BMJ Case Reports

Topical crushed morphine tablets for dressing-related pain in a malignant fungating wound in a resource-limited palliative care setting

Malignant fungating wounds are often linked to severe dressing-related pain that may continue despite adequate systemic opioid treatment. Topical opioids have shown pain relief in small clinical ...
BMJ Case Reports

Acute angle closure in a pseudophakic eye with pseudoexfoliative syndrome: management when conventional medical and laser therapies fail

Pseudoexfoliation syndrome is a common cause of secondary open-angle glaucoma but rarely presents with acute angle closure in pseudophakic eyes, where management may be challenging when conventional ...
BMJ Case Reports

Bilateral granulomatous uveitis mimicking tuberculosis: an atypical ocular presentation of biopsy-proven disseminated histoplasmosis

Ocular histoplasmosis typically presents as presumed ocular histoplasmosis syndrome, characterised by chorioretinal scars and peripapillary atrophy without intraocular inflammation. Active ...
BMJ Case Reports

Intrapulmonary percussive ventilation for the management of destroyed lung in Swyer–James–MacLeod syndrome

Swyer–James–MacLeod syndrome (SJMS) is a rare disorder resulting from post-infectious bronchiolitis obliterans following lower respiratory tract infection in childhood and may be complicated by ...
BMJ Case Reports

Reversible visual field loss in glaucoma following ventriculoperitoneal shunting for normal pressure hydrocephalus

We report a case of visual field deterioration in previously stable open-angle glaucoma which resolved upon ...
BMJ Case Reports

Calcitonin-negative medullary thyroid carcinoma in a young adult

Medullary thyroid carcinoma (MTC) is typically identified by elevated serum calcitonin levels, as the tumour’s C-cell origin generally produces this hormone. On rare occasions, however, a patient with ...
BMJ Case Reports

Tapioca iris melanoma masquerading as unilateral glaucoma

A woman in her mid-70s developed uncontrolled intraocular pressure (IOP) in her right eye despite trabeculectomy, Ahmed valve implantation and ongoing topical therapy. Left IOP was normal without ...
BMJ Case Reports

Long-term complications of conjunctival tattooing: pigment aggregation and corneal dellen formation after eight years

We present a case of pigment clumping secondary to cosmetic conjunctival tattooing performed 8 years prior, which ...
BMJ Case Reports

Conservative management of paediatric atypical necrotising cervical lymphadenitis

This case report describes a case of probable non-tuberculous mycobacteria (NTM) cervical lymphadenitis with extensive necrotic skin involvement. A girl in early childhood had a 3-month history of ...
BMJ Case Reports

Re-evaluating absolute neutrophil count thresholds: Duffy-null-associated neutrophil count in cancer treatment

The Duffy-null phenotype is associated with fewer circulating blood neutrophils. This phenomenon, termed Duffy-null-associated neutrophil count (DANC), is common among individuals of African and ...
BMJ Case Reports

Acute laser-induced maculopathy with secondary exudative neovascular changes

Laser-related retinal injury is an uncommon but potentially sight-threatening cause of acute visual loss. Damage to the retinal pigment epithelium and Bruch’s membrane may lead to exudation and, in ...
BMJ Case Reports

Negative-pressure pulmonary oedema following upper airway obstruction after tracheal extubation in an adolescent undergoing general anaesthesia for dental extractions

A healthy athletic adolescent male with a remote history of asymptomatic childhood asthma underwent outpatient multiple molar extractions under general anaesthesia with tracheal intubation. Shortly ...