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Ectopic peritoneal paragonimiasis mimicking tuberculous peritonitis:A care report

World Journal of Clinical Cases 2022年第16期10卷 5359-5364页

作者： Jung Woo Choi Chang Min Lee Seong Je Kim Se In Hah Ji Yoon Kwak Hyun Chin Cho Chang Yoon Ha Woon Tae Jung Ok Jae Lee Department of Internal Medicine Gyeongsang National University College of Medicine and Gyeongsang National University HospitalJinju 52727South Korea Institute of Health Sciences Gyeongsang National UniversityJinju 52828South Korea

BACKGROUND The most common site of paragonimiasis is in the *** migratory route passes through the duodenal wall,peritoneum,and diaphragm to the lungs;thus,the thoracic cavity and central nervous system,as well as the liver,intestine,and abdominal cavity may be ***,we present a case of intraperitoneal paragonimiasis without other organ involvement,mimicking tuberculous *** SUMMARY A 57-year-old man presented with recurrent abdominal pain for 4 *** examination revealed tenderness in the right lower *** findings showed complete blood counts within the normal range without *** reactive lymph nodes and diffuse peritoneal infiltration were noted on abdominal computed tomography(CT).There were no abnormalities on chest CT or *** findings of diagnostic laparoscopy for the differential diagnosis of tuberculous peritonitis and peritoneal carcinomatosis included multiple small whitish nodules and an abscess in the *** reports confirmed the presence of numerous eggs of Paragonimus westermani(***).A postoperative serum enzyme-linked immunosorbent assay revealed *** *** and repetitive history-taking led him to retrospectively recall the consumption of freshwater *** 3 d of treatment with praziquantel(1800 mg;25 mg/kg),he recovered from all *** In patients who require diagnostic laparoscopy for the differential diagnosis of tuberculous peritonitis and peritoneal carcinomatosis,repetitive history-taking and preoperative serologic antibody tests against Paragonimus may be helpful in diagnosing intraperitoneal paragonimiasis without other organ involvement.

关键词： differential diagnoses Intraperitoneal abscess Paragonimiasis Paragonimus westermani Peritonitis Tuberculosis Case report

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Misdiagnosed dystrophic epidermolysis bullosa pruriginosa:A case report

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World Journal of Clinical Cases 2021年第13期9卷 3090-3094页

作者： Zi Wang Yi Lin Xing-Wu Duan Hai-Yan Hang Xia Zhang Ling-Ling Li Department of Dermatology Dongzhimen Hospital Affiliated to Beijing University of Chinese MedicineBeijing 100000China

BACKGROUND Dystrophic epidermolysis bullosa pruriginosa(DEB-Pr)is a rare subtype of DEB,characterized by recurrent pruritus of the extremities,pruritus papules,nodules,and mossy-like *** date,fewer than 100 cases have been *** report a misdiagnosed 30-year-old man with sporadic late-onset DEB-Pr who responded well to tacrolimus treatment,thereby serving as a guide to correct diagnosis and *** SUMMARY A 30-year-old man presented with recurrent itching plaques of 1-year duration in the left tibia that aggravated and involved both legs and the *** revealed multiple symmetrical,purple,and hyperpigmented papules and nodules with surface exfoliation involving the tibia and dorsum of the neck with negative Nissl's sign,no abnormalities in the skin,mucosa,hair,or fingernail,and no local lymph node *** were never reported prior to *** immunoglobulin E level was 636 IU/*** manifestations suggested *** examination showed subepidermal fissure,scar tissue,and *** immunofluorescence showed no obvious ***,we were unable to perform electron microscopy or genetic research following his *** treated him with topical *** 2 wk,the itching alleviated,and the skin lesions began to *** adverse reactions were observed during *** Topical tacrolimus is a safe treatment option for patients with DEB-Pr and can achieve continuous relief of severe itching.

关键词： differential diagnoses Dystrophic epidermolysis bullosa pruriginosa Pruritus Nodular prurigo Histopathological examinations Case report

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