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Spot Diagnosis

Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Jan 28, 2013.

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    What is your medical diagnosis ?

    Spot DIagnosis .jpg
     

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  2. Thanterz

    Thanterz Famous Member

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    Marfan syndrome or acromegaly
     

  3. Mishary almalkey

    Mishary almalkey Active member

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    steroids misuse if that is muscle if fat symmetric lipomatosis
     

  4. neo_star

    neo_star Moderator

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    I guess this is - Limb-girdle muscular dystrophy or Erb's muscular dystrophy ( an autosomal class of muscular dystrophy ) that is similar but distinct from Duchenne muscular dystrophy and Becker's muscular dystrophy.

    also known as Sarcoglycanopathy
     

  5. Mishary almalkey

    Mishary almalkey Active member

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    wait but where are the dystrophy I see totally the opposite hyperplasia. ):
     

  6. Mishary almalkey

    Mishary almalkey Active member

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    3468_3495_2.jpg laun2.JPG


    can you recognize the difference dr.neo
     

  7. neo_star

    neo_star Moderator

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    I guess the hypertrophy is a pseudohypertrophy and the qualifier - dys trophy - just means that the trophy is of the wrong type ( whether hyper / pseudohyper or atrophy.

    for ex -
    ref - Lipodystrophy - Wikipedia, the free encyclopedia

    ref - Limb-girdle muscular dystrophy - Wikipedia, the free encyclopedia

    the sarcoglycanopathy that I mentioned in the earlier post is not an umbrella term, but rather a subset ( an autosomal recessive type of LGMD ).

    Here is an excerpt from Oxford textbook of medicine 4th ed, 3rd vol chp 24.22.2

    LGMD.jpg

    Harison has given 2 tables, but it only adds to the confusion...images would have been better...although i think the 15th or 16th ed has images very similar to the one posted by Egyptian doctor.

    The hitopath features of most of these conditions mention fatty infiltration..so whether it is just that or a bit of increased tone which could look like hypertrophy or actual hypertrophy as in myotonia congenita....I am at my wits end.

    myotonia congenita case.jpg


    Let's thank the Egyptian doctor for posting this.....a great learning oppurtunity esp. for me becos this is a topic I always dreaded and thanks to him, i had the purpose and motivation to revisit it. (Y)

    P.S : He is sitting on the fence and laughing, becos he was long waiting for us to cross swords and boooy did he suceed :hhh:
     

    Last edited: Jan 29, 2013
  8. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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  9. neo_star

    neo_star Moderator

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    On second thought...i guess the hypertrophy doesn't conform to any particular muscular distribution ( esp. in the trunk region )...so i guess this is Madelung's disease / multiple sym. lipomatosis ( but i thought it was limited to the cephalothoracic distribution ) and the images that u hav posted and the one that i have posted also rule out LGMD.

    Hips don't lie and i think there will be at least a few belly dancers with Madelung's disease.

    ....but the person in the image seems to be a man and i guess he is not over the moon about his curves
    :lol:. i wonder if it can be corrected by liposuction

    Thanks Dr. Mishray Almalkey

    Capestrano warrior.jpg
     

    Last edited: Jan 29, 2013
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  10. lili_medstudent

    lili_medstudent Active member

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    Klinefelter?
     

  11. neo_star

    neo_star Moderator

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    No Honey, Klienfelter patients have some boobs ( gynecomasta, sec to lack of testosterone ) and will have an overall fat cover, although more so in a female distribution. this guy is otherwise skiny over the rest of the body ( from what is visible ).
     

  12. lili_medstudent

    lili_medstudent Active member

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    Gynecomastia presents in only 1/3 of XXY males.
     

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  13. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    Answer : Lipomatosis
     

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