Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 1 2 2016 09 24 80 80 EN Shahin Akhondzadeh Department of Psychiatry, School of Medicine Psychiatry and Psychology Research Center Roozbeh Hospital Tehran University of Medical Sciences 2016 09 13 2016 09 13 No Abstract https://crcp.tums.ac.ir/index.php/crcp/article/view/80 https://crcp.tums.ac.ir/index.php/crcp/article/download/80/10

Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 1 2 2016 09 24 31 33 EN Shahram Gooran Urology Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran Fateme Guitynavard Urology Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran Alimohammad Fakhr-Yasseri Urology Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran Reza Dehghaniathar Urology Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran 2016 09 13 2016 09 13 Although the presence of intravesical foreign body is not a rare finding, orthopedic screw penetration into the urinary bladder as a complication of the  internal  fixation  of  femoral  neck  fractures  is  extremely  rare.  We describe an 83-year-old man experiencing spontaneous penetration of a cannulated screw into the urinary bladder neck, 16 years after the internal fixation surgery for his femoral neck fracture. https://crcp.tums.ac.ir/index.php/crcp/article/view/81 https://crcp.tums.ac.ir/index.php/crcp/article/download/81/11

Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 1 2 2016 09 24 34 38 EN Hamed Cheraghmakani Neurologist, Assistant Professor, Department of Neurology, Bu Ali Sina Hospital, Mazandaran University of Medical Sciences, Sari, Iran Maryam Mobini Rheumatologist, Associate Professor, Diabetes Research Center, Mazandaran University of Medical Sciences, Sari, Iran Mohammad Baghbanian Neurologist, Assistant Professor, Department of Neurology, Bu Ali Sina Hospital, Mazandaran University of Medical Sciences, Sari, Iran 2016 09 13 2016 09 13 Interferon (IFN) beta is the most widely prescribed disease-modifying drug for multiple sclerosis (MS). However, some adverse reactions are observed in course of IFN-beta therapy. This article presents two cases of female patients diagnosed with relapsing-remitting MS who developed inflammatory musculoskeletal manifestations, following IFN-beta 1a therapy. In the first patient recurrent arthritis developed a week after initiation of IFN-beta, which improved few weeks after a switch to glatiramer acetate. The second patient developed recurrent arthritis 1 month after IFN-beta 1a therapy who suffered painful arthritis despite discontinuation of the medication. Both patients were seropositive for anti- cyclic citrullinated  peptide;  the first  patient  was a  positive  rheumatoid factor (RF) and the second patient was both positive RF and anti-Ro. The role of IFN-beta in the setting of inflammatory musculoskeletal disease remains unclear. To minimize its side effects, review of these antibodies may be required in patients who are candidates for this therapy. https://crcp.tums.ac.ir/index.php/crcp/article/view/82 https://crcp.tums.ac.ir/index.php/crcp/article/download/82/12

Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 1 2 2016 09 24 39 42 EN Mojgan Mirabdolhagh Hazaveh Department of General Internal Medicine, Tehran University of Medical Scinces, Tehran, Iran Taraneh Dormohammadi Toosi Rheumathology Research Center, Vali-asr Hospital, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran Azam Alamdari Department of General Internal Medicine, Tehran University of Medical Scinces, Tehran, Iran Fatemeh Shahbazi Department of Biology, Payame Noor University, Tehran, Iran 2015 11 19 2016 02 27 Sarcoidosis is an inflammatory disorder characterized by the presence of noncaseating granulomas. Sarcoidosis can affect any organ in the body. As we know lung is most commonly affected but other organs such as liver, skin, eye and spleen could be involved. Here we report an interesting case of hepatic and splenic sarcoidosis in 55 year old woman suffered from epigastric pain, weight loss and constipation due to hypercalcemia. https://crcp.tums.ac.ir/index.php/crcp/article/view/15 https://crcp.tums.ac.ir/index.php/crcp/article/download/15/13

Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 1 2 2016 09 24 43 47 EN Fatemeh Farahmand Professor, Department of Pediatric Gastroenterology, Children's Medical Center, Tehran University of Medical Sciences, Iran Ruhollah Edalatkhah Fellowship, Department of Pediatric Gastroenterology, Children's Medical Center, Tehran University of Medical Sciences, Iran Sara Memairan Resident, Department of Pediatrics, Children's Medical Center, Tehran University of Medical Sciences, Iran Hojjatollah Jafari-Fesharaki Fellowship, Department of Pediatric Intensive Care, Children's Medical Center, Tehran University of Medical Sciences, Iran Behdad Gharib Pediatric Gastroenterologist, Children’s Medical Center, Tehran University of Medical Sciences, Iran 2015 11 29 2016 04 16 We present a girl afflicted by Fasciola hepatica who was firstly considered to have other causes of jaundice and abdominal pain;however, she had eosinophilia. The clinicians initially ruled out the possibility parasitic infection via having one negative stool examination. According to the epidemiologic characteristics of the region, the patient belonged to hypereosinophilia and hyper IgE; we repeated the stool exam 3 times and the experienced parasitologist confirmed the diagnosis. https://crcp.tums.ac.ir/index.php/crcp/article/view/17 https://crcp.tums.ac.ir/index.php/crcp/article/download/17/22

Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 1 2 2016 09 24 48 53 EN Mohammadreza Razzaghof Medical Student, Department of Rheumatology, Vali-Asr Hospital, Tehran University of Medical Sciences, Tehran, Iran Shafieh Movassaghi Associate Professor, Department of Rheumatology, Vali-Asr Hospital, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran Mitra Abbasifard Assistant Professor, Department of Internal Medicine, Ali-ibn Abi Talib Hospital, Rafsanjan University of Medical Sciences, Rafsanjan, Iran Fatemeh Shahbazi Assistant Professor, Department of Biology, Payame Noor University, Tehran, Iran 2015 12 01 2016 02 27 A 38-year-old man came to outpatient clinic complaining of a new-onset pain of his right buttock which has caused him to limp. Since six months ago, the pain had involved in order his cervical spine, ribs, sternum andthoracic spine, and left them deformed. He also had constitutional symptoms and significant weight loss. On physical examination, there was a limited chest expansion, positive Schober’s test, and multiple tender bony bumps along the ribs, costosternal and costochondral junctions. Lab tests showed anemia, elevated ESR, normal level of serum calcium, and creatinine, and 1+ protein in U/A. Serum protein electrophoresis was unexceptional. The imaging of the patient changed the diagnostic path. This article describes a deceptive visage of multiple myeloma presenting itself in the clothing of ankylosing spondylitis. https://crcp.tums.ac.ir/index.php/crcp/article/view/18 https://crcp.tums.ac.ir/index.php/crcp/article/download/18/17

Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 1 2 2016 09 24 54 57 EN Taraneh Dormohammadi Toosi Department of Rheumatology, Vali Asr Hospital, Imam Khomeini Hospital Complex AND Center for Research on Occupational Disease, Tehran University of Medical Sciences, Tehran, Iran Abdorahman Rostamian Department of Rheumatology, Vali Asr Hospital, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran Ali Khalvat Department of Rheumatology, Vali Asr Hospital, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran Fatemeh Shahbazi Department of Rheumatology, Vali Asr Hospital, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences AND Department of Biology, Payame Noor University, Tehran, Iran 2015 12 28 2016 02 27 Systemic lupus erythematosus (SLE) is a chronic inflammatory disorderwith unknown etiology which can involve various organs in the body. The most common symptoms of this disease are constitutional symptoms along with skin rashes, arthritis, nephrologic, and hematologic manifestations. Acute pancreatitis is an unusual presentation of SLE. Here, we report an interesting case SLE who suffered from fever, weakness, abdominal pain, and weight loss. Finally, lupuspancreatitis was diagnosed based on her symptoms, laboratory, and imaging findings. https://crcp.tums.ac.ir/index.php/crcp/article/view/20 https://crcp.tums.ac.ir/index.php/crcp/article/download/20/23

Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 1 2 2016 09 24 58 60 EN Zeinab Naderpour Department of Internal Medicine, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran Mahbube Ebrahimpur Department of Internal Medicine, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran Mohammad Khademi Department of Infectious Diseases, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran 2016 01 24 2016 04 26 Primary Tuberculous Pyomyositis is a rare manifestation of musculoskeletal tuberculosis especially in immunocompetent individuals without a focus of tuberculosis in the body and the underlying bone disease [1]. We describe a 45 years-old incarcerated immunocompetant man with nontraumatic wound of right thumb since 9 months ago. The diagnosis of tuberculousdactylitis was based on positive acid fast bacilli using Ziehl-Neelson staining and Histopathology from involved skin. https://crcp.tums.ac.ir/index.php/crcp/article/view/30 https://crcp.tums.ac.ir/index.php/crcp/article/download/30/19

Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 1 2 2016 09 24 61 64 EN Seyede Zahra Emami Razavi Physical Medicine and Rehabilitation Specialist, Department of Physical Medicine and Rehabilitation, Brain and Spinal Cord Research Center, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran Maryam Rafiei Resident, Department of Physical Medicine and Rehabilitation, School of Medicine, Iran University of MedicalSciences, Tehran, Iran Shahrbanoo Kazemi Physical Medicine and Rehabilitation Specialist, Department of Physical Medicine and Rehabilitation, Brain and Spinal Cord Research Center, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran Seyed Pejman Madani Physical Medicine and Rehabilitation Specialist, Department of Physical Medicine and Rehabilitation, School ofMedicine, Burn Research Center, Iran University of Medical Sciences, Tehran, Iran 2016 02 16 2016 03 08 This report describes a case of spinal canal stenosis at L4-L5 level andurinary incontinence (UI). An elderly woman was referred to a pain clinicwith persistent pain in low back and both lower limbs specially left leg. She complained of UI since 2 months before in a progressive manner as well. Because of progressive nature of her symptoms, physicians decided to refer her for surgery promptly; however, her cardiologic consult was not satisfactory, and surgery risk was reported significant. Physicians began symptomatic therapy and unexpectedly most of her symptoms were improved even her UI. https://crcp.tums.ac.ir/index.php/crcp/article/view/45 https://crcp.tums.ac.ir/index.php/crcp/article/download/45/24

Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 1 2 2016 09 24 65 66 EN Farnoosh Larti Department of Cardiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Soheil Peiman Department of Internal Medicine, School of Medicine AND Advanced Thoracic Research Center, Tehran University of Medical Sciences, Tehran, Iran Shima Molaee Department of Internal Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Morteza Foroumandi Department of Internal Medicine, School of Medicine AND Advanced Thoracic Research Center, Tehran University of Medical Sciences, Tehran, Iran 2015 11 02 2016 02 02 No Abstract  https://crcp.tums.ac.ir/index.php/crcp/article/view/12 https://crcp.tums.ac.ir/index.php/crcp/article/download/12/51