Cases of bullous pemphigoid following Covid-19 vaccines have been recently reported. We describe herein an atypical case of acral bullous pemphigoid after Pfizer BionTech vaccine. Clinicians should be aware of this reaction and encourage full vaccination as the disease displays a rapid improvement treatment.

The use of the nasopharyngeal swab as a diagnostic procedure for CoVID-19 infection has become widespread. It is generally accepted as a safe procedure with few data on complications. We describe the case of a patient who developed a CSF fistula after nasal swabbing.

: We report a rare case of cortisol secreting extracranial primary neuroectodermal tumor (PNET) originating from adrenal gland in adulthood. PNETs are typically not functional, making this case extremely rare. cortisol secreting PNETS are as of yet, unheard of.

We present a patient who has been diagnosed with Hypereosinophilic syndrome, later determined to be chronic eosinophilic leukemia, after long-term treatment with infliximab for ulcerative colitis. Follow-up immunochemistry showed that discontinuation of infliximab improved the polyclonality of eosinophils in our patient.

The 2q chromosome region encodes the cluster of sodium channel genes important in severe childhood epilepsy phenotypes. Our case examines the extent that 2q24.3-24.3 gene deletions contribute to our patient's complex medically refractory epilepsy and supports the use of fenfluramine and ketogenic diet as an effective treatment for these patients.

Cerebral ischemic stroke is attributed to paradoxical cerebral embolism (PCE). pulmonary arteriovenous fistula (PAVF) is a potential rare cause of cerebral ischemic stroke. Transient ischemic attack (TIA) induced by PAVF in children is rare, lacking typical clinical manifestations, which can not be ignored.

Infestation of maggots in humans is rare because human is an accidental hosts for many dipterous larval species. We present a case of wound myiasis in a homeless person that resulted from a neglected minor insect bite wound.

We present a 54-year-old male with a gastric mass with pre-operative biopsy being consistent with a gastrointestinal stromal tumor. After surgical resection, final pathology revealed a plexiform fibromyxoma. One must consider the histopathological and gross features of plexiform fibromyxoma to distinguish it from other mesenchymal tumors of the GI tract.

Although sigmoidal diverticulitis is a prevalent medical-surgical condition, the clinician may be misled in his or her diagnosis due to the plethora of findings. We describe through this clinical case an isolated retropneumoperitoneum secondary to a sigmoiditis by detailing the reasoning behind our approach.

RA-UIP has a poor prognosis, and how to reverse or stabilize the lesions remains challenging. Based on researches finding that tofacitinib and IGU might be effective in pulmonary fibrosis, we present 3 cases that treated with the combined strategy with significant improvement of DAS28-CRP score and reversals in HRCT.

Renal Inflammatory myofibroblastic tumor (IMT) is very rare and lacks characteristic clinical manifestation and radiographic features. This is a case discussing the radiologic and pathologic findings of a renal IMT in a 6-year-old boy who underwent radical nephrectomy for a right renal mass that was misdiagnosed as Wilms’ tumor.

The main objective of this case report is to critically evaluate the difficulties associated with the diagnosis and treatment of a rare endogenous intestinal perforation, represented by an impacted gallbladder stone; thus increasing the awareness of jejunal perforation and small bowel diverticula.

Osteitis fibrosa cystica or brown tumor is a rare skeletal manifestation of hyperparathyroidism. Awareness of this condition is imperative to making a correct diagnosis. We present a case with multiple pathological fractures who had undergone extensive workup for malignancy before reaching the definitive diagnosis of primary hyperparathyroidism.

Esophageal lung is a rare congenital malformation. We present a full-term infant with an esophageal lung presenting as a white lung, dysmorphic features, and VACTER association. Right pneumonectomy was successfully performed. This is the first report of esophageal lung associated with the VACTER group of anomalies combined with dysmorphic features.

Liposarcoma (LS) is the most common soft tissue sarcomas ( STSs ) that arise from embryonic mesenchymal tissue. The appearance of these tumors in the head and neck region is rare, with the tongue as a preferred site. Well differentiated liposarcoma is the most common variant among all.

Nonspecific atrioventricular septal defect (AVSD) diagnosed at 5 months age, after cardiac arrest. Progressive dyspnea, peripheral cyanosis, with development of heart failure and pulmonary hypertension. At 18 years, confirmation of Eisenmenger´s sydrome, (complete AVSD: ASD - “ostium primum”; inlet ventricular septal defect and common AV valve).

An 18-year-old man presented with the complaints of occasional headache and limb weakness associated with slurring of speech and purposeless laughing. Magnetic resonance imaging showed a diffuse altered signal intensity area involving the pons with asymmetrical expansion. The patient underwent surgical resection. Histology revealed WHO grade IV glioblastoma.

One of the serious side effects of COVID-19 vaccines is vaccine-induced immune thrombotic thrombocytopenia (VITT). A young man presented with pulmonary thromboembolism 7 days after receiving inactivated COVID-19 vaccine BIBP developed by Sinopharm/China. Close surveillance of possible adverse reactions a crucial step to encourage population to participate in vaccine campaign.