RESUMO
A previously healthy 11-year-old girl sustained a mosquito bite on her right cheek while on holiday in rural Bangladesh. A painless lump developed at the site, and over the ensuing 2 months gradually expanded. She was otherwise completely asymptomatic; there was no family history of note. On examination, there was obvious swelling affecting the right cheek and visible abnormality of the upper gum with displacement of the right upper central incisor (figure 1).
Assuntos
Angioedema , Criança , Edema/diagnóstico , Feminino , Humanos , Imageamento por Ressonância MagnéticaRESUMO
Noma affects the most marginalized communities in the world, beginning as oral ulceration and rapidly progressing to orofacial gangrene. With a mortality rate estimated to be as high as 90% and with very few able to access treatment in its active phase, very little is understood about the disease. This retrospective review of patients treated by Facing Africa for deformity and functional impairment secondary to noma between May 2015 and 2019 highlights some of the difficulties encountered by those afflicted. Eighty new patients with historical noma defects were identified and were seen over the course of nine surgical missions, with notes providing valuable geographical, socioeconomic, and psychosocial information. The mean self-reported age of onset was 5 years and 8 months, with a median time of 18 years from onset to accessing treatment. Before intervention, 65% covered their face in public, 59% reported difficulty eating, 81% were unhappy with their appearance, and 71% experienced bullying. We aimed at emphasizing the significant burden, both psychologically and physically of noma, demonstrating the disparity between recent decades of progress in the well-being of Ethiopians in general and the access to health care and mental health support for some of those most in need.
Assuntos
Comunicação , Água Potável , Ingestão de Alimentos , Acessibilidade aos Serviços de Saúde , Noma/cirurgia , Procedimentos de Cirurgia Plástica , Adolescente , Adulto , Idade de Início , Insatisfação Corporal/psicologia , Bullying/psicologia , Criança , Pré-Escolar , Etiópia/epidemiologia , Feminino , Humanos , Masculino , Missões Médicas , Noma/fisiopatologia , Noma/psicologia , Pobreza , Qualidade de Vida , Fatores de Risco , Índice de Gravidade de Doença , Abastecimento de Água , Adulto JovemRESUMO
We present a case of a 64-year-old gentleman who developed a renal cell carcinoma (RCC) metastasis to his lower lip following successful treatment of the primary tumour. RCC is a common kidney tumour but skin metastases are considered rare. The authors describe the findings of this case and discuss the presentation, investigations and management of RCC skin lesions.