Occult pigmented ganglioglioma in an adult male with chronic posttraumatic epilepsy.
2013; 32 (3): 192-195
Thrombotic Thrombocytopenic Purpura in a Child With Systemic Lupus Erythematosus
JOURNAL OF PEDIATRIC HEMATOLOGY ONCOLOGY
2011; 33 (3): 221-223
Neuroblastoma of Unknown Primary Site With Periorbital Bone Metastasis in a Child
PEDIATRIC BLOOD & CANCER
2010; 55 (2): 361-363
We report a child with thrombotic thrombocytopenic purpura (TTP) secondary to systemic lupus erythematosus. The diagnosis was confirmed by low ADAMTS13 activity (<5%) along with the presence of a low titer inhibitor. Her clinical course was complicated by systemic lupus erythematosus, immunosuppressant therapy, and septic shock. She responded to plasma exchange and ADAMTS13 activity levels recovered. This case illustrates the heterogeneity of TTP and the difficulty of making a diagnosis of TTP. ADAMTS13 activity assay can be useful in the differential diagnosis of diseases with clinical features of thrombotic microangiopathy in pediatric patients. However, treatment needs to be decided carefully case-by-case.
View details for DOI 10.1097/MPH.0b013e318208425d
View details for Web of Science ID 000288694700022
View details for PubMedID 21336165
Diagnostic challenges in native valve fungal endocarditis producing a massive septic pulmonary embolus.
Nihon Ishinkin Gakkai zasshi = Japanese journal of medical mycology
2010; 51 (4): 207-210
Neuroblastoma is the second most common solid tumor in children. Most tumors arise in the adrenal glands or paravertebral region. Rarely, patients present with metastatic disease but no primary site can be found despite extensive imaging. We report here a patient with a large periorbital bone metastasis and bone marrow involvement but with no known primary site.
View details for DOI 10.1002/pbc.22524
View details for Web of Science ID 000279559200031
View details for PubMedID 20582979
Diagnosis and treatment of Candida albicans endocarditis can be difficult. We report a case of this rare condition in which a patient on oral fluconazole presented with septic pulmonary emboli without initial echocardiographic evidence of vegetation. Rapid attainment of a tissue diagnosis, along with combined medical surgical treatment proved to be effective for this patient.
View details for PubMedID 21060214