Article

Liquen escleroso y atrofico familiar en edad pediatrica

January 1997

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Lichen sclerosus atrophicus is uncommon in childhood and exceptional in families. Two sisters, 2 and 7 years-old, presented vulvar itching and vaginal flux for 6 and 11 months, respectively. Lesions were confined to the vulvar and perianal area and were typical of lichen sclerosus atrophicus. Histological study confirmed the clinical diagnosis. It is important to consider this disease in the differential diagnosis of more common entities and to avoid confusion with lesions caused by sexual abuse. The increase in the number of familial cases may suggest a genetic factor.

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How Confusing Can an Acute Confusional State be ?

May 2016 · The Israel Medical Association journal

The approach to a patient presenting with an acute confusional state includes a neurologic workup. Space-occupying lesions (SOLs) of the central nervous sys- tem must be part of the differential diag- nosis, even if focal neurologic deficits are not present. Different imaging techniques and biopsy methods can be used but their diagnostic accuracy and efficacy vary. We discuss the investigational ... [Show full abstract] process findings of a patient who presented to our department with an acute confusional state.

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Differential Diagnosis of Malignant Melanoma by Algorithm

January 1992

R. E. Ashton

Malignant melanoma may be confused with other skin lesions. It is important to know what these are, so that they may be considered and excluded in the differential diagnosis. A series of algorithms are presented here to aid in this differential diagnosis.

Article

An Imaging Review of Common Space-Occupying Lesions of the Pediatric Head and Neck

October 2016 · Journal of Pediatric Neuroradiology

Head and neck masses continue to be a common indication for neuroradiological evaluation of pediatric patients. Etiologies include inflammatory, congenital, benign neoplastic, and malignant neoplastic lesions. The incidence of childhood head and neck malignancy is increasing, and therefore should always be included in the differential diagnosis of a pediatric patient presenting with a ... [Show full abstract] space-occupying lesion of the head or neck. Many factors can aid in an accurate diagnosis, including age of the patient, location of the mass, and imaging features. This article will review several benign and malignant pediatric head and neck neoplasms, as well as congenital lesions, and focus on their imaging features.

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Nonepileptic paroxysmal disorders in childhood

April 2006 · Korean Journal of Pediatrics

Eun-Sook Suh

Epilepsy is the most common paroxysmal disorders seen in the childhood. But other nonepileptic paroxysmal events are confused with epileptic seizures or have unusual clinical features. Nonepileptic paroxysmal disorders tend to recur episodically. So differential diagnosis between epileptic and nonepileptic disorders in fundamental not only to allow correct management of patients and but also ... [Show full abstract] avoid of unnecessary antiepileptic medications. To accurate diagnosis of nonepileptic paroxysmal disorders, the patients' age and accurate description of the events are need.

Article

CONDITIONS CAUSING CONFUSION IN THE DIAGNOSIS OF RHEUMATIC FEVER IN CHILDRENANALYSIS OF DIAGNOSES MA...

· Journal of the American Medical Association

ARILD E. HANSEN

The protean symptomatology of rheumatic fever undoubtedly, in many instances, accounts for the difficulty encountered by physicians and medical students in the correct diagnosis of this disease. The fact that textbooks mention as many as fifty different clinical conditions whose manifestations are such that they might, under certain circumstances, be considered in making a differential diagnosis ... [Show full abstract] of rheumatic fever1 tends to make more complex rather than to simplify the arrival by physicians at the correct diagnosis. Because early recognition and treatment comprise at the present time our most effective weapon in combating this devastating disease of childhood, confusion and delay in correct diagnosis may have far reaching and serious results.The belief that a practical approach to this problem might lie in a study of the disorders which are most frequently confused with rheumatic fever by the practicing physician prompted me to review the diagnoses made by physicians referring to

Article

Lesions Confined to the Sphenoid Ridge: Differential Diagnosis and Surgical Treatment

February 1997 · Skull Base Surgery

Tumors confined to the sphenoid ridge with little or no extradiploic extension are very rare; we describe here five patients with these lesions. Three were females and two males, with an average age of 33.4 years; the clinical presentation included proptosis and facial deformity. The diagnoses were three meningiomas (one "en plaque," one globous, and one intraosseous) and two fibrous dysplasias ... [Show full abstract] (compact form). Although the radiological findings were similar, we could find some details to establish the differential diagnosis before the surgical procedure. All the lesions were totally removed without complications. In a follow-up period of 15 to 36 months none of the lesions has shown clinical or radiological evidence of recurrence. We discuss the pathophysiology of each case, and propose the pterional orbito-zygomatic approach as the best way to resect lesions in this location.

Article

Fibroxanthosarcoma of the head and neck

January 1979 · Journal of Surgical Oncology

Fibroxanthosarcoma is a variant of malignant fibrous histiocytoma probably derived from the primitive tissue histiocyte. It occurs rarely in the head and neck. This lesion may be confused with the benign atypical fibroxanthoma. However, newer histologic criteria may allow definitive differential diagnosis which is important because of the aggressive biologic behavior of fibroxan- thosarcoma. ... [Show full abstract] Aggressive initial surgery with a consideration of regional lympha- denopathy offers the best chance for cure.

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Die somatoforme Schmerzstörung

May 2000 · Deutsches Ärzteblatt

Mental disorders with pain as a leading symptom are rem- nant diagnostic categories for physicians, even if they are educated in pain treatment. Patients with somatoform pain disorder (ICD-10: F45.4) are often diagnosed only after several years and multiple diagnostic procedures, in some cases after iatrogenic impairment. A more precise knowledge of the disorder can prevent chroni- fication. The ... [Show full abstract] clinical features, diagnostic pro- SUMMARY cedure and differential diagnosis in somatoform pain pa- tients as well as current psychotherapeutic approaches are outlined.

Article

Delirium - Acute confusional state in children and adolescents

January 2013 · Pediatriya

Iliyana Pacheva

Delirium, called also "acute confusional state" is a clinical neuropsychiatry syndrome characterized by disturbance of consciousness, cognitive function, or perception, which has acute onset and fluctuating course. Delirium is hypodiagnosed in pediatric age and the data about the occurrence are insufficient and uncertained, because more than 2/3 of cases are missed. There are not studies on this ... [Show full abstract] problem in our country, where the situation is not differ from the world status. The most suitable diagnostic criteria for delirium are DSM IV criteria. They have been worked out in the adults, but there are proofs, that these criteria are applicable for children and adolescents as well. The causes, clinical characteristics and differential diagnosis of delirium are discussed in the paper. We propose a method for evaluation of acute confusional state, and suggest diagnostic and therapeutic attitude to pediatric delirium. Delirium is important, but underestimate state in children with significant morbidity and high mortality. The recognition of etiology and clinical characteristics of delirium in pediatric age will help for early diagnosis and for adequate treatment, so that not to evolve to coma and in this way will contribute to reduce the mortality rate.

Article

Benign lichenoid keratosis

May 2005 · Dermatología Revista Mexicana

Benign lichenoid keratosis is a skin lesion of unknown origin, that can be confused with pathology of malignant behaviour. So far, there is great controversy on its existence and clinical significance. We present a case of a patient with the disease and a brief review of the literature focused on its clinical characteristics and differential diagnosis.

Article

Obstructive Adenoid Hypertrophy in the Adult: A Case Report

May 2010 · Orient Journal of Medicine

Case definition: Adenoidal enlargement is a common paediatric problem. The adenoid vegetation most usually involutes between the ages of 10-12 years, and rarely persists into adult life. Objective: To highlight the significance of adenoid vegetation as a differential diagnosis of nasal obstruction in adults. Case Report: This paper presents a case of persistent symptomatic obstructive adenoid ... [Show full abstract] vegetation in a 23 year old Nigerian adult female student. Conclusion: Although adenoidal tissue normally undergoes involution during late childhood period, it may persist into adult life and present as a cause of nasal obstruction.

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RETINOBLASTOMA IN LATE CHILDHOOD

Badri Badhu

Retinoblastoma, the commonest intra-ocular tumor of childhood, is rare after the age of 5 years. We report a case of retinoblastoma in a 10 year-old boy, who presented with a fungating proptosed tender mass involving the entire left eye and the orbit. A clinical diagnosis of retinoblastoma was made. Exenteration of the left orbit was done. Histopathology revealed well-differentiated ... [Show full abstract] retinoblastoma with the involvement of optic nerve section. CSF and bone marrow aspirates did not show any malignant cells. This paper highlights the delayed presentation of retinoblastoma in late childhood and discusses the treatment modalities of orbital retinoblastoma. Though retinoblastoma in late childhood is uncommon, it should be considered in the differential diagnosis of leukocoria and a fungating proptosed mass.