1.Mycoplasma pneumoniae - The Culprit for Juvenile Dermatomyositis in A 9-Year-Old Girl: A Case Report
Muhamad Azamin Anuar ; Suryati Mohd Yusoff ; Sharifah Aishah Syed Ahmad Alsagoff
Malaysian Journal of Medicine and Health Sciences 2021;17(No.1):197-199
Mycoplasma pneumoniae is frequently known as an “atypical bacterium” that can cause wide-ranging extrapulmonary manifestations. Here, we outline a case of a child, aged 9-year-old, who presented with profound proximal muscle weaknesses and a vague rash, associated with markedly elevated serum creatinine kinase (CK). Muscle biopsy suggested Juvenile Dermatomyositis (JDM) following an upper respiratory illness of M. pneumoniae origin. The child responded exceptionally well to a combined therapy of immunoglobulin, intravenous glucocorticoid and methotrexate.
2.Detection of Neuroendocrine Tumour of Sphenoid Sinus on the Gallium-68 DOTATATE PET/CT: A Rare Entity
Syed Ejaz Shamim ; Khairul Aliff Khairuman ; Muhammad Adib Abdul Onny ; Suryati Mohd Yusoff ; Fathinul Fikri Ahmad Saad
Malaysian Journal of Medicine and Health Sciences 2022;18(No.3):192-194
Neuroendocrine tumours (NETs) are a category of neoplasm that is characterised by its phenotypic and heterogeneity. The occurrence of this type of neoplasm in the nasal cavity and paranasal sinuses is extremely rare accounting for
only 0.2-0.8% of all cancers. NET tends to expresses somatostatin receptors (SSTR) and owning to this unique characteristic, molecular imaging has been able to detect these tumours using radiolabelled somatostatin analogue agent.
Gallium-68 (Ga-68) DOTATATE PET/CT is an example of SSTR imaging and has been shown to be of importance
in the assessment and staging of NET. We present a case of a rare sphenoid sinus NET in a 45-year-old gentleman
whom initially presented with persistent left eye pain which led to visual loss. We described the utilization of Ga-68
DOTATATE PET/CT in the diagnosis and staging of this patient which in turn dictated treatment approach.