BMJ Case Reports

Myocardial infarction in a child with systemic lupus erythematosus

Myocardial infarction in children is an infrequent phenomenon. Here, we are reporting a case of paediatric systemic lupus erythematosus with autoimmune haemolytic anaemia and anti-phospholipid ...
BMJ Case Reports

Monoallelic PARN mutation presenting as pancytopenia, hepatic fibrosis and idiopathic pulmonary fibrosis

A woman in her late 20s presented with a 5-year history of progressive fatigue and generalised weakness. Examination revealed ...
BMJ Case Reports

Lymphatic phenotype characterisation by MR lymphangiography and near-infrared fluorescence imaging in a patient with pleural effusions and oedema

Lymphatic dysfunction can manifest through a spectrum of clinical features, including lower limb lymphoedema and pulmonary complications such as recurrent pleural effusions. Diagnosing underlying ...
BMJ Case Reports

Delayed diagnosis of recurrent embolic strokes from cardiac myxoma coexisting with antiphospholipid syndrome presenting as progressive cognitive decline

A woman in her 40s presented with progressive cognitive decline, expressive language difficulty and episodic confusion. Her initial symptoms were misattributed to psychiatric illness, and later to ...
BMJ Case Reports

Oxalate nephropathy from untreated pancreatic insufficiency in a neuroendocrine tumour patient

Pancreatic exocrine insufficiency (PEI) is an under-recognised cause of chronic diarrhoea in patients with neuroendocrine tumours (NETs). If left untreated or undertreated, PEI can lead to ...
BMJ Case Reports

Exploring haemoglobin Köln: a rare cause of pulse oximetry and arterial oxygen saturation discrepancy

Pulse oximetry guides the management of respiratory conditions through non-invasively monitoring arterial oxygen saturation. Unstable haemoglobin variants may produce inaccurate readings. We describe ...
BMJ Case Reports

When haematuria is more than warfarin: lambda-predominant IgA nephropathy

A woman in her 20s with a mechanical mitral valve replacement on long-term warfarin therapy presented with frank haematuria and acute kidney injury (AKI). The initial clinical impression was ...
BMJ Case Reports

Rebuttal: aortic coarctation and concomitant anomalies – left circumflex fistula, persistent left SVC and ventricular diverticulum

Coarctation of the aorta (COA) is a relatively common cardiovascular congenital anomaly. It can be seen in up to 6 per 1000 live births. Rare cardiovascular anomalies have been found to be associated ...
BMJ Case Reports

Post-hysterectomy presentation of low-grade endometrial stromal sarcoma (LGESS): a clinical challenge in uterine malignancies

Endometrial stromal sarcoma (ESS) is a rare uterine malignancy originating from endometrial connective tissue. It is classified into benign and malignant subtypes. While it primarily affects ...
BMJ Case Reports

Radiotherapy for extramedullary haematopoiesis of the mandibular mucosa secondary to myelofibrosis

Extramedullary haematopoiesis (EMH) is a clinical manifestation of myelofibrosis (MF), which can lead to significant localised symptoms. A patient in her 70s with a history of MF presented with a ...
BMJ Case Reports

Acromegaly presenting with normal insulin-like growth factor-1 levels in a patient with advanced liver cirrhosis

This case describes a presentation of a patient with clinical features of acromegaly, elevated growth hormone (GH) concentrations, a pituitary adenoma but with normal insulin-like growth factor-1 (IGF ...
BMJ Case Reports

Acute uterine torsion complicated by severe placental abruption resulting in maternal cardiopulmonary arrest

A pregnant woman at 32 weeks’ pregnancy presented to the Emergency Department with cardiopulmonary arrest requiring active cardiopulmonary resuscitation and perimortem caesarean section. Operative ...