Tuberculosis of the Thyroid in a Child: A Rare cause of Thyromegaly.

Tuberculosis of thyroid gland is extremely rare in children. We describe the case of a 6-year girl child, presenting with a multinodular thyroid swelling. Fine needle aspiration cytology showed extensive necrosis with few epithelioid cell granulomas and occasional acid-fast bacilli, suggesting a diagnosis of tuberculosis. The child was put on anti-tuberculous drugs with significant improvement. Tuberculosis of the thyroid gland, although rare, should be considered in differential diagnosis of thyroid swelling, especially in endemic areas.

Intranodal leiomyoma in a young child: report of a rare spindle cell lesion.

ABSTRACT Primary spindle cell lesions of lymph nodes, with the exception of Kaposi's sarcoma, are rare. Intranodal palisaded myofibroblastoma has been described as a spindle cell tumor with prominent amianthoid fibers, intralesional hemorrhage, and intracellular or extracellular inclusions. Another spindle cell lesion, intranodal leiomyoma, has been reported only occasionally. We report the case of a 6-year-old boy with a mass in the neck without other systemic complaints. Excision biopsy of the lymph node revealed a spindle cell tumor with lymph nodal tissue at the periphery. The tumor showed features of smooth muscle differentiation with focally high mitotic index. The classical features of myofibroblastoma were not present. A final pathologic diagnosis of intranodal leiomyoma was rendered. The child has been free of recurrence in the follow-up period. Intranodal leiomyoma is a rare primary spindle cell lesion of the lymph nodes and should be considered in the differential diagnosis of the same.

Rare case of orofaciodigital syndrome type I.

Orofaciodigital syndrome (OFDS) is a group of congenital anomalies which affects the face, oral structures and digits. There are nine subtypes with different modes of inheritance. OFDS type I is an X-linked dominant trait with lethality in the vast majority of affected males. We report a case of OFDS type I in an Indian girl at the age of seven who had most of the typical features of OFDS type I and nephrocalcinosis.

Tuberculosis: an extremely unusual cause of orbital wall erosion.

We present the case report of a 10-year-old girl who presented to us with a painless swelling involving the left infraorbital region. The swelling was diagnosed to be tubercular in origin with erosion of the zygomatic, maxillary and frontal bones constituting the inferior and lateral walls of the left orbit. The patient responded well to antitubercular chemotherapy. A discussion of the case and a literature review of causes of orbital erosion is presented.

Ear abuse in school children.

Ear abuse in school children is common in low socio-economic strata and is often associated a long-term morbidity in our country. This paper presents a study of 250 such children with discussion. Incidence of ear abuse with long term learning deficit was found to be 18.4%.

Medialization laryngoplasty-A study of 15 cases.

Type I thyroplasty has become a primary surgical choise for voice restoration in patients with glottal incompetence due to vocal cord palsy. In this study 15 such cases of different etiologies were taken up for medializatioin laryngoplasty and their preoperative und post operative. voice assessment were done. We found that there was significant improvement in loudness: hoarseness and breathiness. Postoperative maximum phonation time also increased to normal limits. There were no major complications of the surgery.