Deterioration of Cardiac Function Complicated by Ventricular Tachycardia after the implantation of an artificial cardiac pacemaker

A document by Abitalis Mayengela. Click on the document to view its contents.

Severe postpartum inguinal neuralgia relieved by ultrasound‑guided nerve blocks: a case report

Key Clinical Message Arthroscopic synovectomy for severe hemophilic knee arthropathy revealed unrecognized microbleeding. Although a second surgery was required for catching symptoms, cartilage repair was confirmed, hemorrhage did not recur, and clinical symptoms improved.

A document by Mohammd Rahimi. Click on the document to view its contents.

A document by Nishchal Regmi. Click on the document to view its contents.

A giant cervical decidual polyp in pregnancy managed with lactoferrin, probiotics, and ligation: A case reportSatoshi Yoneda1, Noriko Yoneda1, Masami Ito1, Kanto Shozu1, Tatsuhiro Tsuda1, Kazushige Sugie2, Akitoshi Nakashima11Department of Obstetrics and Gynecology, University of Toyama, 2630 Sugitani, Toyama, 930-0194, Japan2Clinical Laboratory and Transfusion Medicine & Cell Therapy Center, Toyama University HospitalAddress correspondence to: Satoshi Yoneda, M.D., Associate Professor, the University of Toyama, 2630 Sugitani, Toyama, 930-0194, JapanTel.: +81-076-434-7357Fax: +81-076-434-5036E-mail: s812yone@med.u-toyama.ac.jp

A document by Jean Michel Hovsepian. Click on the document to view its contents.

Case reportProsthetic rehabilitation of atrophic maxilla by extrasinus zygomatic implants: An illustrative case reportNabina Miya a, Bikal Ghimire a,*, Bidhan Shrestha baKantipur Dental College Teaching Hospital & Research Center, Kathmandu University, Basundhara, Kathmandu, Bagmati, NepalbDepartment of Prosthodontics, Kantipur Dental College Teaching Hospital & Research Center, Kathmandu University, Basundhara, Kathmandu, Bagmati, Nepal

Article type : Case Images, Clinical Case ReportsTitle : Linear supravenous hypopigmentation four months after intralesional triamcinolone for tendinitisAuthors : Emily Ames, B.B.A.,1 Victor Huang, M.D., F.A.A.D.1,2Institutional Affiliations :1. Kirk Kerkorian School of Medicine at UNLV, Las Vegas, Nevada2. University of California, Davis, Department of Dermatology, Sacramento, CACorresponding Author : Victor Huang, MDUniversity of California, Davis, Department of Dermatology3301 C Street, Suite 1400Sacramento, CA 95816Office Phone : 916-551-2600Fax : 916-442-5702Email address : vtrhuang@ucdavis.eduReprint Requests : Victor Huang, MDWord count : 489Reference count : 3Figure count : 2Key words : linear hypopigmentation, perilymphatic hypopigmentation, injection site adverse effectsAcknowledgements : Authors would like to acknowledge their respective departments for their support and guidance.Statement of Data Availability: No datasets were generated for this case image.Statement of Funding Sources : This article has no funding source.Statement of Conflicts of Interest : The authors have no conflict of interest to declare.Statement on any Prior Presentation : This case has not been published previously.Statement on Patient Consent : The patient in this manuscript has given written informed consent to publication of their case details.Statement on Permission to Reproduce Material : No previously published material has been reproduced in this manuscript.

A document by Dipendra Shahi. Click on the document to view its contents.

Key Clinical MessageHaemodynamically significant aortic regurgitation (AR) can be underestimated by standard echocardiography and 2D phase-contrast CMR, particularly in patients with heart rate variability. This case highlights the additive role of 4D-flow CMR in reclassifying AR severity from mild-moderate to moderate-severe. Accurate quantification is essential to identify AR as the primary driver of cardiomyopathy, explaining adverse remodelling and guiding timely aortic valve intervention to prevent irreversible myocardial fibrosis.Case DescriptionA 73-year-old female was admitted to the hospital with progressive shortness of breath. Her medical history was notable for breast cancer, treated successfully 19 years prior. She was diagnosed with acute decompensated heart failure and treated acutely with intravenous furosemide.Initial investigations revealed a significantly elevated NT-proBNP of 5772 ng/L (normal range <400). The electrocardiogram showed sinus rhythm with a narrow QRS complex. A transthoracic echocardiogram (TTE) demonstrated a dilated left ventricle (LV) with severe global systolic dysfunction (estimated ejection fraction [EF] 10–20%). The TTE also identified moderate aortic regurgitation (AR), though the aortic valve appeared morphologically normal with normal aortic dimensions. Prior to discharge, she was initiated on guideline-directed medical therapy (GDMT) including bisoprolol, ramipril, spironolactone, and dapagliflozin.To further investigate the aetiology of her non-ischaemic cardiomyopathy, an outpatient cardiac magnetic resonance (CMR) study was performed two months after her index admission. The CMR confirmed severe LV dilation (end-diastolic volume index 159 ml/m²) and severe systolic dysfunction (LVEF 26%) (Fig. 1). The right ventricle (RV) was normal in size but had impaired systolic function (RVEF 41%).AR severity analysis with standard 2D phase-contrast quantification indicated mild-to-moderate AR (regurgitant fraction [RF] 20%, regurgitant volume [RVol] 10.9 ml) (Fig. 1A – 1B). In contrast, advanced 4D-flow analysis provided a critical diagnostic revision, demonstrating moderate-to-severe AR (RF 38%, RVol 20 ml) (Fig. 1C - 1F).Furthermore, tissue characterisation provided evidence of established adverse remodelling. There was diffuse myocardial fibrosis (elevated native T1 and extracellular volume) and subtle mid-wall late gadolinium enhancement (LGE), representing the chronic sequelae of chronic volume overload.

TemplateCorrection to “Aggressive Disease and Poor Clinical Outcome in CEBPα-Mutated Acute Myeloid Leukemia Patient”A. A. Alshammari, M. O. AlSabbagh, H. M. Alshehri, A. F. AlSwayyed, F. M. Alseraye, and A. A. Peer-Zada, “ Aggressive Disease and Poor Clinical Outcome in CEBPα-Mutated Acute Myeloid Leukemia Patient,” Clinical Case Reports  13, no. 11 (2025): e71462, https://doi.org/10.1002/ccr3.71462.In the published version of this article, the author name was incorrect. The name appeared as: Attatullah A. Alshammari . It should read: Abdullah Attullah Alshammari .]We apologize for this error.

Wernicke–Korsakoff syndrome a rare complication of hyperemesis gravidarum: case report.

TitleLate-Onset Mesalazine-Induced Eosinophilic Pneumonitis Presenting as Non-Resolving Pneumonia: A Diagnostic Pitfall in Ulcerative Colitis

Anti-GD1b disorder presenting as multiple mononeuropathies.Kamar Eid MD, Rim Araoui MD, Ragheb Ismail BSN, Raja Sawaya MDDepartment of Neurology, American University of Beirut Medical Center, Beirut, Lebanon.Correspondence to:Raja A. Sawaya, MDProfessor of NeurologyDirector of Clinical Neurophysiology LaboratoryDirector of Neuromuscular Fellowship ProgramDepartment of NeurologyAmerican University Medical CenterPOB: 113 – 6044 / C-27Beirut, Lebanon.Tel: 961-1-350000Email: rs01@aub.edu.lbNumber of words: 882 words.Kew words: Opthalmoplegia, sensory neuropathy, mononeuropathy, anti-gangliosides, anti-GD1b.The patient signed a written consent agreeing to publish his case in the medical literature.

From Childhood Icterus to Adolescent Gallstones: Clinically Diagnosed Crigler-Najjar Syndrome Type IIDanish Kumar GoswamiEmail: daniahgoswami34@gmail.com Institute/Affiliation: Department of Internal Medicine, Liaquat University of Medical and Health Sciences, Jamshoro, Sindh, Pakistan.ORCID: 0009-0007-6209-4048Barkha Goswami Email: barkhagoswami9900@gmail.com Institute/Affiliation: Department of Internal Medicine, Liaquat University of Medical and Health Sciences, Jamshoro, Sindh, Pakistan.ORCID: 0009-0005-3435-6237Samiullah ShaikhEmail: sami.shaikh581@gmail.comInstitute/Affiliation : Department of Internal Medicine, Liaquat University of Medical and Health Sciences, Jamshoro, Sindh, PakistanORCID: 0009-0008-8237-9080Abdul Ghani RahimoonEmail: ghani_2006a@hotmail.com Institute/Affiliation: Department of Internal Medicine, Liaquat University of Medical and Health Sciences, Jamshoro, Sindh, Pakistan.ORCID: 0009-0003-5256-393XRakesh Soni Email: rssoni9999@gmail.com Institute/Affiliation: Department of Internal Medicine, Liaquat University of Medical and Health Sciences, Jamshoro, Sindh, Pakistan.ORCID: 0009-0000-0253-1137Kamil Ahmad Kamil (Corresponding Author)Email: drkamilahmad1@gmail.comContact: +93 70473 6171Institute/Affiliation : Mirwais Regional hospital, Kandahar, AfghanistanKeywords: Unconjugated Hyperbilirubinemia, Crigler-Najjar Syndrome, Jaundice, Cholelithiasis, Gastroenterology/Hepatology, General Medicine, and Genetics.Key Clinical Message: This case highlights an uncommon adult presentation of Crigler-Najjar Syndrome Type II, complicated by cholelithiasis, underscoring the need to consider inherited disorders of bilirubin metabolism in persistent unconjugated hyperbilirubinemia. Recognizing phenobarbital responsiveness remains crucial for diagnosis in resource-limited settings where genetic testing is not readily available.

Application of 18F-FAPI PET/CT inDeep Infiltrating EndometriosisRuyu Cai 11# These authors contributed equally to this work. *Corresponding author E-mail address: chentica_1@163.com#Tongxin Chen1# Minge S Li 1