1.Osteosarcoma of the rib
WY Lim ; S Ahmad Sarji ; YI Yik ; TM Ramanujam
Biomedical Imaging and Intervention Journal 2008;4(1):1-5
This case describes the radiological-surgical correlation of a rare case of osteosarcoma of the rib in a 15-year-old
boy. Successful repair of his chest wall defect using a wire mesh following extensive surgical resection of the tumour is highlighted,such a procedure being the first instituted at our centre.
2.Parvovirus b19 Associated Haemophagocytic Lymphohistiocytisis in Hereditary Spherocytosis Patient: A Case Report
Cheong CS ; Gan GG ; Chen TM ; Lim CC ; Nadarajan VS ; Bee PC
Journal of University of Malaya Medical Centre 2016;19(2):7-11
Haemophagocytic lymphohistiocytosis (HLH) is a clinico-pathologic entity caused by increased proliferation
and activation of benign macrophages with haemophagocytosis throughout the reticulo-endothelial system.
Virus-associated HLH is a well-recognised entity. Although majority of parvovirus B19 associated HLH does not
require any specific treatment and carries good prognosis, outcome of children is worse than adults. We report
here a case of HLH associated with acute parvovirus B19 infection in a young healthy patient with underlying
hereditary spherocytosis, with bone marrow findings typical of parvovirus infection. Although this patient
had spontaneous recovery of cell counts, he succumbed due to complication from prolonged ventilation.
Unexpectedly, his immunoglobulin levels were inappropriately normal despite on-going ventilator associated
pneumonia, which reflects inadequate humoral immune response towards infection.
Parvovirus
3.An audit of upper gastrointestinal bleeding at Seremban Hospital.
Lim TM ; Lu PY ; Meheshinder S ; Selvindoss P ; Balasingh D ; Ramesh J ; Qureshi A
The Medical Journal of Malaysia 2003;58(4):522-525
We retrospectively analyzed all patients presenting with upper gastrointestinal bleeding to Seremban Hospital over a one-year period. A quarter of the oesophagogastro-duodenoscopies (OGD) performed were performed as emergency for upper gastrointestinal tract bleeding. Gastric ulcers and duodenal ulcers were the two most common findings. Our results suggest that there is a male preponderance of 2:1, the Chinese were more likely to be affected and the elderly (> 60 years) were at highest risk.
Endoscopy, Gastrointestinal
;
Gastrointestinal Hemorrhage/ethnology
;
Gastrointestinal Hemorrhage/*etiology
;
Gastrointestinal Hemorrhage/therapy
;
Malaysia
;
Retrospective Studies
;
Risk Factors
;
Sex Factors
4.Jessner’s Lymphocytic Infiltration of the Skin – A Case Report and Discussion of Current Literature
Huat Bee Lim ; Bang Rom Lee ; Shueh Wei Lim
Malaysian Journal of Dermatology 2020;44(1):38-40
Jessner’s lymphocytic infiltration of skin is an uncommon disorder characterised by benign
accumulations of lymph cells in the skin. It is of unknown aetiology and presents as erythematous
papules and plaques on the face, neck and/or back, with possible itching of the skin surrounding
the lesions. The lesions may remain unchanged for many years and then spontaneously disappear,
without residual scarring. Current literature on this topic are limited and numerous treatments have
been tried with limited success. We report a recent case of Jessner’s lymphocytic infiltration seen in
our practice and discuss the histology and our approach to management.