interesting case of a 32 yo male with #Castleman-disease and | Figure 1

Similar cases

70 something year old male who slid out of his hospital bed, scraping his rib cage on the way down. One day later, he started acting a bit off and he was hypotensive to 70s over 40s. He was transported to the ER where this CT Chest and abdomen showed this finding. I estimate about a liter of blood loss into his chest wall.

Male patient, 24 years old. He says that five days ago he noticed a nodule on his scalp. Reports that he feels pruritus and stinging on the spot. He has worked with rural services for one year. Cephalexin 500 mg (2 grams per day) and Ivermectin 6 mg (12 mg per day) were prescribed. What is the probable diagnosis?

40 year old male, keeps farm animals. Preceding history of trauma with a wooden stick over right forearm around 1 month back, following which small, red papular lesions appeared about a week later, progressively grew in size to form these nodules now with no other systemic complaints. He tried to remove the smaller one himself, says it expressed fluid along with some blood and now has overlying pustules. The lesions don't itch, not painful or tender 'at all'; only slightly indurated, not friable, no previous history of similar lesions. No lymphadenopathy. No history of any chronic illness. Planned for biopsy tomorrow.

Sending differentials:

40-some y/o male with widespread, asymptomatic purple macules, plaques and nodules on trunk and extremities. The lesions are smooth, have clear-cut borders, the nodular ones have a rubbery consistence on palpation. He also displays a vegetating mass and purplish macules on the palate. What diagnosis would you suspect? What tests, if any, would you order next?

Trending cases

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

A patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ECG that would warrant further work-up or is this just a pediatric ECG?