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  • ISSN: 2373-9819
    Volume 4, Issue 5
    Case Report
    Cyrus Askin, Tyson Sjulin*, James Hull, and Justin Reis
    Eosinophilic lung disease (ELD) is a spectrum of respiratory disorders characterized by airway and parenchymal inflammation associated with profound pulmonary eosinophilia with or without peripheral eosinophilia. Drug-induced eosinophilic pneumonia is one etiology of ELD, with non-steroidal anti-inflammatory drugs and antibiotics being the most common. We present the case of a 52 year-old female with complaints of acute dyspnea after recently starting extended-release Exenatide, a glucagon-like-peptide-1 agonist. Chest imaging revealed diffuse ground-glass opacities with mosaic attenuation throughout. Bronchoalveolar lavage (BAL) demonstrated40% eosinophils within the fluid with all cultures negative. Serologic evaluation for alternative etiologies was negative. The patient had radiographic improvement and complete resolution of symptoms after cessation of extended-release Exenatide and initiation of corticosteroid therapy. To our knowledge, this is the only documented case of drug-induced acute eosinophilic pneumonia secondary to extended-release Exenatide.
    Edgar Vargas-Flores*, Lourdes Estrada-Alpizar, and Jesus Arenas-Osuna
    Xanthomas are localized lipid deposits within organs that may manifest as papules, plaques, or nodules in skin. The subtype of xanthoma provides a clue to the underlying lipid abnormality. Accurate diagnosis of xanthomas is important because it can lead to the identification and treatment of underlying disease. Xanthomas associated with familial hypercholesterolemia are an exception. In patients with this disorder they often begin to develop prior to the age of 10 years. Herein, we report a case of a 10-years-old who presented with a 2-year history of slow and multiple mass growths on the extensor surfaces of the upper and lower extremities laboratory findings advocated familial hypercholesterolemia. These lesions were surgically removed for cosmetic reasons. Clinicians should be aware of differential diagnosis when approaching cutaneous lesions related to lipid disorders.
    Ingo Schmidt*
    A 48-year-old female presented with an arthrocutaneous fistula after ankle arthroscopy right. This complication was initially treated conservatively without success. Seven weeks after the primary procedure, the fistula was covered with the use of distally pedicled peroneus brevis muscle flap. The further course was uncomplicated.
    Krishna Prasad, Amit Mittal*, and Dinesh Kumar Sathanantham
    Cysticercosis refers to tissue infection after exposure to eggs of Taenia solium, the pork tapeworm. The disease is spread via the fecal-oral route through contaminated food and water, and is primarily a food borne disease. The case report here describes a rare case of isolated cysticercosis infection of the arm with review of literature. A 12 year old female came with complains of swelling of the left arm, ultrasound revealed intramuscular cysticerocosis for which surgical excision was done. This is a rare case of cysticerosis infection of the arm without involving the any vital organs. The literature is being reviewed and the case is been presented.
    Dimitar Minkov*
    The synovialcyst of ACJ is another new formation where a damage of the rotator cuff and degenerative changes of the acromioclavicular joint were found. Nevertheless, the ganglia and synovial cysts have been accepted as synonyms when describing a cystic tumour adjacent to the ACJ, or the ganglion in this area has been defined as ‘authentic' to emphasize its differentiation from the synovial cyst. The case presented concerns a 67-year-old man with a ganglion in the region of the left acromioclavicular joint.
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