Chest
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Pleural CasesSESSION TYPE: Case ReportsPRESENTED ON: Sunday, March 23, 2014 at 09:00 AM - 10:00 AMINTRODUCTION: Neurofibromatosis is an autosomal dominant syndrome. Lateral thoracic meningocele (LTM) is rare but is known to be associated with neurofibromatosis type 1 upto 68.8%1 of times. Here we present an unusual case of pleural drain placement in LTM which mimicked a loculated pleural effusion. ⋯ Large LTM may look like loculated pleural effusion on imaging. In patients with neurofibromatosis, LTM should be considered in the differentials of loculated pleural effusion.Reference #1: de Andrade e al. Giant intrthoracic meningoceles associated with cutaneous neurofibromatosis type I. Arq Neuropsiquiatr. 2003 Sep;61(3A):677-81. Epub 2003 Sep 16Reference #2: M. Kubota, N. Saeki, A. Yamaura. Lateral thoracic meningocele presenting as a retromediastinal mass. Br. J Neurosurgery Dec;16(6):607-8DISCLOSURE: The following authors have nothing to disclose: Naveed Sheikh, Dipaben Modi, Micheal McCormmackNo Product/Research Disclosure Information.
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Transplantation Case Report PosterSESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMPURPOSE: To present a case of a bone marrow transplant patient who presented initially with pulmonary infiltrates who developed disseminated mucormycosis while on voriconazole prophylaxis. ⋯ The following authors have nothing to disclose: Joanna Paula Sta. Cruz, Sherilyn Tuazon, Lemuel NonNo Product/Research Disclosure Information.
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Bronchoscopy and Interventional Procedures PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Endobronchial carcinoids are rare forms of primary lung tumors. Traditional management of these tumors has been surgery however rigid bronchoscopic resection can avoid or limit extent of surgery in a subset of these patients. ⋯ The following authors have nothing to disclose: Pattabhiraman Vallandaramam, Arjun Srinivasan, Mahadevan SivaramakrishnanNo Product/Research Disclosure Information.
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Critical Care Case Report PostersSESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Hashimoto's encephalopathy (HE) is a rare neuropsychiatric syndrome which has been controversial due to its unknown pathogenesis and variable clinical course. It is defined by signs of encephalopathy with high thyroid antibody levels demonstrating good responsiveness to glucocorticoid therapy. We report a case of initially steroid responsive HE which became resistant, but responded well to plasmapheresis. ⋯ This case illustrates that although HE is a rare syndrome, it should be considered in patients presenting with acute encephalopathy or in patients with psychosis with an intermittent course. If steroid resistance is noted, plasmapheresis should be considered. Because the symptoms often respond to treatment, prompt diagnosis and treatment are imperative.Reference #1: Lord et al. Hashimoto's disease and encephalopathy. Lancet 1966; 2:512-514DISCLOSURE: The following authors have nothing to disclose: Anita Rajagopal, John LuciaNo Product/Research Disclosure Information.
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ILD Case Report Posters IISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: The Antisynthetase syndrome is a rare entity, its comprises of a triad of inflammatory myopathy, diffuse interstitial lung disease, and small joint involvement. Serum auto antibodies to aminoacyl transfer RNA synthetases (anti-ARS) especially anti Jo-1 antibody present in most of the cases. Interstitial lung disease is an important diagnostic criteria and a major determinant of mortality of this syndrome. We are reporting a case of ASSCASE PRESENTATION: 48 year old female patient presented in OPD with complained of persistent dry cough and grade III dyspnea on exertion, generalised muscular pain and weakness. On examination she had mild anaemia, Pulse rate 96/mt BP 140/90 no lymphadenopathy, no clubbing. Respiratory system examination revealed crepitation in infrascapular area on both the side.Her hand were rough with creaky skin, crease of palm were dark suggestive of classical mechanics hand (figure 1). The movements of both the thumb were restricted .She was giving the history of joint pain and of Reynaud phenomenon.Investigations revealed,Hb 9.5 % gm, serum ANA was positive, Anti Ds DNA was negative, and C3 C4 and Rheumatoid factor was also negative. Transbronchial lung biopsy revealed nonspecific fibrosis and no evidence of granulomatus disorders. HRCT scan thorax was suggestive of bilateral lower lobe interstitial fibrosis in form of septal thickening, traction bronchieactasis and early honeycombing (figure 3&4). Spirometry revealed restrictive pattern . In the serum anti JO-1 was strongly positive. X-ray of the hand revealed subluxations of metacarpophalengeal joints in both the hand and progressive ankylosis of the same joint (figure2). Clinic radiological findings and serological findings were suggestive of interstitial lung disease due to AAS. ⋯ The Antisynthetase syndrome is a rare clinical entity, having multisystem involvement .It is comprises of a triad of inflammatory myopathy, diffuse interstitial lung disease, and small joint involvement. If this clinical entity diagnosed on time and treated adequately , then irreversible changes can be prevented.Reference #1: Love LA, Leff RH, Fraser DD , Targoff IN, Dalakas M, Plotz PH. Miller FW.A new approach to the classification of idiopathic inflammatory myopathy:myositis-specific autoantibody define useful homogeneous patient groups.Medicine(Baltimore) 70:360-74;1991Reference #2: Marguerie C, Bunn CC, Beynon HL, Bernstein RM, Hughes JM, So AK et al. Polymyositis, pulmonary fibrosis and autoantibodies to aminoacyl-Trna synthetase enzymes. Q J Med 1990; 77(282):1019-38.Reference #3: Chinoy H, Salway F, Fertig N, Shephard N, Tait BD, Thomson W et al. In adult onset myositis, the presence of interstitial lung disease and myositis specific/associated antibodies are governed by HLA class II haplotype, rather than by myositis subtype. Arthritis Res Ther 2006; 8(1):R13DISCLOSURE: The following authors have nothing to disclose: Ashok Singh, Raghvendra JaiswalNo Product/Research Disclosure Information.