Aggressive angiomyxoma is a rare, locally invasive mesenchymal tumor occurring usually in women of reproductive age, which carries a high risk for local relapse; hence the need to differentiate it from the other mesenchymal tumors occurring in this region. We describe a case of a 44-year-old female presenting with a large pedunculated swelling on the right labia majora.

A patient presenting with fever and purpura often presents a diagnostic challenge for the dermatologist. Acute hemorrhagic edema of infancy (AHEI) is a rare acute cutaneous leukocytoclastic vasculitic syndrome of infants leading to this presentation. We present an 18-month-old girl with AHEI who presented with fever, edema, and purpuric lesions involving the face, ears and extremities with uneventful complete recovery.

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Background: Distal femur fractures with intra-articular extension and comminution are challenging injuries, fraught with complications such as mal-union and stiffness. We prospectively evaluated and compared a consecutive series of patients with AO type B and C distal femur fractures to determine the clinico-radiological outcome after fixation with distal femur locking compression plate using Swashbuckler approach and standard lateral approach. Materials and Methods: 60 patients with AO Muller's type B and C distal femur fractures (mostly type C2 and C3) were treated with distal femur locking compression plate (DF-LCP), 30 patients using swashbuckler approach and 30 patients using standard lateral approach. The regular follow-up up to 1 year was done and results were determined using the Neer's Score. Results: All fractures united at a mean of 14.64 weeks (range 12-20 weeks). In our study mean duration of surgery for lateral approach group was greater (99.6min) than swashbuckler group (85 min). Mean ROM in swashbuckler group was 100.83 degree compared to 83.83 in lateral group. Mean Neer's score was 76.96 in lateral approach group compared to 81.83 in swashbuckler approach group. Complication rate was similar in both the group. Conclusion:The results of distal femur fractures using a swashbuckler approach are encouraging and comparable to standard lateral approach with a majority of patients achieving good to excellent outcome at 1 year especially in complex AO type C3 fractures.

Superficial angiomyxomas (SA) are clinically variable, infrequent, benign skin lesions. They are usually located on the trunk, but can also appear on the lower limbs, head, and neck. The present case, hence, is unusual, because the lesion developed on the toe. They are diagnosed histologically, and are characterized by being poorly delimited tumors with the presence of interstitial myxoid material and scanty cellularity. We discuss the clinical and histological features of digital SA as well as a brief outline of other myxoid lesions.