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Lipomas are the most common lesions in subcutaneous tissues. Fibrolipomas are a rare subtype of lipomas. A patient with the mass growth on the left shoulder within 1 year applied to hospital and a large sized fi xed mass was detected on the localization. The patient underwent to contrast enhanced MRI for diagnosis. The lesion was heterogeneous isointense according to fatty tissue on both T1- and T2-eighted imaging and also had hypointense band shaped areas. Fat saturated series revealed suppression and post contrast series showed enhancement in band like hypointense areas within the lesion. The patient underwent to surgery with preliminary diagnosis of liposarcoma. The lesion was diagnosed as fi brolipoma after pathological examination. In this report, we present a case of fi brolipoma mimicking liposarcoma in MRI examination.
nd: Candidasis is the most common superfi cial fungal infection in immunocompromised patients. With the advent of wide spectrum of immunosuppressive drug and increase in HIV patients, there is a change in the epidemiology and clinical presentation of mucocutaneous candidiasis.
Aim and Objective: This study has been designed to study epidemiology and the common clinical patterns of mucocutaneous candidiasis in immunosuppressed patients.
Materials and methods: A cross sectional study on epidemiology and clinical patterns of mucocutaneous candidiasis among 100 immunosuppressed patients of all age groups attending Dermatology OPD in a tertiary care center.
Results: Maximum number of patients were in third and fourth decade. Females were more frequently (73%) affected than males (27%). Type 2 diabetes was the most common cause of immunosuppression followed by steroid intake (20%), cancer patients (10%) and HIV (5%). Oral candidiasis was the frequently observed clinical pattern (48%) followed by vulvovaginal candidiasis (45%), intertriginous lesions on the fingers (2%), toes (2%), and neck (1%). Balanoposthitis was observed in 2% of patients.
Limitation: small sample size.
Conclusion: Diabetes was the common cause of immunosuppression. Oral candidiasis was the common clinical pattern observed among them.
Patients and methods: A case-control study was conducted in cairo within the period of Jan 1st, 2016 to January 1st, 2017. The study included 100 cases with chronic urticaria and 100 controls that were free from features of chronic urticaria. Data was collected through direct interview and the results of laboratory investigations were recorded in a specially designed questionnaire. Enzyme-linked immunosorbent assay test was used for detection of Helicobacter pylori antigen in the stool sample. Also gastric endoscope and gastric biopsys were done in addition to histopathological assessment by H&E and Geimsa stain for detection of Helicobacter Pylori. Endoscope was done for patient who was positive stool antigen test. Triple therapy were given for patients in addition to antihistamine to evaluated effect of eradication for helicobacter pylori on chronic urticaria
Background/Objective: Chronic urticaria is one of the most frequent skin diseases and still its etiology is recognized only in a minority of cases. Some recent studies point out to infections due to Helicobacter Pylori as being of major importance in the pathogenesis of chronic urticaria. This study aimed to fi nd out the association of chronic urticaria with H. pylori.
Patients and methods: A case-control study was conducted in cairo within the period of Jan 1st, 2016 to January 1st, 2017. The study included 100 cases with chronic urticaria and 100 controls that were free from features of chronic urticaria. Data was collected through direct interview and the results of laboratory investigations were recorded in a specially designed questionnaire. Enzyme-linked immunosorbent assay test was used for detection of Helicobacter pylori antigen in the stool sample. Also gastric endoscope and gastric biopsys were done in addition to histopathological assessment by H&E and Geimsa stain for detection of Helicobacter Pylori. Endoscope was done for patient who was positive stool antigen test. Triple therapy were given for patients in addition to antihistamine to evaluated effect of eradication for helicobacter pylori on chronic urticaria
Results: The age of the 100 cases and 100 controls enrolled ranged from 18 to 67 years.Stool for Helicobacter pylori antigen test was positive in 65% of cases and 29% of controls (P <0.05). The mean age ± SD of positive Helicobacter pylori patients were 33.2 ± 10.4 years, with male to female ratio 1:1.69.
Conclusion: There was a strong association of chronic urticaria with Helicobacter pylori infection. Investigating for Helicobacter pylori in all
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