Introduction: Tuberculosis (TB) is considered well-eradicated in many developed countries however, in Saudi Arabia, it is still regarded as uncontrolled. Many organs can be affected by TB, the most common being the lungs. Presentation Of the Case: a 34-year-old male patient presented 8 months post Anterior Cruciate Ligament (ACL) reconstruction complaining of a 2 cm swelling in the left lateral aspect of the left knee along with a decrease in range after an aggressive physiotherapy session. reddish, warmth, and pain, with a limited range of movement and then diagnosed with tuberculosis of the knee, histopathologically confirmed following surgical debridement Furthermore, the patients underwent the administration of an anti-tuberculous drug regimen. Discussion: This case is unique due to the unspecific clinical manifestations of the disease, which contributed to delayed diagnosis. Aggressive physiotherapy led to endobutten flipping resulting in hematoma development infected with M. Tuberculosis. Conclusion: Extraarticular Knee Hematoma infected with M. tuberculosis is a rare disease often misdiagnosed. Clinical manifestations need a further surgical approach followed by a histopathology examination to diagnose the level of injury. Good physiotherapy instructions with proper technique post-ACL repair are crucial steps to prevent complications, especially post-ACL reconstruction.
The prevalence of anterior cervical osteophyte among elderly patients is high due to many causes such as trauma, degenerative changes, and diffuse idiopathic skeletal hyperostosis. Severe dysphagia is one of the main presenting symptoms for anterior cervical osteophytes. We describe a case of a patient with anterior cervical osteophyte with severe dysphagia and quadriparesis. The 83-year-old man presented to the emergency department following the incident of falling on his face. CT and X-ray were done in the emergency department, which showed huge anterior osteophytes at the level of C3-4 compressing the esophagus. The patient's consent was taken and shifted to the operation room and surgery was done. Anterior cervical osteophyte was removed, a discectomy was performed, and a peek cage and screws were inserted for fusion. In many cases of anterior cervical osteophyte, surgery is considered the ultimate treatment for patients to relieve symptoms, improve quality of life, and decrease mortality.
We present a case of a 47-year-old female with a swelling on her scalp that was at first thought to be trichilemmal cysts. After two years, she returned to her general practitioner with a larger scalp mass. Following a biopsy, histological analysis revealed dermatofibrosarcoma protuberans (DFSP). She then had the tumor completely removed, resulting in clean margins.
Anti-interleukin-17A (anti-IL-17A) therapy has been increasingly employed as a treatment option for pityriasis rubra pilaris (PRP). In this study, we reviewed all available studies on this topic in the literature to evaluate the efficacy and safety of anti-IL-17A. Our main objective was to assess the current evidence on the efficacy and safety of anti-IL-17A therapy in the management of PRP. We searched for relevant articles on PubMed, MEDLINE, Ovid, Embase, and the Web of Science electronic databases from inception until 2022. Our inclusion criteria were as follows: randomized controlled trials (RCTs), quasi-randomized trials, or prospective observational studies that include PRP patients treated with biological treatments; studies that report clinical outcomes; and studies that compare the treatment modalities, including anti-IL-17, in the English language.A total of 19 articles involving 77 cases were reviewed after applying the inclusion criteria and removing duplicates. We found that type 1 PRP was the most common condition irrespective of gender, and the trunk was the most affected area. The study showed that IL-17 inhibitors had a significant impact on the patients. However, higher-level studies are required to further evaluate the therapeutic and safety effects of the treatment.
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