Key Clinical MessageEpidermodysplasia verruciformis (EV) is an extremely rare hereditary skin disease characterized by an abnormal susceptibility to the human papilloma virus (HPV) with an increased risk of cutaneous malignancy. Here we report the first female severe EV case in Bangladesh, a 10‐year‐old girl with a nonsense somatic mutation impacting ANKRD26 gene.
Basal ganglia calcification is associated with chronic hypoparathyroidism. We report a case of 37 year old lady with long standing iatrogenic hypoparathyroidism following total thyroidectomy. The clinical evaluation revealed neurological symptoms but without any neurological deficit. The CT scan of head showed calcification in caudate nucleus and part of lentiform nucleus of basal ganglia and in the cortical and subcortical white matter. Detection of brain calcinosis in patients who had total thyroidectomy can guide clinicians to further investigation for possible hypoparathyroidism.DOI: http://dx.doi.org/10.3329/jom.v16i1.22406 J MEDICINE 2015; 16 : 56-58
Recent GWAS have clearly demonstrated the genetic predisposition to specific subtypes of ischemic stroke. Large artery atherosclerotic stroke and cardio-embolic stroke share * Neil P. Robertson
Amegakaryocytic thrombocytopenia is a rare variety of bone marrow aplasia characterized by thrombocytopenia in association with markedly diminished bone marrow megakaryocytes. It can occur as a component of aplastic anaemia or as an isolated form. Here we report a case of a teenage girl presented with bleeding per vagina and generalized weakness which is diagnosed as a case of amegakaryocytic thrombocytopenia by bone marrow examination. It will evolve into aplastic anaemia with the course of the disease.DOI: http://dx.doi.org/10.3329/jom.v14i2.19690 J Medicine 2013, 14(2): 207-209
Moyamoya is a rare cerebrovascular disease of unknown etiology. It can affect both children and adults. Ischemic symptoms are common in younger age while adults presents with intracranial hemorrhage. Cerebral ischemia after hemorrhage within a narrow time frame or simultaneous presentation with both hemorrhage and ischemia in the same clinical setting is a rare encounter. Diagnosis is confirmed by doing cerebral angiogram. Here, we report a case of 46-year-old man who presented with hemiparesis and imaging of brain showed ishaemic stroke initially and subsequently he also developed haemorrhagic stroke. Later, magnetic resonance imaging and digital substraction angiogram of brain confirmed Moyamoya disease. He was managed conservatively with significant improvement of his hemiparesis.
Bangladesh Med J. 2019 Jan; 48 (1): 54-58
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