Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 1 1 2016 01 20 1 3 EN Maryam Edalatifard Department of Internal Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Roghayeh Marandi Department of Internal Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Mohammad Afzalimoghaddam Department of Emergency Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Nasim Khajavirad Department of Internal Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran 2016 01 20 2016 01 20 A 53-year-old obese woman with history of obsessive compulsive disorder was referred to the general internal medicine clinic because of erythroderma and progressive dyspnea. Tapering psychiatric drugs and administering corticosteroids did not help her. A mild exudative pleural effusion and solid/cystic large ovarian masses were found in work-ups. The pathology of the masses was indicative of high-grade serous adenocarcinoma of ovaries. Five months after surgery and chemotherapies, her erythroderma resolved, confirming the diagnosis of paraneoplasric erythroderma due to ovarian cancer. https://crcp.tums.ac.ir/index.php/crcp/article/view/21 https://crcp.tums.ac.ir/index.php/crcp/article/download/21/1

Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 1 1 2016 01 20 25 27 EN Violet Zaker-Esteghamati Department of Internal Medicine, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran Seyyed Farshad Allameh Department of Internal Medicine, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran Soheil Peiman Department of Internal Medicine, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran 2016 01 20 2016 01 20 Leptospirosis  is  a  common  zoonotic  infection  in  human  caused  by spirochete Leptospira. The disease is often underdiagnosed because of the difficulties in its clinical diagnosis and lack of suitable confirmatory laboratory tests. In this case report, we describe a case which highlights the importance of considering leptospirosis as the diagnostic possibility with hepatic, renal, and hematologic system involvement particularly where diagnostic support and resource are limited. https://crcp.tums.ac.ir/index.php/crcp/article/view/28 https://crcp.tums.ac.ir/index.php/crcp/article/download/28/8

Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 1 1 2016 01 20 28 29 EN Seyyed Farshad Allameh Department of Internal Medicine, School of Medicine Imam Khomeini Hospital Tehran University of Medical Sciences Mojgan Mir Abdolhagh Tehran University of Medical Sciences, Tehran, Iran 2016 01 20 2016 01 20 No Abstract https://crcp.tums.ac.ir/index.php/crcp/article/view/29 https://crcp.tums.ac.ir/index.php/crcp/article/download/29/9

Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 1 1 2016 01 20 4 6 EN Abbas Tafakhori Iranian Center of Neurological Research, Tehran University of Medical Sciences, Tehran, Iran Seyed Sadeq Kalantar Iranian Center of Neurological Research, Tehran University of Medical Sciences, Tehran, Iran Amirhossein Modabbernia Iranian Center of Neurological Research, Tehran University of Medical Sciences, Tehran, Iran Vajiheh Aghamollaii Iranian Center of Neurological Research, Tehran University of Medical Sciences, Tehran, Iran 2016 01 20 2016 01 20 A 40-year-old woman visited our emergency department due to a 3-day history of headache. She was found to have deep cerebral vein thrombosis, which was worsened after initiation of heparin treatment. We present her as the only reported case of unilateral thalamic and basal ganglia edema in the setting of deep vein thrombosis secondary to bacterial meningitis. https://crcp.tums.ac.ir/index.php/crcp/article/view/22 https://crcp.tums.ac.ir/index.php/crcp/article/download/22/2

Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 1 1 2016 01 20 7 10 EN Neda Naderi Department of Internal Medicine, Imam Khomeini Medical Center, Tehran University of Medical Sciences, Tehran, Iran Azam Alamdari Department of Internal Medicine, Imam Khomeini Medical Center, Tehran University of Medical Sciences, Tehran, Iran Maryam Edalatifard Department of Internal Medicine, Imam Khomeini Medical Center, Tehran University of Medical Sciences, Tehran, Iran Seyyed Farshad Allameh Department of Internal Medicine, Imam Khomeini Medical Center, Tehran University of Medical Sciences, Tehran, Iran Department of Internal Medicine, Imam Khomeini Medical Center, Tehran University of Medical Sciences, Tehran, Iran 2016 01 20 2016 01 20 Primary hyperparathyroidism usually presents with renal, gastrointestinal, mental and skeletal signs and symptoms. Brown tumor is a benign lesion that arises as a direct result of parathyroid hormone on bone tissue in some patients with hyperparathyroidism. Multiple brown tumors may simulate a malignant neoplasm and it is a real challenge for the clinicians in the differential diagnoses. Here, we present a 68-year-old man with multiple lytic lesions in pelvis bones, highly suspicious for metastatic malignancy that finally we found that the patient had primary hyperparathyroidism. https://crcp.tums.ac.ir/index.php/crcp/article/view/23 https://crcp.tums.ac.ir/index.php/crcp/article/download/23/3

Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 1 1 2016 01 20 11 14 EN Hamed Cheraghmakani Department of Neurology , Buali Hospital, Mazandaran University of Medical Sciences, Sari, Iran Mahmoud Abedini Department of Neurology , Buali Hospital, Mazandaran University of Medical Sciences, Sari, Iran Abdorreza Naser Moghadasi Department of Neurology, Sina Hospital AND Multiple Sclerosis Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran 2016 01 20 2016 01 20 Hashimoto encephalopathy is an autoimmune disease characterized by an increase in antithyroid antibodies in the serum of patients with multiple neuropsychological symptoms. We report a case with lower level of antibody and fairly response to corticosteroid; however, clinical presentation, brain magnetic resonance imaging findings and the negative results of other diseases confirmed Hashimoto encephalopathy diagnosis. First, a relatively good corticosteroid response was seen but after one weak, the patient withdrew her drug and got back with a corticosteroid resistant progressive attack one month later. Our case had a mild increase in antithyroid antibodies and pure sensory polyneuropathy and did not show significant response to corticosteroid therapy. Can antithyroid antibodies titers be a marker of corticosteroid treatment response? this should be investigated in the future studies. https://crcp.tums.ac.ir/index.php/crcp/article/view/24 https://crcp.tums.ac.ir/index.php/crcp/article/download/24/4

Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 1 1 2016 01 20 15 18 EN Keyvan Aghazadeh Head and Neck Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran Ebrahim Karimi Head and Neck Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran Amirsina Sharifi Head and Neck Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran 2016 01 20 2016 01 20 Salivary gland choristoma of the middle ear is a rare mass characterized by the presence of normal salivary gland tissue in the middle ear cavity. This mass is usually accompanied with ossicular chain and facial nerve anomalies. Total surgical excision is a treatment of choice if the facial nerve is intact. Here, we describe a case of salivary gland choristoma of the middle ear, and discuss our experience. Our patient was a 41-year-old man presented with 6 months history of hearing loss. Intra-operatively, we detected   a   soft,   pinkish   mass   with   evidence   of   ossicular   chain malformation. Patient showed hearing development in following up after three months. https://crcp.tums.ac.ir/index.php/crcp/article/view/25 https://crcp.tums.ac.ir/index.php/crcp/article/download/25/5

Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 1 1 2016 01 20 19 21 EN Mahboobeh Shirazi Peronatologist, Maternal Fetal and Neonatal Research Center, Tehran University of Medical Sciences AND Moheb Yas Women General Hospital, Tehran, Iran Sedigheh Hantoushzadeh Peronatologist, Maternal Fetal and Neonatal Research Center, Tehran University of Medical Sciences AND Moheb Yas Women General Hospital, Tehran, Iran Khadijeh Rezaie Keikhaie Peronatologist, Department of Obstetrics and Gynecology, Zabol University of Medical Sciences, Zabol, Iran Reihaneh Pirjani Peronatologist, Assistant Professor, Maternal Fetal and Neonatal Research Center, Tehran University of Medical Sciences AND Moheb Yas Women General Hospital, Tehran, Iran 2016 01 20 2016 01 20 The prevalence of placenta percreta in early stage of pregnancy is very infrequent; nevertheless, it is known as a life-threatening complication. In this report, we introduce a case of massive intra-abdominal hemorrhage associated  with  placenta  percreta  and  uterine  rupture.  A  35-year-old woman, gravid 3 para 1, with a previous Cesarean section and complete mole, underwent suction and curettage. She was admitted to emergency department for acute abdominal pain, massive intra-abdominal bleeding and hypovolemic shock. An urgent laparotomy and hysterectomy was performed after resuscitation procedures applied. Uterus-saving procedure was impossible; the middle part of uterus had a perforation in size of 5 millimeters. The patient was discharged on the 4th following day in a stable condition. The pathologic report was placenta accreta. https://crcp.tums.ac.ir/index.php/crcp/article/view/26 https://crcp.tums.ac.ir/index.php/crcp/article/download/26/6

Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 1 1 2016 01 20 22 24 EN Farzad Allameh Department of Urology, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran Hamidreza Qashqai Department of Urology, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran Saman Najafi Department of Urology, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran Azadeh Rakhshan Department of Pathology, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran 2016 01 20 2016 01 20 A man with a history of urothelial carcinoma is presented here. According to investigations, he had bilateral hydronephrosis due to the pressure effect of a large mass in his bladder. The patient underwent surgical procedure including mass resection and ureter reimplantation. The final pathology report was only fat necrosis. https://crcp.tums.ac.ir/index.php/crcp/article/view/27 https://crcp.tums.ac.ir/index.php/crcp/article/download/27/7