ABSTRACT Brucellosis mainly affects the musculoskeletal system with neurological manifestations observed in < 5% of all cases. This report outlines a unique case neurobrucellosis that resulted acute transverse myelitis (TM) absent deep reflexes and negative Wright's reaction. In endemic regions, neurobrocellosis should be considered as potential etiology TM. Timely initiation treatment is essential for optimizing clinical outcomes.

Leydig cell tumors (LCTs) are rare testicular neoplasms, representing 1-3% of all tumors. A 65-year-old male presented with a painless left scrotal mass. Ultrasound revealed 61 × 53 35 mm tumor heterogeneous echogenicity and abundant blood supply. Radical orchidectomy was performed, immunohistochemistry confirmed LCT positivity for Inhibin calretinin, negativity CK, chromogranin, LCA, low Ki67. Postoperative follow-up at 6 months showed improved condition, no masses, normal markers. Finally,...

Cutaneous metastasis (CM) is a rare phenomenon, occurring in only 0.6% to 10.4% of oncology patients. Breast carcinoma represents nearly one-third all CM cases, although it manifests minority patients with breast cancer (BC). Notably, CMs are detected at the time primary tumor diagnosis 6.3% BC and serve as initial clinical presentation 3.5% We present case involving 53-year-old woman 5-month history asymptomatic infiltrating nodules axillae trunk. Skin biopsy immunohistochemical analysis...

Ophthalmology is a crucial aspect of primary care, often featuring prominently in both general practice and emergency settings. With over 2 billion individuals worldwide affected by visual impairment, proficiency basic ophthalmology essential for practitioners physicians. A cross-sectional study was conducted involving 624 medical students from six universities Jordan. Data were collected using questionnaire assessing knowledge, diagnostic abilities, treatment skills ophthalmology, alongside...

Primary hyperparathyroidism is a common endocrine disorder, especially among postmenopausal women, characterized by elevated calcium levels and excessive secretion of parathyroid hormone due to hyperactive glands. A 17-year-old male presented with painless mass in the maxilla, which developed six months after cystic lesion was diagnosed his right knee. Subsequent examinations identified tumor, leading surgical excision lower gland, patient hypocalcemia postoperatively, indicative Hungry Bone...

Patients with Wilson’s disease, an autosomal recessive disorder caused by ATP7B mutations, present hepatic and neurological symptoms, including tremors, chorea, personality changes, rare manifestations such as neuropathy, autonomic dysfunction, headache, epilepsy. This report describes the case of a 14-year-old man born to consanguineous parents who presented focal seizures oromandibular dystonia. A exam revealed left upper limb hypotonia. An electroencephalogram showed right hemisphere...

Introduction and importance: Melanoma represents only 1% of all skin cancers. Acral lentigious melanoma (ALM) which usually arises from feet, is the rarest main subtype melanoma. Subungual (SUM) a rare variant ALM. Amelanotic (AM) found in 4–27.5% melanomas, mean age for patients affected by AM exceeds 50 years. Late diagnosing leads to unfavourable prognosis. Case presentation: The authors present case subungual amelanotic that nail unit right thumb case, especially when patient 39 years...

The primary clinical symptom in people with myasthenia gravis (MG) is muscle weakness that gets worse activity and better rest; often, the first symptoms are ocular ones, such as ptosis double vision. On other hand, individuals anti-muscle-specific tyrosine kinase may present unusual symptoms. Nonetheless, it hypothesized muscle-specific antibodies be when no present, along bulbar respiratory

A penetrating aortic ulcer (PAU), which accounts for 2-7% of all acute syndromes, is the ulceration an atherosclerotic plaque that passes through internal elastic lamina and into medium. Although PAUs are frequently seen in middle lower descending thoracic aortas, it rare them to arise ascending aorta. Atherosclerotic vascular illnesses isolated peripheral arterial associated with similar risk factors, such as male sex, advanced age, a history tobacco use, hypertension, hyperlipidemia,...

Cutaneous leishmaniasis mimicking psoriasis: a case report Key Clinical MessagePsoriasis and cutaneous can present with similar scalp lesions, leading to misdiagnosis.We of 70-year-old male lesion initially misdiagnosed as psoriasis due his history the condition.Examination revealed plaque purulent exudate, later diagnosed leishmaniasis.Relying solely on clinical presentation may not be sufficient for accurate diagnosis.Clinicians should aware potential mimic psoriasis, particularly in...

Absent Pulmonary Valve Syndrome (APVS) is a rare birth defect where the pulmonary valve missing or underdeveloped. APVS often occurs alongside Tetralogy of Fallot, (TOF) another heart defect.

Scalp lesions associated with psoriasis and cutaneous leishmaniasis can be clinically indistinguishable, leading to misdiagnosis. Herein, we highlight a 70-year-old male initially misdiagnosed but subsequently confirmed have leishmaniasis. This emphasizes the importance of considering alternative diagnoses, especially in atypical presentations, ensure accurate treatment.

Hydatid Disease, primarily caused by the larval stage of parasite Echinococcus granulosus, represents significant health challenges, particularly in endemic regions. Hepatic cysts are more common, while cardiac involvement is rare.

Thyroglossal duct cysts (TGDCs) are congenital anomalies arising from incomplete obliteration of the thyroglossal (TGD), typically presenting in childhood. While rare elderly, they can occur adulthood and may remain asymptomatic until complications such as infection or malignant transformation arise.

ABSTRACT This case report underscores the diagnostic challenges in autoimmune diseases, particularly when initial diagnoses are uncertain. A patient initially diagnosed with juvenile Idiopathic arthritis experienced relapse, revealing systemic lupus erythematosus. highlights need for ongoing vigilance and careful consideration of alternative diagnoses, even patients seemingly clear presentations.

Sleep disorders are a common health problem that can be classified into many types distinguished by their history and characteristics. In this case report, we discuss of patient suffering from recurrent unusual prolonged sleep attacks lasting up to 9 days responded excellently levetiracetam. An 18-year-old Syrian male presented the neurology department complaining episodes for days. Although Kleine–Levin syndrome was suspected, investigations ruled it out. The then treated with levetiracetam...