Granulomatosis with Polyangiitis (Wegener’s Granulomatosis) Accompanied by Dysuria by Hisashi Takeuchi, Isao Kuroda, Issei Takizawa, Teiichiro Aoyagi, Masaaki Tachibana

“…GPA involving the prostate gland is unusual, and only a few cases have previously been reported.…”
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Thirty Years Later: Evolution of Treatment for Acute Left Main Coronary Artery Occlusion by Moshe Y. Flugelman, Nissan Ben-Dov, Basheer Karkabi, Ronen Jaffe

“…The first patient was treated in 1982 and survived the event without revascularization but developed severe heart failure. His survival was so unusual that it merited a case report at that time. …”
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Życie rodzinne jako forma doświadczenia religijnego by Dariusz Tułowiecki, Anna Czyżkowska

“…Transcendence, spirituality, the reality "beyond" are increasingly seen in encounters with unusual cultural, ecological, virtual or recreational realities. …”
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Extensive Bone Marrow Necrosis: Initial Presentation in Sickle Cell Anemia—A Case Report and Review of the Literature by Sameera A. Alsafwani, Abdulwahed Al-Saeed, Rehab Bukhamsin

“…In this report we present an unusual case of SCD with late onset of the disease whose initial presentation was extensive BMN. …”
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Sclerosus and atrophic genital Lichen or vulvar craurosis. About a case by Graciela Caridad Cabrera Acea, Julia M. Hernández Mompié, Cynthia Gómez Cabrera

“…The presentation of this case was motivated by the unusual appearance of it in our context. A 49 year old white patient with history of hypertension, came to the Dermatology consultation referred by her Family Doctor. …”
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On the path to extinction: Helix godetiana Kobelt, 1878, the only threatened Helix species in Greece by Leonidas Maroulis, Nikos Poulakakis, Konstantinos Proios, Danae Karakasi, Kostas A. Triantis, Moisis Mylonas, Katerina Vardinoyannis

“…We identify potential drivers of its extinction, as Helix godetiana faces several threats across its current range, including competitive exclusion by Cornu aspersum, a species with continuing expansion in the Aegean and climate change disrupting its unusual breeding cycle, which occurs in late spring. …”
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Gold Finger: Metal Jewellery as a Disease Modifying Antirheumatic Therapy! by T. Hlaing, S. Ramteke, K. Binymin

“…The disease can progress rapidly causing joint swelling and damaging cartilage and bone around the joints resulting in severe deformities. We report a very unusual case of a 49-year-old woman who presented with polyarticular psoriatic arthritis affecting all proximal interphalangeal (PIP) joints of both hands except the left ring finger PIP joint. …”
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Pilomatrixoma of the Arm: A Rare Case with Cytologic Diagnosis by Ruchika Gupta, Sarika Verma, Pankaj Bansal, Anup Mohta

“…Pilomatrixoma, a common skin appendageal tumor in head and neck region, should be considered in the cytologic differential diagnoses of subcutaneous masses even in unusual locations like arm. The varied cytomorphology should be remembered to avoid misdiagnosis.…”
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Simultaneous Papillary Carcinoma in Thyroglossal Duct Cyst and Thyroid by Gustavo Cancela e Penna, Henrique Gomes Mendes, Adele O. Kraft, Cynthia Koeppel Berenstein, Bernardo Fonseca, Wagner José Martorina, Andreise Laurian N. R. de Souza, Gustavo Meyer de Moraes, Kamilla Maria Araújo Brandão Rajão, Bárbara Érika Caldeira Araújo Sousa

“…Carcinomas in the TDC are extremely rare and are usually an incidental finding after the Sistrunk procedure. In this report, an unusual case of a 36-year-old woman with concurrent papillary thyroid carcinoma arising in the TDC and on the thyroid gland is presented, followed by a discussion of the controversies surrounding the possible origins of a papillary carcinoma in the TDC, as well as the current management options.…”
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Symptomatic Primary (AL) Amyloidosis of the Stomach and Duodenum by Reidar Fossmark, Espen Skarsvåg, Harald Aarset, Henrik Hjorth-Hansen, Helge L. Waldum

“…Gastric amyloidosis is rarely seen at upper endoscopy in patients without a previously established diagnosis, but the unusual endoscopic findings and bleeding tendency after biopsy should be kept in mind by gastroenterologists.…”
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Tongue Necrosis Secondary to Giant Cell Arteritis: A Case Report and Literature Review by Rafael Alex Barbosa de Siqueira Sobrinho, Karolina Cayres Alvino de Lima, Helena Carvalho Moura, Mônica Modesto Araújo, Christyanne Maria Rodrigues Barreto de Assis, Pedro Alves da Cruz Gouveia

“…Reviewing the literature, our patient presented with clinical symptoms consistent with most reports, except for the fact of being male. Although unusual as an initial manifestation, tongue necrosis is an important alert for diagnosing giant cell arteritis. …”
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Primary Angiosarcoma of the Spleen: An Oncological Enigma by Myoteri Despoina, Dellaportas Dionysios, Ayiomamitis Georgios, Strigklis Konstantinos, Kouroumpas Efstratios, Zizi-Sermpetzoglou Adamantia

“…Primary splenic angiosarcoma is an extremely unusual neoplasm originating from sinusoidal vascular endothelium. …”
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Nail Biting as a Cause of Appendicitis by Michael Pagacz, Philip Bao, Juan Carlos Alvarez Moreno, Lydia Howard

“…Regardless of etiology, an appendectomy often ends up the primary treatment, but unusual and rare causes are worth noting if only for the clinician to be aware of when evaluating the next patient with abdominal pain and considering treatment options or future prevention. …”
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Plurihormonal Cosecretion by a Case of Adrenocortical Oncocytic Neoplasm by J. J. Corrales, C. Robles-Lázaro, A. I. Sánchez-Marcos, M. C. González-Sánchez, P. Antúnez-Plaza, J. M. Miralles

“…The majority are nonfunctional and benign. We describe an unusual case of a functional oncocytoma secreting an excess of glucocorticoids (cortisol) and androgens (androstenedione and DHEAS), a pattern of plurihormonal cosecretion previously not reported in men, presenting with endocrine manifestations of Cushing’s syndrome. …”
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Peritonitis due to Moraxella Osloensis: An Emerging Pathogen by Sreedhar Adapa, Purva Gumaste, Venu Madhav Konala, Nikhil Agrawal, Amarinder Singh Garcha, Hemant Dhingra

“…We report a case of peritonitis caused by Moraxella osloensis (M. osloensis), which is an unusual cause of infections in humans. A 68-year-old male, who has been on peritoneal dialysis for 2 years, presented with abdominal pain and cloudy effluent. …”
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Eosinophilic Gastrointestinal Disorder in Coeliac Disease: A Case Report and Review by Dennis N. F. Lim, Annelise Wilkins, Laura Elizabeth Horton, Ishfaq Ahmad, Catherine lo Polito, Chris Phillips

“…There are various gastrointestinal manifestations with eosinophilic ascites being the most unusual and rare presentation. Diagnosis requires high index of suspicion and exclusion of various disorders associated with peripheral eosinophilia. …”
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Skeletal Muscle Haemangioma: A Cause for Chronic Pain about the Knee: A Case Report by Kopuri Ravi Kiran, T. V. Suresh Babu, S. Suresh Babu, K. Deepti

“…Many treatment modalities for the symptomatic haemangiomas are available of which surgical excision is the most preferred. We present an unusual case of pain, swelling, and restriction of movements in the right knee following an episode of trauma in a 12-year-old boy who was being followed for 1 year by a general practioner and later referred to us. …”
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Cervical Thymic Cyst in an Adult by Hassan A. Alzahrani, Javeria M. Iqbal, Amani K. Abu Shaheen, Bandar N. Al Harthi

“…Cervical thymic cysts (CTCs) are unusual lesions, representing only 1% of cystic cervical masses. …”
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Idiopathic Mondor's Disease of the Breast in an Outpatient Primary Care Center: A Case Report by Castro-Goyes, Daniel Fernando, Cepeda-Trillos, Andrea Carolina

“…Conclusions: MD is an unusual condition in primary care settings, requiring greater awareness among healthcare teams for improved early identification.…”
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Symptomatic Isolated Pleural Effusion as an Atypical Presentation of Ovarian Hyperstimulation Syndrome by Christine M. Mullin, M. Elizabeth Fino, Andrea Reh, Jamie A. Grifo, Frederick Licciardi

“…The isolated finding of pleural effusions without ascites, as the main presenting symptom of OHSS is not frequently reported and its pathogenesis is also unknown. We describe two unusual cases of OHSS where dyspnea secondary to unilateral pleural effusion was the only presenting symptom. …”
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