Khurram Tariq

Extensive Pericardial Calcification in Constrictive Pericarditis

Severe calcification of the pericardium with thickness measuring up to an impressive 1.2 cm leading to bi-atrial enlargement. The inter-ventricular septum is also straightened. All these findings are highly suggestive of constrictive pericarditis on the CT scan image shown above.

A Painful Case of Debilitating Cutaneous Psoriasis

Psoriasis is an immune mediated, chronic inflammatory, incurable condition of the skin that affects 2-3% of the population globally. It is associated with red, thick, scaly lesions [1], is more common in patients on higher latitudes, in Caucasians and may manifest itself with an underlying arthropathy. Psoriasis has a spectrum of presentations ranging from localized, mild disease to involvement of more than 90% of the bodys surface called erythrodermic form [2]. In as many as 4% of the patients with psoriatic the first sign of disease involves changes to the nail, however, these nail changes are seen in about half patients at some point in the course of the disease. Arthropathy, specifically, Psoriatic arthritis is also seen in about 5-10% of this patient population [3].

Isolated Right Testicular PAN (Polyarthritis Nodosa) presenting as Right Testicular Pain

Patient is a 30 year old male with no significant past medical history who repeatedly sought medical attention for debilitating right testicular pain. Initially he was symptomatically treated with non-steroidal anti-inflammatory medications for presumptive diagnosis of testicular trauma. A few months later he went to different emergency department and was treated with antibiotics for presumptive diagnosis of epididymitis. Finally at his third presentation he was hospitalized. Three testicular biopsies were taken and only the biopsy sample from the middle area of the right testes revealed polyarthritis nodosa. The Patient had no other signs and symptoms and this was likely isolated PAN of his right testes which is a very rare occurrence.

Bilateral Congenital Colobomas and Vitiligo in a Blind Middle Aged Female

Bilateral Congenital Colobomas and Vitiligo in a Blind Middle Aged Female Tariq Khurram1*, Farhangi Arezo2 and Rana Fauzia3 1Tariq, Khurram, MD, Internal Medicine, University of Florida, USA 2Farhangi, Arezo, MD, Internal Medicine, Semnan University of Medical Sciences, Iran 3Rana, Fauzia, MD, Internal Medicine, University of Florida, USA *Corresponding author: Khurram Bilal Tariq, MD, University of Florida, Department of Internal Medicine, 653 West 8th Street, Box L 18, Jacksonville, FL 32209, USA, Tel: 904-244-3093; E-mail: Khurram.Tariq@jax.ufl.edu