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Scrofuloderma is most common presentation of cutaneous tuberculosis in India. A 15-years-old immunocompetent male presented with bilateral cervical necrotising lesions and was treated with ATTx9 months, without improvement. Patient was diagnosed with scrofuloderma and ZN staining revealed 2+acid-fast bacilli. Cartridge-based nucleic acid amplification test showed rifampicin resistance. Patient was initiated on shorter regimen, but deferred treatment owing to technical portal problems. After 3 months, neck swelling had enlarged and he was started on multi-drug regimen x24 months. This underlines requisite to consider scrofuloderma in differentials of bilateral cervical lesions and to periodically monitor compliance to prevent subsequent emergence of resistance.
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http://dx.doi.org/10.1016/j.idcr.2024.e02097 | DOI Listing |
Eur Arch Otorhinolaryngol
September 2025
Department of Otolaryngology Head And Neck Surgery, Far Eastern Memorial Hospital, No. 21, Section 2, Nan-Ya South Road, New Taipei City, Taiwan.
Introduction: Anterior glottic webs are epithelium-covered fibrous tissue formations at the anterior commissure, leading to synechiae between the bilateral vocal folds. They manifest with symptoms ranging from hoarseness to airway obstruction. However, treating anterior glottic webs are challenging due to their high recurrence rates.
View Article and Find Full Text PDFAcad Radiol
September 2025
Department of Diagnostic Radiology and Nuclear Medicine, Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma 371-8511, Japan (S.K., Y.K., Y.T.).
Rationale And Objectives: The thyroid foramen (TF) is a congenital anatomical variant of the thyroid cartilage, characterized by a small opening that may transmit neurovascular structures. Although benign, TF can be misinterpreted on imaging as a cartilage fracture or tumor invasion, and may pose a surgical risk if unrecognized. Despite these potential implications, TF remains under-recognized in routine radiological practice.
View Article and Find Full Text PDFRadiother Oncol
September 2025
Dept of Radiation Oncology, Centre Léon Bérard, Lyon, France. Electronic address:
Background And Purpose: To date, no consensus guidelines have been published that systematically guide delineation of primary and nodal Clinical Target Volumes (CTVs) in patients who require post-operative radiotherapy (PORT) for mucosal Head and Neck squamous cell carcinoma (HNSCC). As a result, significant individual, institutional and national variation exists in the way that CTVs are delineated in the post-operative setting, leading to considerable heterogeneity in radiotherapy treatment.
Methods: A multi-disciplinary group of experts convened by the European Society for Radiotherapy and Oncology (ESTRO) set-out principles for the multi-disciplinary management of oral cavity squamous cell carcinoma (OCSCC).
Laryngoscope
September 2025
UCSF Voice & Swallowing Center, Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, California, USA.
Objectives: In patients with significant upper airway stenosis, airway compromise can occur associated with general anesthesia (GA). A previous study demonstrated the feasibility of awake laser laryngeal stenosis surgery (ALLSS) in the operating room (OR) in five patients. This study sought to determine patient outcomes of ALLSS.
View Article and Find Full Text PDFCureus
August 2025
Neurosurgery, Tokyo Metropolitan Hiroo Hospital, Tokyo, JPN.
Background: Vascular calcification represents ectopic deposition of calcium phosphate in the arterial wall. Component analysis of calcifications using dual-energy computed tomography (DECT) has helped to elucidate arteriosclerosis, but reports examining carotid calcified plaque remain lacking. The present study qualitatively evaluated calcifications using DECT in patients with stroke in our institution.
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