Sagliker syndrome (SS) is a rare complication in patients with chronic kidney disease (CKD) on prolonged dialysis due to uncontrolled secondary hyperparathyroidism (SHPT). SS manifests constellation of clinical manifestations, including short stature, craniomaxillofacial abnormalities, hearing loss, and neuropsychiatric disorders. This article reports 33-year-old male patient CKD who complained progressive disfiguring facial changes, multiple recurrent fractures, shortened height. The...

Carpal tunnel syndrome (CTS) is an entrapment neuropathy with a high level of morbidity if neglected. Boston Tunnel Questionnaire (BCTQ) was designed to track patients' progress after diagnosis. However, few studies showed that this questionnaire might be applicable as screening tool for CTS.This study aims identify the ability BCTQ detect symptoms and functional limitations CTS among potential high-risk population.This cross-sectional involving 366 females, aged 30-60 years, residents West...

Health anxiety by proxy (HAP) is a newly introduced term in psychiatry to describe the anxious feelings or fear of having acquiring serious illness. It often accompanied maladaptive illness behavior absence true somatic symptoms. This, turn, entails seeking medical advice and therefore doing many unnecessary investigations an attempt justify these Functional impairment may appear HAP patients, this indicates pathological point. To some extent, it can be said that similar health disorder...

Tuberous sclerosis disorder (TSD) is a rare genetic disease that causes abnormal growths or tumors in various organs of the body. They are usually benign and asymptomatic. However, severe, rapidly growing tuberous can be fatal. Renal angiomyolipomas commonly associated with TSD, which further worsened by presence aneurysms put patient at risk for life-threatening hemorrhage.A 29-year-old female presented to emergency room complaining right flank pain an unknown past medical history...

Congenital insensitivity to pain (CIP) is an exceedingly rare autosomal recessive condition caused by

Hyperphosphatemia familial tumoral calcinosis (HFTC) and hyperphosphatemia hyperostosis syndrome (HHS) are rare autosomal recessive disorders caused by mutations in the polypeptide N-acetylgalactosaminyltransferase 3 (GALNT3), fibroblast growth factor 23 (FGF23), or klotho (KL) genes. They characterized recurrent episodes of bone lesions with and/or soft tissue calcinosis. Management options include phosphate-lowering therapies, anti-inflammatory medications, surgical excision calcified...

Tumor lysis syndrome (TLS) is a medical emergency that can develop in leukemias and lymphomas as first presentation or after the initiation of anti-neoplastic regimens. On other hand, tumor genesis (TGS) rare condition associated with certain malignancies, especially those high neoplastic burden characterized by rapid proliferation, leading to avid uptake phosphorus from serum culminating hypophosphatemia. Interestingly, combination TLS TGS occur simultaneously subset patients. This leads...

Kindler syndrome (KS) is an autosomal recessive genodermatosis characterized by skin atrophy, blistering, photosensitivity, and mucosal inflammation. We present a unique case of KS with early severe neonatal onset in two-month-old female who presented failure to thrive (FTT) chronic diarrhea since birth. The infant also had multiple fluid-filled cysts on her foot birth, which resolved reappeared at different sites. Anemia, hyponatremia, coloboma the right iris were observed. Whole exome...

Different types of vasculitis have been reported after various vaccine administrations. Recently, the coronavirus disease 2019 (COVID-19) was one most common vaccine-induced vasculitis. Herein, we describe a 56-year-old male patient with chronic hepatitis B who presented abdominal pain for 2 days, which associated vomiting and bloody diarrhea. He had history petechial rash 25 multiple joint lower limb weakness second dose COVID-19 vaccine. A skin biopsy showed medium-sized vessel...

The rare form and mildest variant of Langerhans cell histiocytosis is eosinophilic granuloma (EG). In the clinical presentation, EG can be monostotic, polyostotic, or encompass many organs. parietal bone most common location skull bones that are affected by EG. So far, there have been no reported cases with odor as an unexplained presentation.An 8-year-old girl presented a 4 months history right swelling offensive odor. There was discharge vomiting trauma. An MRI scan brain showed lesion...

Appendiceal lymphoma is a very rare entity accounting for 0.015% of all gastrointestinal cases. Acute appendicitis the most common presentation primary appendix neoplasms. Burkitt's presenting as an acute with around 21% cases lower iliac fossa mass. Case Presentation. A 23-year-old male was admitted to surgical ward case localized tenderness in right fossa, positive rebound tenderness, Rovsing's sign, and ultrasound findings suspected complicated appendicitis. Appendectomy performed....

Hereditary Folate Malabsorption (HFM) is an extremely rare autosomal recessive disorder with in the existence of only 30 families world-wide. It presents hematological, gastrointestinal, and neurological problems.Three-month-old-boy a familial history HFM presented to clinic due persistent fatigue, yellowish discoloration, feeding refusal, pancytopenia. The patient received 3 packs Red Blood Cells (RBCs). Five days after RBCs, fever 38.3 Celsius had low level all immunoglobulins. He was...

Gallbladder lymphangiomas are very-rare, yet benign tumors that start developing in early life. Those often go unnoticed until adulthood as they grow into a larger size or complication happens. Despite its rarity, suspicion for the diagnosis should be maintained by physicians.A 14-year-old female patient presented to hospital complaining of right upper quadrant abdominal pain one month duration. Physical examination showed mild tenderness. Serology testing only eosinophilia. Computed...

Abstract Background Tuberculosis (TB) is one of the most common causes mortality worldwide. The global tuberculosis report in 2020 states that TB remains a major public health problem. Even though incidence Palestine has fluctuated recently, medical students' training and education about are necessary to perform effective clinical practice control disease appropriately future. This study aims assess experiences, knowledge, awareness toward among students West Bank, Palestine, compare level...

One of the rare complications polycystic ovarian syndrome (PCOS) treated with combination contraceptives is venous thrombosis. However, there currently no information on intestinal necrosis and portal thrombosis in ovary patients, diagnosis frequently delayed these situations.We report a case 30-year old female patient who experienced sudden onset rectal bleeding severe abdominal pain. Superior mesenteric vein was detected Doppler ultrasonography. Right discovered contrast-enhanced...

A double secondary aortoenteric fistula (AEF) occurs in a patient who has had significant aortic surgery and is characterized by direct connection between the gastrointestinal (GI) tract aorta at two separate sites.During aortoc reconstructive surgery, may present with variety of unusual complaints, including fever GI bleeding. These symptoms are indicative problems, development an aortoentric fistula, particularly when there fistula.The was admitted to hospital due hematemesis, melena,...

Duodenal hemangiomas are benign vascular tumors caused by haphazard proliferation within the duodenal wall. Although rare, could lead to rapidly progressive life-threatening gastrointestinal (GI) bleeding that requires urgent intervention. The diagnosis of hemangioma often direct visualization lesion either endoscopically or surgically, as well histopathological examination. Treatment options include endoscopic resection, laser coagulation, sclerotherapy, in a specific subset patients, open...

Clear cell sarcoma is a very rare malignant tumor originating from neural crest cells, the most commonly affects lower limbs but there have been few cases reported to affect trunk and para spinal area. Patients with Para variety of clinical presentations variable prognosis depending on several prognostic factors including size.A 14-year-old male patient presented paraplegia for one month duration he was diagnosed later paraspinal clear at D12-L1 level. A wide local excision made referred...

gastric wall abscess is a rare pathology that often hard to diagnose and associated with poor prognosis. Herein, we report case of Gastric managed treat by endoscopy without the need for surgery which usual treatment choice.a 50 years old female presented Epigastric pain. Complete blood count revealed Leukocytosis, neutrophilia an elevated C-reactive protein. Abdominal CT scan showed small hypodense area rim enhancement in pyloric canal. Gastroscopy endoscopic ultrasound guided drainage was...

Thymoma is a rare neoplasm, which may be associated with autoimmune disorders, the occurrence of hyperthyroidism in patients thymoma rare.

Recurrency of Pancreatic adenocarcinoma after resection can be as high 85%. Most the recurrences happen within two years pancreatic and may local or present a metastatic disease.