• Title/Summary/Keyword: misdiagnosis

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A 22-month-old Boy with Acute Glomerulonephritis Coexistent with Hemolytic Anemia and Idiopathic Thrombocytopenia

  • Park, Hye Won;Seo, Bo Seon;Jung, Su Jin;Lee, Jun Ho
    • Childhood Kidney Diseases
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    • v.19 no.1
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    • pp.43-47
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    • 2015
  • Hemolytic anemia and thrombocytopenia are rare clinical manifestations of acute glomerulonephritis. Initially, in all such cases, a diagnosis of hemolytic uremic syndrome, thrombotic thrombocytopenic purpura, systemic lupus erythematosus, and amyloidosis should be ruled out. The presence of hemolytic anemia and thrombocytopenia is rare, but possible, in a case of acute poststreptococcal glomerulonephritis, and may result in delayed diagnosis or misdiagnosis. Correct and timely diagnosis would ensure adequate treatment in such patients. We report of a 22-month-old boy with acute glomerulonephritis coexistent with hemolytic anemia and idiopathic thrombocytopenia.

The Cytology of a Cellular Variant of Cerebellar Hemangioblastoma in Squash Preparation: Pitfalls in Diagnosis (소뇌의 세포충실성 혈관모세포종의 압착도말 세포소견)

  • Suh, Yeon-Lim;Oh, Young-Lyun
    • The Korean Journal of Cytopathology
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    • v.17 no.2
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    • pp.148-152
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    • 2006
  • Due to its nuclear pleomorphism, knowledge regarding the cytological findings of cerebellar hemangioblastoma can lead to misdiagnosis when using squash specimens, which in other circumstances serves as a useful adjunct in the diagnosis of brain tumors on frozen section. We recently experienced the cytological findings of a cellular variant of cerebellar hemangioblastoma in a 51-year-old man. Squash specimens revealed scattered single tumor cells, with pleomorphic nuclei and cytoplasmic vacuoles, on a hemorrhagic background. The cellular clusters were composed of spindle-shaped endothelial cellsin addition to densely clustered stromal cells. Intranuclear inclusions were frequently seen. The nuclear pleomorphism, bubbly cytoplasmic vacuoles and presence of intranuclear inclusions, seen in the squash specimen, may increase the difficulty of frozen section diagnosis of cerebellar hemangioblastoma. Awareness of the cytologicalfindings of hemangioblastoma is needed to avoid the pitfalls in the intraoperative diagnosis of cerebellar hemangioblastomas.

Referred Shoulder Pain due to Liver Abscess -A case report- (간농양의 연관통으로 밝혀진 우측 견부통 환자의 치료증례)

  • Park, Sang Hyun;Lee, Pyung Bok;Seo, Myung Sin;Lim, Yun Hee;Oh, Yong Seok
    • The Korean Journal of Pain
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    • v.18 no.2
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    • pp.267-270
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    • 2005
  • Referred pain is not localized to the site of its cause, but referred to an area that may be an adjacent distant from such a site. With respect to this, there is the possibility of misdiagnosis in the treatment of referred pain patient. We experienced a case of a 31-years-old male patient complaining of right shoulder pain, which subsided after a bursa injection. The patient revisited our clinic after 3 weeks complaining not only of right shoulder pain, but also of right upper quadrant pain and fever. He was diagnosed as having a liver abscess by an imaging study.

Hydrocephalus as a Presenting Manifestation of Neurosarcoidosis : Easy to Misdiagnose as Tuberculosis

  • Lee, Chang-Hyun;Jung, Young-Sub;Lee, Sang-Hyung
    • Journal of Korean Neurosurgical Society
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    • v.48 no.1
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    • pp.79-81
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    • 2010
  • We present a case of hydrocephalus as the primary manifestation of neurosarcoidosis. Sarcoidosis is a rare disease in Korea and its incidence is much lower than that of tuberculosis. Diagnosis is made by pathologic findings and by exclusion of other granulomatous disorders. Neurosarcoidosis is observed in approximately 5% of sarcoidosis. Its common manifestations are facial palsy (50% of patients with neurosarcoidosis) and optic neuritis. Hydrocephalus is a very uncommon reported finding. Although the typical presentation of sarcoidosis such as facial palsy is not a diagnostic dilemma, more atypical presentations such as hydrocephalus with altered mentality in a tuberculosis patient can lead to a misdiagnosis.

Clinical Evaluation of the Lung Cancer (폐암의 임상적 고찰)

  • 최순호
    • Journal of Chest Surgery
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    • v.11 no.1
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    • pp.26-34
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    • 1978
  • We observed 82 cases of primary lung cancer clinically and statistically, which had been experienced at the dept. of thoracic surgery, Chonnam University Hospital, during the period of 13 years from 1964 to 1967. The results obtained were as follows: Peak incidence of age was from 5th decade to 6th decade, and the ratio of male to female was 3: 1. The frequency of lung cancer was higher in the heavy smoker than in the lighter smoker, and undifferentiated carcinoma showed low resectability in spite of the shorter clinical duration. Major symptoms were coughing and chest tightness & pain, especially coughing was initial symptom in the majority of patients. Of the 82 cases, operation was performed in the 32 cases [39%], but resection was possible in the 22 cases [27%]. The delaying factors led patients to an inoperable stage were physician’s misdiagnosis of bronchogenic carcinoma due to non-specific symptoms and signs of the patients, old age patients were dependence on herb medicine, and poor economical condition of the patients in our region especially. Basic conditions of treatment in lung cancer were early detection & early surgery, so, chest P-A would be checked per 3 to 6 months interval associated with sputum cytology in the smoker over 45 age routinely.

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Laboratory Misdiagnosis of von Willebrand Disease Caused by Preanalytical Issues: Sample Collection, Transportation, and Processing

  • Kim, In-Suk
    • Journal of Interdisciplinary Genomics
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    • v.2 no.1
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    • pp.5-9
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    • 2020
  • von Willebrand disease (VWD) is a genetic bleeding disorders caused by a deficiency of von Willebrand factor (VWF). Diagnosis or exclusion of VWD is not an easy task for most clinicians. These difficulties in diagnosis or exclusion of VWD may be due to preanalytic, analytical and postanalytic laboratory issues. Analytical systems to diagnose VWD may produce misleading results because of limitations in their dynamic range of measurement and low sensitivity. However, preanalytical issues such as sample collection, processing, and transportation affect the diagnosis of VWD profoundly. We will review here the common preanlytical issues that may impact the laboratory diagnosis of VWD.

Basal cell adenoma misdiagnosed as an adenoid cystic carcinoma in the parotid gland

  • Kim, Chan-Woo;Kim, Seong-Gon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.38 no.5
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    • pp.314-317
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    • 2012
  • Basal cell adenoma (BCA) of the parotid gland is a rare benign tumor. In the parotid gland, BCA is occasionally difficult distinguish from adenoid cystic carcinoma in terms of clinical and pathological perspectives. An adenoid cystic carcinoma of the parotid gland grows slowly but spreads persistently to the surrounding tissues, particularly along the perineural spaces. In the present case, BCA of the parotid gland was misdiagnosed as an adenoid cystic carcinoma. We discuss the reason for such a misdiagnosis, and present a method for making a correct diagnosis.

Extraosseous Lipoma 1 case at Scapula Simulating Intraosseous Lipoma (견갑골에서 골내 지방종으로 오인한 골격외 지방종 1례)

  • Kim, Sang-Bum;Jang, Jae-Ho;Kim, Jae-Do
    • Clinics in Shoulder and Elbow
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    • v.6 no.2
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    • pp.173-177
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    • 2003
  • Superficial lipoma was easy to diagnose, but deep lipoma, especially intraosseus lipoma, was difficult to detect pre-operatively. Intraosseous lipoma is very rare and had been difficult to differentiate from other tumors before image diagnosis was developed. Recently, the detecting ratio has increased due to advanced diagnostic tools. Preoperative diagnosis is crucial for the treatment plan and influences the approach method for excision. We experienced one case of misdiagnosis which was diagnosed as intraosseous lipoma according to the preoperative MRI but turned out to be a parosteal lipoma after the surgery.

Jejunogastric intussusception prone to misdiagnosis as gastric cancer

  • Park, Yong-Eun;Kim, Sang-Woon
    • Journal of Yeungnam Medical Science
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    • v.37 no.3
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    • pp.236-241
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    • 2020
  • The authors report a case of a 78-year-old female with a history of gastric surgery 35 years ago. She was initially misdiagnosed as gastric cancer bleeding and underwent an emergency laparotomy under the diagnosis of jejunogastric intussusception (JGI), 23 hours after the onset of symptoms. We also reviewed 116 JGI case reports and analyzed clinical features and outcomes. Compared to the past, diagnosis of JGI is easier with diagnostic examinations such as an endoscopy, computed tomography, and the upper gastrointestinal series. And a good prognosis can be expected with proper fluid resuscitation and surgical reduction, even if the symptoms persist more than 48 hours.

A Neuro-Behçet's Case Operated with the Intracranial Mass Misdiagnosis

  • Tokgoz, Osman Serhat;Akpinar, Zehra;Guney, Figen;Seyithanoglu, Abdullah
    • Journal of Korean Neurosurgical Society
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    • v.52 no.5
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    • pp.488-490
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    • 2012
  • Behçet's disease (BD) is an inflammatory systemic disorder with oral and genital ulcers, as well as ophthalmologic and cutaneous symptoms. Neurological manifestations in BD represent between 2.2% to 50% of the cases. The 25-year-old male patient, diagnosed with BD three years earlier, was admitted to our clinic with complaints of recurrent headaches. Tumor-like-parenchimal involvement was detected on a cranial magnetic resonance imaging. The lesion was removed surgically and then he suffered from right hemiparesis and epilepsy. Pathological examination of the lesion noted a demyelinating non-tumoural etiology. A neuro-Beh$\check{g}$et's case with parenchymal involvement has been examined in light of the literature, in terms of a tumor and a demyelinating disease differential diagnosis.