Compared to other organs, skin is an uncommon site of tuberculosis involvement. In the era of HIV infection, increased intravenous drug abuse, and the use of immunosuppressive therapy for various systemic diseases, tuberculosis in all its forms, including skin tuberculosis, has re-emerged. We report two cases of primary cutaneous tuberculosis in immunocompetent patients and review the literature of all cases described since 1935.

No abstract

Malignant plasma cells in multiple myeloma are predominantly confined to the medullary space of the skeletal system, therefore the disease course will be dominated by signs and symptoms related to bone marrow infiltration and destructive bone lesions with their consequences as well as abnormal protein production. Visceral extramedullary plasmacytoma involving the gastrointestinal system and particularly the duodenum is a rare manifestation of the disease. We report a case of duodenal extramedullary plasmacytoma presenting with gastric outlet obstruction and painless jaundice, in a patient treated for multiple myeloma. Diagnosis was first suggested on imaging, and proved by endoscopic biopsy. The duodenal mass resolved following chemotherapy.

Percutaneous nephrostomy is a safe procedure, performed routinely by interventional radiologists, and has a low complication rate. We report an unusual case of a fractured nephrostomy tube, retained within the kidney, having its fractured end trapped within the healed retroperitoneal tract. The catheter was retrieved by snaring it, using a percutaneous access to the collecting system. We describe the technique used and the alternative management options.