Floaters or visual disturbance in a patient with ENKL should prompt evaluation for possible vitreoretinal involvement. Lymphoma with ocular involvement should be treated aggressively and in most cases heralds CNS involvement.
Isolated schistocytosis is a hematological emergency. Clinically significant schistocytosis requires 1% red cell fragments in a high power field. These include triangular fragments, crescents, helmet cells, keratocytes, or microspherocytes.
The clinical and laboratory criteria for hemophagocytic lymphohistiocytosis should be taken into account during the juvenile myelomonocytic leukemia diagnosis, specifically in CBL syndrome, to reveal the presence of primary rather than secondary associated hemophagocytosis.
Cardiac surgery in patients with hemophilia remains a serious problem due to the risk of bleeding complications. Here, we report successful treatment of mitral valve insufficiency and concomitant atrial fibrillation in a patient with severe hemophilia A.
We herein report a rare case of Wilson disease in a 9 years old girl, diagnosed incidentally while investigating the cause of deterioration of condition even after standard of care for Brucellosis. The case provides a glimpse on intricacy of diagnosing Wilson disease in a child with superimposed infection.
Eventhough the lateral sinus floor elevation is a well-documented procedure, many factors can increase its difficulty. The presence an osteoma can be very challenging and must be managed with caution taking in consideration the lesions's size and extension.