A 51 yo man presented with weakness and constitutional symptoms, found on labs to have EJ-antibody antisynthetase syndrome. Myopathy is usually a late manifestation of Antisynthetase syndrome and is steroid-responsive, however in our case it occurred earlier. It is important to consider Antisynthetase syndrome in patients presenting with inflammatory myopathy.

Refractory CRPS pain treated with psilocybin: a case report David Jevotovsky MD MBA,1 Harman Chopra MD,2 Court Wing,3 CJ Spotswood,3 Joel Castellanos MD41New York University Grossman School of Medicine2Johns Hopkins University School of Medicine3REMAP Therapeutics4University of California San Diego Health

Pulmonary infections represent the major causes of morbidity and mortality in cystic fibrosis(CF). Here, we report a3-month old infant with pancreatic insufficient CF was hospitalized with positive RT-PCRtest for COVID-19. He was treated successfully. Hypertonic saline can be hypothesized as a treatment regimen against COVID-19 infection after further investigation

After a suspected allergic reactions to first dose of mRNA COVID-19 vaccine, given the PEG skin tests negativity and tolerance in vivo to PEG containing drugs, five patients were vaccinated with the second dose of Pfizer-Biontech undergoing a fractional protocol, with antihistamine premedication, without presenting immediate or delayed reactions.

Chyle leak is serious sequela of head and neck surgery and has been reported after esophageal, parathyroid, and thyroid surgery. However, it has only been reported postoperatively once before after anterior cervical disc fusion (ACDF). This case discusses the formation of a chyloma following an anterior cervical spinal procedure.

We describe a case of a 2-month-old female displaying clinical phenotype of HIES related disease with severe eczematous dermatitis recalcitrant to corticosteroids. Genetic panel showed a variant of unknown significance in key immune regulator of PGM3. Patient achieved nearly complete response from off-label use of dupilumab.

We report a rare case of a 50-year-old female with covid19 presented to the emergency department where supplementary oxygen is delivered via non-invasive face mask ventilation. x-ray imaging performed the existence of pneumoperitoneum. CT scan was not applicable due to the advanced status of the paient.

We describe a case in which a 41-year-old pregnant female with pycnodysostosis presented for elective cesarean section at week 37 + 5 of pregnancy. To the author’s best knowledge, this is the first reported case of pycnodysostosis during pregnancy in Oman.

Although children are less affected by Novel coronavirus disease 2019 than adults, it should not be missed, especially in those with underlying diseases. Herein, we report a patient with primary antibody deficiency, who was affected with COVID-19. This infection could be presented mildly in patients with immunodeficiency.

We present the case of a patient with patch-stage mycosis fungoides who developed ulcerative tumors compatible with large cell transformation. Tumor cells were positive for CD30 and CXCR3 and negative for CCR3, and subsequently exhibited spontaneous regression. Thus, large cell transformation in early mycosis fungoides may not indicate poor prognosis.

Optic neuritis after mRNA COVID-19 vaccination; A case reportRaghad Tarcha, Afraa Ghazal, Lama Al-Darwish, Hoda Abdoh, Maysoun Kudsi.

Multisystem Inflammatory Syndrome is a rare and novel clinical presentation described during the evolving Covid- 19 pandemic. The condition is usually presenting as a sepsis-like syndrome leading to secondary multiorgan dysfunction post-COVID-19 infection. Although the syndrome has been mainly described in children, rare adults' form has been similarly described.

Epidermoid, dermoid and teratoid cysts are nonodontogenic benign lesions derived from the germinative epithelium, appearing any where of the body. In the oral cavity, these are uncommon and account for less than 0.01% of all the oral cysts. These cysts often remain asymptomatic for years however can become acutely symptomatic.

Recurrence rate of renal cell carcinoma in the lungs after five years of nephrectomy is 93%. The occurrence of RCC after 16 years of nephrectomy as pulmonary metastasis is rare and needs to be considered in patient presenting with pulmonary nodules after a long interval since nephrectomy.

This chext x-ray (CXR) shows a large right sided pneumothorax with a degree mediastinal shift suggesting tensioning (The CXR you should never see!). Furthermore, features of pneumomediastinum are present including the continuous diaphragm sign, and subcutaneous emphysema around the neck and right side of the thorax

Erdheim-Chester disease is a rare multisystemic disease. A 50-year-old woman, presented with a recurrent pain and swelling of the left knee. Bone scintigraphy showed increased tracer uptake of peripheral skeleton. The computed tomography showed tissular infiltration in the retroperitoneum, around the vessels. Immunohistochemistry showed CD68 (+) and CD1a (-).

This is a case of a 16-year-old African boy with Osteomyelitis presenting with symptoms of reactive arthritis (Reiter’s syndrome) KEYWORDS Osteomyelitis, Reiter’s syndrome, Fever, Bone pain, Erythema, Ewing sarcoma

1.7% of myeloproliferative neoplasms are associated with autoimmune conditions. Association of myasthenia gravis (MG) with chronic myeloid leukemia is reported, but its association with polycythemia vera (PV) has never been reported. We report two patients who had MG and PV with JAK2V617F mutation. Both had splenomegaly but no thymoma.