Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 5 1 2020 07 11 1 4 Salar Khazani Fard Resident of Internal Medicine, Department of Internal Medicine, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Fathemeh Aghaeimeybodi Assistant Professor, Department of Internal Medicine, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. 2019 02 06 2019 12 11 Introduction: Tracheobronchopathia Osteochondroplastica (TPO) is a rare disease that is characterized by bony canals located on the cartilage ring. We here report one case of tracheobronchopathia osteochondroplastica. Case Report: A 64-year-old female patient was admitted to the hospital with a productive cough, sputum, and fever for ten days. Her chest CT scan showed mild thickening and irregularity associated with calcification in the trachea wall and main bronchus. The patient had rheumatoid arthritis, and after consultation with a rheumatologist, she received pneumonia treatment and then underwent bronchoscopy. Conclusion: TPO is a rare, benign disease with slow progression. Physicians should be aware of TPO and should consider it in patients with chronic cough and respiratory infections. https://crcp.tums.ac.ir/index.php/crcp/article/view/258 https://crcp.tums.ac.ir/index.php/crcp/article/download/258/337

Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 5 1 2020 07 12 5 10 Ramin Zargarbashi Department of Orthopedics and Trauma Surgery, Children’s Medical Center Hospital, Tehran University of Medical Sciences, Tehran, Iran. Saeed Shakiba Department of Orthopedics and Trauma Surgery, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Farbod Yousefi Department of Orthopedics and Trauma Surgery, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Mohammad Hossein Nabian Department of Orthopedics and Trauma Surgery, Children’s Medical Center Hospital, Tehran University of Medical Sciences, Tehran, Iran. Behnam Panjavi Department of Orthopedics and Trauma Surgery, Children’s Medical Center Hospital, Tehran University of Medical Sciences, Tehran, Iran. 2019 04 07 2019 12 11 Introduction: Patella alta is an extremely rare condition, refers to an abnormally high position of the patella. Surgical treatment of habitual dislocation of the patella aims at a step-by-step correction of the abnormality. Case Presentation: A 4-year-old boy presented with a rare superior dislocation of the patella. Clinical examination and radiographs confirmed the dislocation of the patella. The patella was reduced with proper reduction technique under sedation, resulting in the improvement of active range of motion. Conclusion: Congenital patella alta is a rare deformity in children. Treatment and diagnosis in the early stages are of our priority in the treatment. Our non-surgical treatment is our preferred treatment in this patient. The surgical treatment approach is performed in patients that have no response to non-surgical treatments. https://crcp.tums.ac.ir/index.php/crcp/article/view/261 https://crcp.tums.ac.ir/index.php/crcp/article/download/261/339

Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 5 1 2020 07 12 11 14 Maryam Nasimi Department of Dermatology, Razi Hospital, Tehran University of Medical Sciences , Tehran, Iran. Maryam Daneshpazhooh Department of Dermatology, Razi Hospital, Tehran University of Medical Sciences , Tehran, Iran. Azita Nikoo Department of Pathology, Razi Hospital, Tehran University of Medical Sciences, Tehran, Iran. Arghavan Azizpour Department of Dermatology, Razi Hospital, Tehran University of Medical Sciences , Tehran, Iran. Safoura Shakoei Department of Dermatology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences , Tehran, Iran. 2019 05 07 2019 07 28 Introduction: Multiple osteoma cutis is a rare skin disorder characterized by tiny bone fragments deposition in the skin. It is a benign disease, which occurs as primary or secondary forms. Secondary osteoma cutis most commonly appears on the facial acne scars in middleaged women. The exact etiology of this phenomenon is unknown, but it may be induced by osteoblastic metaplasia of mesenchymal elements. Case Presentation: Herein, we report a 70-year-old man with a history of multiple basal cell carcinoma (BCC) of the scalp caused by radiotherapy, who referred to our tumor clinic with multiple skin-colored subcutaneous papules and nodules on his scalp from 2 years ago along with cutaneous side effect changes of radiodermatitis. In the histological examination of lesions with differential diagnosis of BCC, cysts, and adnexal tumors, the diagnosis of osteoma cutis was established without any evidence of BCC. Conclusion: Osteoma cutis is a rare disorder most commonly affecting the face, but our patient had multiple lesions of the scalp. The inflammatory changes of radiodermatitis may be the principal cause of this change. https://crcp.tums.ac.ir/index.php/crcp/article/view/268 https://crcp.tums.ac.ir/index.php/crcp/article/download/268/342

Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 5 1 2020 07 12 15 16 Reza Bidaki Department of Psychiatry, Research Center of Addiction and Behavioral Sciences, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Mohammad Javad Dehghan Pharmaceutical Sciences Research Center, School of Pharmacy, Student Research Committee, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Sina Negintaji Pharmaceutical Sciences Research Center, School of Pharmacy, Student Research Committee, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Fatemeh Saghafi Department of Clinical Pharmacy, School of Pharmacy, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Adeleh Sahebnasagh Department of Internal Medicine, Clinical Research Center, Faculty of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran. 2019 06 18 2019 09 04 A tattoo is a permanent design created by injecting exogenous pigments into the dermis. Eyelid is an exotic place for tattooing. We present a 34-year-old man with eyelid tattooing as disorganized behavior. https://crcp.tums.ac.ir/index.php/crcp/article/view/277 https://crcp.tums.ac.ir/index.php/crcp/article/download/277/343

Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 5 1 2020 07 12 17 18 Anahita Bolbol Haghighi Department of Internal Medicine, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. Sahar Karimpour Reihan Department of Internal Medicine, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. 2019 07 20 2019 10 15 Introduction: Asbestosis is a subtype of pneumoconiosis caused by asbestos that can lead to fibrosis and scarring the lung tissues. Case Report: Some of the asbestos-related diseases are calcifications, malignant mesothelioma, and pleural effusion. Conclusion: Asbestosis can cause cancer several years after the initial exposure, but it can remain asymptomatic for a long time. Here we present image of a patient with asbestosis related carcinoma. The figures below show interesting cuts of the chest CT scan of a patient admitted to the hospital with asbestosis-related carcinoma. https://crcp.tums.ac.ir/index.php/crcp/article/view/284 https://crcp.tums.ac.ir/index.php/crcp/article/download/284/344

Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 5 1 2020 07 12 19 22 EN Reza Mosaddegh Assistant Professor, Emergency Medicine Management Research Center, Iran University of Medical Sciences, Tehran, Iran. Mohammad Hossein Ghafouri MD. Department of Medicine, Iran University of Medical Sciences, Tehran, Iran. Mahdi Rezai Assistant Professor, Emergency Medicine Management Research Center, Iran University of Medical Sciences, Tehran, Iran. Mohammad Reza Maghsoudi Assistant professor, Department of Emergency, School of Emergency Medicine and Toxicology, Alborz University of Medical Sciences, Alborz, Iran. Farzaneh Beigmohammadi Emergency Medicine Resident, Department of Emergency Medicine, Iran University of Medical Sciences, Tehran, Iran. 2019 08 04 2019 10 15 Introduction: Meckel’s Diverticulum (MD) affects approximately 2% of the population. Phytobezoar is defined as a vegetable and fiber-based ball in the gastrointestinal tract. We report a rare case of phytobezoar within MD presenting with partial intestinal obstruction. Case Reports: We hereby present a 20-year-old man who referred to the Emergency Department of a hospital with a two-day history of nausea, vomiting, abdominal pain, and constipation. He underwent a midline laparotomy with surgical exploration, which revealed an MD 60 cm proximal to ileocecal valve containing phytobezoar. Histopathology reported the extracted specimen as an MD without ectopic tissue. Conclusion: Meckel’s diverticulum can be affected by bezoars as well as other parts of the gastrointestinal tract. We recommend that phytobezoar within MD be considered among differential diagnosis of bowel obstruction. https://crcp.tums.ac.ir/index.php/crcp/article/view/289 https://crcp.tums.ac.ir/index.php/crcp/article/download/289/345

Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 5 1 2020 07 12 23 26 Arghavan Fariborzifar Student Research Committee, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran. Forouzan Elyasi Department of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Sexual and Reproductive Health Research Center, Iranian National Center for Addiction Studies, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran. Marziyeh Azizi Ph.D. Student of Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran. 2019 08 30 2019 12 14 Introduction: Antipsychotics (APs) can induce pathological blood clotting. Deep Vein Thrombosis (DVT) is a common type of Venous Thromboembolism (VTE) and a significant cause of morbidity and mortality worldwide. First or second generation APs have been specifically correlated with an increased risk of thromboembolism. Case presentation: We report a case of a bipolar female patient who developed DVT following an increase in her daily dose of APs (olanzapine and chlorpromazine). Conclusion: Physicians in other medical fields, including internal medicine and surgery, should be trained about the complication of DVT induced by APs. https://crcp.tums.ac.ir/index.php/crcp/article/view/299 https://crcp.tums.ac.ir/index.php/crcp/article/download/299/346

Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 5 1 2020 07 12 27 29 Mohammad Reza Sasani Assistant Professor, Department of Radiology, Medical Imaging Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. Amirhossein Soltani Radiology Resident, Department of Radiology, Shiraz University of Medical Sciences, Shiraz, Iran. 2019 08 31 2020 02 02 Intrauterine Contraceptive Device (IUD) is a useful and reversible contraceptive method. This method has potential complications. Uterine perforation and IUD migration is rare but is a serious complication. Migrated IUD could situate in different organs such as bowel loop, urinary bladder, fallopian tube, or ovary. However, the presence of a displaced IUD simultaneously in the two organs is a rare event. Ultrasonography is an appropriate and initial method for evaluating the IUD location. Abdominopelvic x-ray, computed tomography, and MRI are adjunctive imaging modalities. We present a case with migrated IUD, which was located in the right ovary and small intestine simultaneously. https://crcp.tums.ac.ir/index.php/crcp/article/view/300 https://crcp.tums.ac.ir/index.php/crcp/article/download/300/347

Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 5 1 2020 07 12 30 34 Mohammad Taghi Najafi Nephrology Research Center, Center of Excellence in Nephrology, Tehran University of Medical Sciences, Tehran, Iran. Pouya Mahdavi Sharif Department of Internal Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Azam Alamdari Nephrology Research Center, Center of Excellence in Nephrology, Tehran University of Medical Sciences, Tehran, Iran. Neda Naderi Nephrology Research Center, Center of Excellence in Nephrology, Tehran University of Medical Sciences, Tehran, Iran. 2019 11 01 2019 12 14 Gitelman syndrome is an inherited disorder of kidney function characterized by hypokalemia, hypomagnesemia, and hypocalciuria. Its first presentation during pregnancy might be a challenging diagnostic and management issue, as there is little data available in the medical literature. Here we report a 26-year-old pregnant woman who was diagnosed with Gitelman syndrome for the first time during her second trimester of pregnancy. Refractory hypokalemia in the 18th week of pregnancy was treated with eplerenone. The pregnancy outcome was favorable both for the mother and neonate. https://crcp.tums.ac.ir/index.php/crcp/article/view/310 https://crcp.tums.ac.ir/index.php/crcp/article/download/310/348