Here a 65 year old gentleman who presents with pruritis of both forearms is found to have an unusual allergy. The pathology and mechanism of reaction is described in detail. Seema Biswas Editor-in-Chief Topical treatment of contact dermatitis by pine processionary caterpillar […]
Category: Editors choice
Comments from Dr Dean Jenkins on the Editor’s choice case report of the week.
Unusual Injuries: Cerebral laceration with stiletto
A 43 year old woman is injured after being stamped on the head with a stiletto. After initial treatment for a laceration to the eyelid she returns a month later with diplopia and headaches. There was more to this injury… Seema Biswas Editor-in-Chief An unexpected injury – cerebral laceration with stiletto […]
Pathology: Unusual pulmonary metastatic pattern in a case of pancreatic cancer
Amongst the most educational case reports that we receive are the papers that discuss the pathology of patients in detail. The images are stunning and explanation of macro and micropathology a huge insight into disease processes. Here is the first in a selection… A 70 year old gentleman presents with a productive cough which fails […]
Unusual Injuries: An iliac bone stress fracture in a basketball player
A basketball player complains of pain in the right iliac region at the end of the basketball season. Clinical examination and Xray confirms a stress fracture. The literature suggests that 6% of stress fractures occur in the pelvis. Seema Biswas Editor-in-Chief An iliac bone stress fracture in a basketball player […]
Unusual Injuries: Ingested bony foreign body abutting thoracic aorta
A 38 year old lady swallows a bone while eating lamb casserole. The bone lodges in the oesophagus 2mm from the aortic arch. Plain X-rays do not show the bone but the CT pictures are impressive… Seema Biswas Editor-in-Chief Ingested bony foreign body abutting thoracic aorta […]
Unusual Injuries: Complete biceps tendon rupture resulting in radial head subluxation.
A 48 year old gentleman lifts a heavy weight while working and tears the biceps tendon, subluxing the radial head. He loses the ability to pronate and supinate. Although, more common in children, this is a rare pattern of injury in adults. The authors describe investigation and management with some interesting images. Seema Biswas Editor-in-Chief […]
Unusual Injuries: Dislocation of the ulnar nerve at the elbow in an elite wrestler
A 17 year old wrestler injures his elbow in a fall. He experiences a sharp, shooting, electric-type pain around the medial epicondyle of his left elbow a week later while wrestling. Clinical examination and investigation reveal no bony abnormality but ultrasonography confirms that the ulnar nerve has moved… Seema Biswas Editor-in-Chief Dislocation of the ulnar […]
Unusual Injuries: A near miss – an uncommon injury following a common mechanism
Xray findings are not always easy to interpret – especially of the hand and foot where injuries are easily missed. Specialist input might avert might avert complications of missed injuries and it is not unusual in A+E for what starts as the informal seeking of an opinion to lead to specialist intervention that profoundly alters […]
The consequences of missing appendicitis during pregnancy
We say in our instructions to authors that there is no need to wait to come across a truly rare condition to write up as a case report. Here is the report a patient with acute appendicitis during pregnancy. We do, indeed, learn more from the discussion of common conditions that present in unusual circumstances […]
‘Quality and Safety in Medicine’ Series: Gastric ischaemia following a fall
Having an open mind: This case is of a gentleman with a series of unusual complications of a fall. The patient is managed by sequential teams of doctors of different specialisms and reflects, very much, the workings of the modern NHS. The presentation, alone, is unusual but the treatment at each stage and the response […]