1.Kimura Disease: A differential diagnosis in a nephrotic child
Azliana Aziz ; Irfan Mohamad ; Norzaliana Zawawi
Malaysian Family Physician 2018;13(2):32-35
Kimura disease presents as benign lesion and is commonly present among the Asian population. It
is a disease with a favourable prognosis and a peak age of onset in the third decade. It is a chronic
inflammatory disorder of unknown etiology that involves the lymph nodes and subcutaneous
tissues of the head and neck region. We report a case of a 15-year-old boy with multiple Kimura
lymphadenopathies involving the left posterior auricular region as well as the anterior and posterior
triangles of the neck.
2.Primary middle ear tuberculosis mimicking cholesteatoma
Mohd Khairi Md Daud ; Azliana Aziz
Malaysian Family Physician 2020;15(1):44-46
Tuberculous granuloma in the middle ear is an unusual entity. Herein, we report a case with short
presentation of otitis media with mastoid abscess but with a CT scan showing widespread bone
destruction. Te cause was determined to be middle ear tuberculosis. Awareness of this entity is
important, as it may cause a delay in referral to an otorhinolaryngology specialist and, subsequently,
a delay in initiating treatment. Terefore, it should be considered in the diferential diagnosis,
especially when the usual treatment fails to produce the desired result.
3.Synchronous Occurrence of Bilateral Malignant Otitis Externa: Report of a Rare Case
Nur Adillah LAMRY ; Khairunnisak MISRON ; Tengku Mohamed Izam TENGKU KAMALDEN ; Azliana AZIZ ; Rosdan SALIM
Korean Journal of Family Medicine 2021;42(6):483-486
Malignant otitis externa (MOE) is a rare and potentially life-threatening disease of the ear and temporal bone. Bilateral simultaneous MOE is extremely rare. Due to bilaterally symmetrical facial nerve palsy, it can easily be missed at the initial presentation, causing delay in management. Here, we report a case of bilateral MOE managed aggressively with regular ear toileting, ear packing with a ribbon gauze soaked with topical antimicrobials, and long-term intravenous and oral antibiotics. The patient showed good improvement in pain control, facial nerve status, and ear findings.
4.A mysterious clavicular swelling
Azliana Aziz ; Nur Saadah Mohamad ; Mohd Jazman Che Rahim
Malaysian Family Physician 2021;16(3):97-100
The clavicle or collarbone is a horizontal-axis bony structure located between the neck and thoracic area. Tumour metastasis at the clavicle is very rare. Due to its location at the border of the neck and chest area, a primary tumour could originate from both areas. We report the case of a 39-year-old man who presented with a painful right sternal-end clavicular mass and intermittent fever. Chest radiography was normal. Musculoskeletal ultrasound of the clavicle revealed a mass. Computed tomography (CT) thorax further identified a mass at the upper lobe of the right lung. CT-guided tissue biopsy confirmed that it was a lung adenocarcinoma. This case shows an atypical presentation of lung carcinoma and how musculoskeletal ultrasound helped in the diagnosis when other features and investigations were inconclusive.