A 25 year old man presented with swelling in the lower thigh on the right side. What is the likely diagnosis? (Image @Radiopaedia, case by Dr Aditya Shetty) #MedX
@Naeem_ch111 Guillain-Barre Syndrome.
The investigation of choice is Lumber puncture. Albumino-cytologic dissociation is the characteristic LP finding.
@IhabFathiSulima Anterior mediastinal mass.
Differential diagnoses
▪︎Nodular Sclerosis (Hodgkin Lymphoma)
▪︎Teratoma
▪︎Retrosternal Thyroid
▪︎Thymoma
Given the history, the most likely diagnosis is Hodgkin Lymphoma(NS). Order a CT scan and biopsy to confirm the diagnosis.
@Naeem_ch111 Celiac disease.
IgA tTG for screening. If positive, order a duodenal biopsy for confirmation. Histopathological features of Celiac are:
▪︎Blunting of villi
▪︎ Crypt hyperplasia
▪︎ Intraepithelial lymphocytes
Treatment:
▪︎Gluten-free diet
▪︎ Supplements