• Title/Summary/Keyword: Misdiagnosis

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The Review of Misdiagnosis in Surgical Chest Diseases (진단 곤란했던 흉부질환에 대한 검토)

  • 손말현;조광현;김진식
    • Journal of Chest Surgery
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    • v.8 no.1
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    • pp.1-8
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    • 1975
  • The author reviewed 36 cases of misdiagnosis in 533 cases of Surgical chest diseases which were operated during past 5 years in Department of Thoracic Surgery in Busan University Hospital. The detail of cases are as follows; 11 of 162 cases in pulmonary tuberculosis, 5 of 133 cases in empyema, 3 of 29 cases of mediastinal tumor and 7 of 155 cases of miscellaneous. rate of misdiagnosis in all cases was 6.5%. The author further discussed the factor of misdiagnosis in these cases and some diseases which were needed differential diagnosis.

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Unusual Brain Computed Tomography Artifact in Cerebellum Mimicking Hemorrhage: A Case Report (뇌 CT에서 출혈로 오인된 소뇌의 허상: 증례보고)

  • Lee, Jihun;Eom, Ki Seong;Kim, Tae-Young
    • Journal of Trauma and Injury
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    • v.28 no.3
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    • pp.195-197
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    • 2015
  • Artifacts can seriously degrade the quality of computed tomography (CT) images, sometimes to the point of making them diagnostically unusable. Here, we report an unusual CT artifact that could have resulted in the misdiagnosis of a hyperdense hemorrhagic lesion in a 55-year-old man. The author recommend that when hemorrhagic lesion in posterior fossa is suggested on CT, the physician should carefully consider all patient-related clinical data prior to considering surgical intervention or a biopsy. Cranial magnetic resonance imaging (MRI) can help in preventing the misdiagnosis as hemorrhage of CT scan.

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Assessing Misdiagnosis of Relapse in Patients with Gastric Cancer in Iran Cancer Institute Based on a Hidden Markov Multi-state Model

  • Zare, Ali;Mahmoodi, Mahmood;Mohammad, Kazem;Zeraati, Hojjat;Hosseini, Mostafa;Naieni, Kourosh Holakouie
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.9
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    • pp.4109-4115
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    • 2014
  • Background: Accurate assessment of disease progression requires proper understanding of natural disease process which is often hidden and unobservable. For this purpose, disease status should be clearly detected. But in most diseases it is not possible to detect such status. This study, therefore, aims to present a model which both investigates the unobservable disease process and considers the error probability in diagnosis of disease states. Materials and Methods: Data from 330 patients with gastric cancer undergoing surgery at the Iran Cancer Institute from 1995 to 1999 were analyzed. Moreover, to estimate and assess the effect of demographic, diagnostic and clinical factors as well as medical and post-surgical variables on transition rates and the probability of misdiagnosis of relapse, a hidden Markov multi-state model was employed. Results: Classification errors of patients in alive state without a relapse ($e_{21}$) and with a relapse ($e_{12}$) were 0.22 (95% CI: 0.04-0.63) and 0.02 (95% CI: 0.00-0.09), respectively. Only variables of age and number of renewed treatments affected misdiagnosis of relapse. In addition, patient age and distant metastasis were among factors affecting the occurrence of relapse (state1${\rightarrow}$state2) while the number of renewed treatments and the type and extent of surgery had a significant effect on death hazard without relapse (state2${\rightarrow}$state3)and death hazard with relapse (state2${\rightarrow}$state3). Conclusions: A hidden Markov multi-state model provides the possibility of estimating classification error between different states of disease. Moreover, based on this model, factors affecting the probability of this error can be identified and researchers can be helped with understanding the mechanisms of classification error.

A case study of Wei symptom initially misdiagnosed as conversion disorder (초기에 전환장애로 잘못 진단되었던 위증환자 보고 1례)

  • Kim, Yun-Yong;Byun, Soon-Im;Kim, Ji-Young;Whang, Wei-Wan;Cho, Sung-Hoon
    • Journal of Oriental Neuropsychiatry
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    • v.18 no.3
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    • pp.147-156
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    • 2007
  • Conversion disorder is a diagnosis based on a psychological construct that currently has no known neurobiologic substrate. But It is not easy to differentiate a real conversion disorder from a neurological disease or other medical disease. A patient in this case report had been diagnosed as conversion disorder but later it was found that the conversion disorder was misdiagnosis. During the 7 days of treatment, this patient was treated by herb medication, acupuncture and TENS and bad a little improvement. Both way, this patient was evaluated and evantually was diagnosed as Guillain-Barre Syndrome Miller-Fisber Variant, suggesting that the former diagnosis bad been a mistake. In this case report, we will present this patient's case and review the misdiagnosis of conversion disorder.

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A Study on Misdiagnosis Rates of Ejection Fraction Associated with Cardiac Computed Tomography: Suggestions and Correction for Improvement (심장 전산화단층촬영을 이용한 박출계수 산출 시 박출계수의 보정을 통한 오진율 개선에 관한 연구)

  • Na, Sa-Ra;Jeong, Mi-Ae
    • The Journal of the Korea Contents Association
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    • v.21 no.2
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    • pp.437-444
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    • 2021
  • The aim of this study was to compare the cardiac CT and cardiac MRI in calculating and correcting the left ventricle ejection fraction by analyzing the physical and temporal resolution for reducing the misdiagnosis rate. One hundred thirty-eight patients with aortic value regurgitation who underwent both cardiac CT and cardiac MRI were analyzed. Left ventricle ejection fractions calculated from each exam were corrected based on the physical and temporal resolution differences and the reliability test evaluated whether the misdiagnosis rate of cardiac CT was improved after the correction. As a result of the study, the misdiagnosis rate of cardiac CT ejection fraction before correcting the difference in physical and temporal resolution was 38.4%(53 persons). In addition, it can be seen that the corrected cardiac CT ejection fraction confirmed in the Bland-Altman plot was highly consistent with the ejection fraction of cardiac MRI. In conclusion, as the cardiac CT is less well suited for measuring ejection fraction, physical characteristics and the time resolution correction using cardiac MRI is needed and the misdiagnosis rate after correction decreased to 14.5%(20 persons). Therefore, this study appears more appropriate for better prediction of ejection fraction and clinical utility.

Clinical Features and Pharmacological Treatment of Dementia with Lewy Bodies (루이소체 치매의 증상과 치료)

  • Kim, Tae Hui
    • Korean Journal of Biological Psychiatry
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    • v.23 no.2
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    • pp.41-47
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    • 2016
  • Dementia with Lewy bodies (DLB) is the second most common causes of dementia. It can exhibit a variety of clinical symptoms including cognitive decline, cognitive fluctuation, visual hallucinations, parkinsonism, REM sleep behavior disorder, hypersensitivity to neuroleptics and autonomic dysfunctions. Despite more well-known criteria for DLB, there are often misdiagnosis and inappropriate treatment. It gives a lot of clinical burden to the clinician as well as to patients and families. When reducing the misdiagnosis, the burden of all will be reduced. The special concern and solicitation are needed in order not to miss the diagnosis when the cardinal features of DLB may not be volunteered by patients and the caregivers. To control the symptoms, clinicians must find and reduce drugs that can have the negative effects on DLB symptoms. There is limited evidence about specific interventions but available data suggest cholinesterase inhibitors improve the cognitive and behavioral symptoms and menmantine slightly improves the global impression.

Fine Needle Aspiration Cytology of Inflammatory Pseudotumor of the Lung - Report of A Case Misdiagnosed as Adenocarcinoma - (폐에 발생한 염증성 가성종양의 세침흡인 세포학적 소견 - 선암종으로 오진한 1예 보고 -)

  • Kim, Wan-Seop;Hong, Eun-Kyung;Park, Moon-Hyang
    • The Korean Journal of Cytopathology
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    • v.10 no.2
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    • pp.145-149
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    • 1999
  • Cytologic features of inflammatory pseudotumor of the lung have not been described frequently. We report fine needle aspiration cytologic(FNAC) finding of a case of inflammatory pseudotumor misdiagnosed as adenocarcinoma in a 63-year-old man. The FNAC displayed a mixture of histiocytes, myofibroblasts, pneumocytes, and plasma cells. Some histiocytes and myofibroblasts had large nuclei with irregular nuclear membrane and prominent nucleoli, which mislead the diagnosis on adenocarcinoma on FNAC. The heterogeneous cell population is the unique cytologic features of inflammatory pseudotumor, which are helpful to distinguish it from other circumscribed benign and malignant lesions. Familiarity with these features is essential to avoid misdiagnosis and possible overtreatment.

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Glomus Tumor Causing Anterior Thigh Pain: A Case Report

  • So, Sang Young;Kim, Byng Mook;Lee, Sun Yeul;Ko, Young Kwon;Shin, Yong Sup;Lee, Won Hyung
    • The Korean Journal of Pain
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    • v.27 no.2
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    • pp.174-177
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    • 2014
  • Glomus tumors are a rare, benign neoplasm and 75% exist in the subungual region. Extradigital glomus tumors are much more difficult to diagnose because of their atypical location and symptoms. Furthermore, if their symptoms are similar to neuropathic pain, the patient can suffer from misdirected treatment due to misdiagnosis. It is essential to perform careful evaluation of the lesion itself in order to reduce misdiagnosis. Ultrasonography is a useful, non-invasive method that can be easily performed in the pain clinic for local evaluation and diagnosis. We report a case of misdiagnosed glomus tumor in the thigh which was properly diagnosed after ultrasonography.

Misdiagnosis of florid cemento-osseous dysplasia leading to unnecessary root canal treatment: a case report

  • Huh, Jong-Ki;Shin, Su-Jung
    • Restorative Dentistry and Endodontics
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    • v.38 no.3
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    • pp.160-166
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    • 2013
  • This case report demonstrates an unnecessary endodontic treatment of teeth with florid cemento-osseous dysplasia (FCOD) due to a misdiagnosis as periapical pathosis and emphasizes the importance of correct diagnosis to avoid unnecessary treatment. A 30-year-old woman was referred to our institution for apicoectomies of the mandibular left canine and both the lateral incisors. The periapical lesions associated with these teeth had failed to resolve after root canal treatment over a 3-year period. Radiographic examinations revealed multiple lesions on the right canine, the second premolar, and both first molars as well as the anterior region of the mandible. Based on clinical, radiographic and histological evaluations, the patient condition was diagnosed as FCOD. The patient has been monitored for 2 years. To avoid unnecessary invasive treatment, accurate diagnosis is essential before treatment is carried out in managing FCOD.