Presentation
The patient developed dry eyes after a month of first presentation. [ijo.in]
Patients may present with widespread cutaneous ulcers. [ijdpdd.com]
In Table 1 we present an extensive differential diagnosis of granulomatous necrotizing and suppurative lymphadenitis [ 4, 5, 7 ]. [jmedicalcasereports.biomedcentral.com]
Topics such as Epstein-Barr virus, age-related lymphomas and prognostic indicators have been expanded, and new cases using needle core biopsies are presented. [books.google.it]
Infections, Atypical, Necrosis, Suppuration, T-Lymphocytes, Mycobacterium Infections, Nontuberculous, 1103 Clinical Sciences, Pathology Abstract: The immunohistochemical findings from an investigation of suppurative granulomatous lymphadenitis (SGL) are presented [lirias.kuleuven.be]
Immune System
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Mediastinal Lymphadenopathy
lymphadenopathy, ascites, pleural or pericardial effusions. [jmedicalcasereports.biomedcentral.com]
Entire Body System
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Whipple Disease
Whipple’s disease, which was a serious diagnostic consideration, was thoroughly investigated and excluded. [jmedicalcasereports.biomedcentral.com]
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Familial Adenomatous Polyposis
Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) is the surgical treatment of choice for patients with medically refractory ulcerative colitis (UC) or colitis-associated dysplasia and for patients with familial adenomatous polyposis [academic.oup.com]
Respiratoric
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Maxillary Sinus Pain
A young male with history of upper respiratory tract symptoms including epistaxis, nasal stuffiness and maxillary sinus pain presented with bilateral lacrimal gland abscess and ptosis. Lacrimal gland biopsy revealed granulomatous vasculitis. [ijo.in]
Gastrointestinal
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Abdominal Cramps
cramps, and pelvic discomfort. 3, – 5, 7 Abnormal mucosal immune response to altered commensal microflora of the pouch (i.e. dysbiosis) is proposed to have a key role in the development of “idiopathic” pouchitis. 3, 5, 9 There is little consensus as [academic.oup.com]
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Abdominal Tenderness
His physical examination was unremarkable except for abdominal tenderness in his right lower guardant without rebound tenderness. No hepatomegaly, splenomegaly or peripheral lymphadenopathy was detected. [jmedicalcasereports.biomedcentral.com]
Cardiovascular
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Vascular Disease
Alani, MD Klaus Busam, MD New York, New York J Am Acad Dermatol 2001;45:S225-6 Abstract quote Silicone compounds have recently been a source of controversy with regard to their potential role in the genesis of collagen vascular diseases. [thedoctorsdoctor.com]
Face, Head & Neck
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Sinus Pain
A young male with history of upper respiratory tract symptoms including epistaxis, nasal stuffiness and maxillary sinus pain presented with bilateral lacrimal gland abscess and ptosis. Lacrimal gland biopsy revealed granulomatous vasculitis. [ijo.in]
Urogenital
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Incontinence
She improved over the following 4 weeks by which time her pouch function was back to baseline with 5 stools by day and 0 by night with no urgency or incontinence. 2 Discussion A granuloma is a circumscribed collection of epithelioid histiocytes and is [academic.oup.com]
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Urinary Retention
Her post-operative course was complicated by urinary retention and recurrent urinary tract infections. The loop ileostomy was closed 4 months later and the patient remained well for the following 2 years. [academic.oup.com]
Neurologic
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Nystagmus
Added value is given with useful tables and charts that will likely get constant use in offices and operating rooms, for example: Important drug dosages and side-effects, nystagmus surgical charts, strabismus surgical tables, spectacle artifacts, and [books.google.com]
Workup
Adequate clinical data and workup in combination with pathological resources can help in elucidation of specific etiology and good clinicopathologic correlation. [e-ijd.org]
Fine-needle aspiration (FNA) cytology is the first step in the workup for cervical lymphadenopathy; however, little has been published regarding the cytomorphological features of tularemia lymphadenitis. [karger.com]
Microbiology
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Listeria Monocytogenes
Induction of IDO by DCs is a cell-autonomous response to Listeria monocytogenes infection and was also observed in other granulomatous infections with intracellular bacteria, such as Bartonella henselae. [jci.org]
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Tropheryma Whipplei
Small bowel (jejunal and ileal) and colonic biopsies presented findings of non-specific inflammatory reaction, the architecture of intestinal villi was preserved and mucosal periodic acid-Schiff stain for detection of Tropheryma whipplei was negative. [jmedicalcasereports.biomedcentral.com]
Other ECG Findings
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Normal Electrocardiogram
Urine analysis and 24-hour urinary calcium and protein excretion were normal. Electrocardiogram, chest X-ray, echocardiogram and arterial blood gas were also normal. [jmedicalcasereports.biomedcentral.com]
Treatment
This practical guide will promote understanding and update and guide the novice and the expert to improve the flow of the examination and treatment outcome. [books.google.com]
This case highlights the importance of thorough clinical, endoscopic and histological assessment, before considering the next-line medical treatment in cases of pouchitis. [academic.oup.com]
It occurs usually due to infective etiology and identification of the causative pathogen is crucial to initiate appropriate treatment. [ijdpdd.com]
Topical treatments were allowed. [jamanetwork.com]
Treatment can begin with topical or systemic antibiotics, or both. [aafp.org]
Prognosis
A distinct type of cutaneous B-cell lymphoma with an intermediate prognosis. Dutch Cutaneous Lymphoma Working Group. Arch Dermatol 1996; 132:1304-1308. Pagina 267 - Fletcher V, Sagebiel RW. [books.google.it]
PMID: 19384062 Prognosis Ravindra N, Sadashiva N, Mahadevan A, Bhat DI, Saini J World Neurosurg 2018 Aug;116:e362-e370. Epub 2018 May 9 doi: 10.1016/j.wneu.2018.04.205. [ncbi.nlm.nih.gov]
Systemic disease, e.g. chronic granulomatous disease, Crohn's disease, sarcoidosis, systemic lupus erythematosus, IgG4 disease and other connective tissue disorders Idiopathic: 10 - 15% of all hepatic granulomas; a diagnosis of exclusion; excellent prognosis [pathologyoutlines.com]
Intratemporal complications include: Petrositis Facial paralysis [ 17 ] Labyrinthitis Intracranial complications include: Lateral sinus thrombophlebitis Meningitis Intracranial abscess Sequelae include: Hearing loss Tympanosclerosis Prognosis [ 2 ] Prognosis [patient.info]
Etiology
Suppurative stellate granuloma of undetermined etiology [granuloma.homestead.com]
Tissular pathology suppurative granuloma tuberculoid granuloma with central suppuration, suppurative tuberculoid granuloma, suppurative granuloma; suppurative epithelioid granuloma; abscess-forming granulomatous lymphadenitis Etiology chalazion chronic [humpath.com]
Adult-onset Still’s disease has not been previously described as an etiology of suppurative necrotizing granulomatous lymphadenitis. [jmedicalcasereports.biomedcentral.com]
[from NCI ] Etiology World Neurosurg 2018 Aug;116:e362-e370. Epub 2018 May 9 doi: 10.1016/j.wneu.2018.04.205. PMID: 29751182 Song Y, Li SS, Zhong SX, Liu YY, Yao L, Huo SS J Eur Acad Dermatol Venereol 2013 Mar;27(3):313-8. [ncbi.nlm.nih.gov]
Epidemiology
[…] prevalence of periapical periodontitis is generally reported to vary according to age group, e.g. 33% in those aged 20–30, 40% in 30- to 40-year-olds, 48% in 40- to 50-year-olds, 57% in 50- to 60-year-olds and 62% in those over the age of 60. [3] Most epidemiologic [en.wikipedia.org]
Epidemiology Frequency To the authors' knowledge, no specific data on the incidence and prevalence of Majocchi granuloma exist. [emedicine.medscape.com]
Epidemiology Mean age for presentation is 6-7 years. Thereafter, there is a decrease in incidence with age [ 7 ]. They represent 0.5% of skin nodules in children [ 8 ]. [patient.info]
Harris MN, Desai R, Chuang TY, Hood AF, Mirowski GW: Lobular capillary hemangiomas: An epidemiologic report, with emphasis on cutaneous lesions. J Am Acad Dermat. 2000, 42 (6): 1012-1016. 10.1016/S0190-9622(00)90295-0. CrossRef Google Scholar 9. [link.springer.com]
Pathophysiology
Pathophysiology The pathophysiology of the fungal infection and defense mechanisms against superficial dermatomycosis has been studied. [6] Two series of experimental infections of T mentagrophytes were made on the forearm of a male volunteer with topical [emedicine.medscape.com]
Defect in integrin b 2 chain (shared by LFA-1 and Mac-1): CD18 Leukocyte Adhesion Deficiency Type II Clinical: Impaired leukocyte adhesion and recurrent bacterial infections (milder than LAD1) Pathophysiology: Absence of sialyl-Lewis X, ligand for E-selectin [pathologyexpert.com]
However as a significant proportion will still relapse, a better understanding of the underlying pathophysiology is essential to enable new therapeutic agents to be sought. [imj.ie]
It has been previously classified on the basis of pathophysiology, etiology, immunology, and morphology. [2] In the present study, granulomatous dermatitis was classified using a combination of etiology and morphology of granuloma. [e-ijd.org]
Prevention
It prevents the cell from expanding and bursting from osmotic pressure due to a hypotonic environment, some eukaryotic cells have a cell wall. Inside the cell is the region that contains the genome, ribosomes. [wikivisually.com]
Prevention and treatment of dental granuloma Depending on the size of the inflamed site, the surrounding tissue condition and the presence of complications, granuloma tooth treated by various methods: Conservative. [noillen.bitballoon.com]
There dentists will cut the gum and remove pus and install drainage to prevent formation of pus in the wound. Drainage is installed for 3 days. Anti-inflammatory medicamental therapy is also necessary. [dent-wiki.com]
[…] of ileal pouch-anal anastomosis Am J Gastroenterol 100 2005 2796 2807 6 Systematic review: the management of pouchitis Aliment Pharmacol Ther 23 2006 1087 1096 7 Pouchitis: a spectrum of diseases Curr Gastroenterol Rep 7 2005 404 411 8 Treatment and prevention [academic.oup.com]
Long-term outcomes (eg, healing of tympanic perforation, recurrence prevention and hearing improvement) need further study. [patient.info]