Search results for "unusual"
showing 10 items of 37 documents
Resurgence of syphilis:a diagnosis based on unusual oral mucosa lesions
2009
Background Known as “the great imitator,” secondary syphilis may clinically manifest itself in myriad of ways, involving different organs (including the oral cavity), and mimicking, both clinically and histologically, several diseases, thereby making diagnosis a challenge for clinicians. Case report We highlight an interesting case of a 45-year-old man on whose diagnosis of secondary syphilis was based on the presence of unusual oral lesions, consisting of a well delimited, raised, nonhomogeneous, and corrugated white plaque on the right buccal mucosa which mimicked, clinically and histologically, a “leukoplakia-like” plaque and several whitish oral mucous patches localized on the lower lab…
Tumour-like presentation of atypical posterior reversible encephalopathy syndrome with prominent brainstem involvement
2020
Typical posterior reversible encephalopathy syndrome (PRES) is a clinical-neuroradiological entity characterised by bilateral white matter oedema, which is usually symmetrical and totally reversible in 2–3 weeks. A 46-year-old man presented with a persistent headache and visual blurring in the right eye. On admission, the clinical examination revealed minimal unsteadiness of gait and elevated blood pressure. A brain MRI showed a hyperintense signal on T2-weighted sequences in the whole brainstem, extended to the spinal cord (C2–C6), the left insula and the right cerebellum. When his blood pressure was controlled, his symptoms gradually improved. The follow-up MRI scan at 3 weeks revealed a …
An unusual case of rudimentary parotid gland with distended Stensen duct
2010
Congenital absence or rudiment major salivary glands, especially of the parotid glands, are a rare entity. Aplasia of parotid glands has been described alone or in association with abnormalities of other salivary glands, first branchial arch developmental disturbances and other congenital anomalies such as lacrimoauriculodentodigital syndrome, mandibulofacial dysostosis and ectodermal dysplasia. Absence is most commonly unilateral, and may be associated with accessory or rudimentary glandular tissue. There are several reported cases of isolated patulous Stensen’s duct causing air insufflations in the glands and recurrent parotid gland enlargement. However, in the literature there is no repo…
Nodular morphea keloidal type: A rare case with paradigmatic histopathology significantly accompanied by a flawless surgical scar
2020
Nodular morphea is a rare variant of localized scleroderma, clinically and histopathologically characterized by cutaneous nodules or plaques associated or superimposed to the flat lesions of classic morphea. Accordingly, the association of such outgrowths with systemic sclerosis is designated as nodular scleroderma. Sometimes these lesions appear as firm, erythematous and irregularly curvy plaques resembling keloids or hypertrophic scars, thus characterizing keloidal morphea or keloidal scleroderma. These mystifying features can make the diagnosis challenging, especially in the absence of a well‐documented medical history. Here we report a case of keloidal morphea with multiple histopatholo…
An unusual case report of basal cell adenoma: A Diagnostic Enchanter
2014
Oral lesions show a wide range of biologic behaviours. There are various lesions which may mimic others and present in such an unusual manner thus making them very difficult to diagnose clinico-pathologically. An accurate diagnosis is not only important for correct treatment planning but also for determination of prognosis. Thus, it is very important for a surgical pathologist to be aware of the various atypical presentations of the lesions. The present unusual case report of basal cell adenoma occurring on upper lip with frank areas of calcifications and abundant inspissated mucoid secretions is an example of one such case. BCA is an uncommon benign epithelial salivary gland neoplasm. It i…
Necrotizing sialometaplasia of the tonsillar pillar. An unusual case
2021
Necrotizing Sialometaplasia (NS) is a rare, benign, self-limited, inflammatory and necrotizing reaction of the salivary glandular tissue. Due to the clinical picture (a painful ulcer with well-defined edges), and histopathological characteristics (nuclear and cellular pleomorphism of ductal cells) NS can mimic a malignant lesion. The correct diagnosis is important because NS shows a spontaneous resolution and therefore no further treatment is needed. We report a very unusual case of spontaneous and recurrent NS located on the anterior tonsillar pillar in a 43-year old man, which clinically mimics a malignant lesion. The clinician should be aware to include NS in the differential diagnosis o…
Dysembryoplastic Neuroepithelial Tumor of the Brainstem
2007
Dysembryoplastic neuroepithelial tumor (DNT) is a clinically benign stable lesion, most frequently located in the temporal and frontal lobes, often responsible for epilepsy in young adults. We describe an unusual case of DNT in the brainstem of a 45-year-old woman. Brain MRI showed a multicystic-like lesion localized in the left inferior pons, involving the ipsilateral cerebellar peduncle and partially dislocating the fourth ventricle. The specific pattern of MRI and CT appearance of DNT and its benign course (our patient is clinically stable with unchanged MRI images at two year follow-up) may help differentiate this tumor from other lesions, i.e. ganglioglio-mas and glioneural malformati…
Respiratory epithelial adenomatoid hamartoma: An unusual case report
2020
Respiratory epithelial adenomatoid hamartoma is a rare lesion of the nasal cavity whose etiology and pathogenesis are unknown and symptoms are unspecific. It can be isolated or associated with inflammatory process, first of all nasal polyposis. It’s considered a rare lesion because it’s poorly known and consequently correctly diagnosing is important to a right surgical treatment and follow-up. A 54-year-old man presented with a 10-year history of epistaxis, rhinorrhea and anosmia. Computed tomography showed soft tissue densities in all sinus cavities consistent with nasal polyposis and without bilateral widening of the olfactory cleft >10 mm and without bone erosion. Functional endoscopi…
Little Egret Egretta garzetta (Linnaeus, 1766) ( Pelecaniformes Ardeidae) and Eurasian crag martin Ptyonoprogne rupestris (Scopoli, 1769) (Passerifor…
2021
For the first time, the nesting of Eurasian crag martin Ptyonoprogne rupestris (Scopoli, 1769) (Passeriformes Hirundinidae) and Little egret Egretta garzetta (Linnaeus, 1766) (Pelecaniformes Ardeidae) in the Aegadian Islands (W-Sicily, Italy) is reported. Of particular interest is the nesting of the Little egret on the island of Maraone resulting in the first report for Sicily of a heronry on a marine island. Although this nesting environment has already been established in Sardinia, it should be emphasized that until now the establishment of a heronry has never been detected on an islet so far from the mainland.
Passero Passer italiae x hispaniolensis nidificante su barca da pesca in Sicilia
2022
This short note reports the curious breeding, in terms of nest features, of several Sparrows mainly showing the phenotype of the Spanish Sparrow or Passer prope hispaniolensis, though, few males exhibited less barred flanks as for the Passer italiae. This is in agre- ement with the ambiguous taxonomy of Sparrows of Sicily that is emerged over the past 150 years. As matter of fact, the taxonomic classification of the Sicilian sparrow spans from Passer hispaniolen- sis to Passer italiae and includes hybrid species in between. Massa et al (2022) propose to name these populations Passer italiae x hispa- niolensis. Here, for the first time, the curious nesting of Passer prope hispa- niolensis on…