Erythema multiforme (EM) is an interesting dermatologic disease which has oral manifestations. EM is clinically characterized by a ''minor'' form and a ''major'' form. It presents a diagnostic dilemma because the oral cavity has the ability to produce varied manifestations. Infections (particularly herpes simplex and mycoplasma pneumonia) and drugs seem to predispose toward the development of EM. The range of possible etiologies for oral disease is immense. Therefore, an otolaryngologist or a dentist while treating such patients should have a differential diagnosis for all oral lesions. We report a case of erythema multiforme in which alcohol (ethanol) seems to be the precipitating factor and have also reviewed the English literature in the present context.
Leiomyosarcoma of larynx is a rare tumor. We report a case of 70 year old male who had presented to our department with respiratory distress and stridor. Patient's emergency was managed with tracheostomy with subsequent total laryngectomy and post-op external radiotherapy. One year into follow-up, patient is tumor free.
Neurogenic tumors form a very small percentage of all neoplastic lesions of the head and neck region. However, the head and neck region is by far the most common location for benign peripheral neural tumors. Several cases involving the nasal cavity and paranasal sinuses have been sporadically documented throughout the medical literature. We present a rare case of a solitary neurofibroma arising from the posterior nasal septum of a 37-year-old woman. En bloc surgical resection of the mass was achieved by endoscopic approach. This case highlights the importance of considering this clinical entity in the differential diagnosis when encountering a unilateral soft tissue mass in the nasal cavity and use of endoscopic technique in the management of such tumors.Abbreviations: Contrast enhanced computed tomography (CECT), Magnetic resonance imaging (MRI).
Skull base metastases though a rare entity, is a known end stage presentation of Bronchogenic carcinoma. Skull base metastases can present as various cranial dysfunction syndromes, namely: Collet-Siccard syndrome, Villaret syndrome, Occipital condyle syndrome, Jugular foramen syndrome, and Parasellar syndrome. Skull base metastases need to be differentiated from Primary Temporal Bone malignancy. We in this article present a case report of Skull base metastases from Bronchogenic carcinoma with associated metastases to external auditory canal and upper cervical lymph nodes; hitherto unreported association.
Tuberculous otitis media is a rare extra-pulmonary presentation of tuberculosis. Tuberculous otitis media is usually associated with pulmonary tuberculosis or tuberculosis involving nasopharynx and oropharynx. Lupus vulgaris is the most common morphological variant of cutaneous tuberculosis. The disease often affects the face and may be associated with nasal or nasopharyngeal tuberculosis. Lupus vulgaris associated with tuberculous otitis media is not reported in English literature. We report a case of 40 year old female patient who presented with symptoms of chronic suppurative otitis media and nonhealing skin lesion of face. The biopsy of skin lesion showed granulomatous pathology and helped us to reach a diagnosis of tuberculous otitis media.
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