levels obtained by thoracentesis. The patient’s condition rapidly declined, and he died. An autopsy revealed primary lung choriocarcinoma. The early diagnosis of choriocarcinoma based on β-hCG levels in pleural fluid may be possible.

We present a case of a 47-year-old female with a history of diagnosed KD and autoimmune hepatitis 13 years ago who presented with recurrent fevers and a desquamative rash on the lower extremities. Patient has elevated ASMA titer, and a subsequent liver biopsy confirmed the diagnosis of autoimmune hepatitis

Spontaneous hemothorax occurs in the absence of trauma or iatrogenic causes. Etiologies of spontaneous hemothorax in children include connective tissue disease, neoplasia and coagulopathy which is associated with thromboembolic events. We present the case of a 10-year-old chronic hemodialysis patient with spontaneous hemothorax with a concurrent COVID 19 infection.