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A woman in her 20s presented to dermatology clinic with a four year history of a mildly itchy hypopigmented patch in her natal cleft, and similar itchy lesions that had gradually appeared on the back of both knees over the past six months (fig 1, fig 2). The lesions ranged from white to brown. Fig 1 Hypopigmented atrophic plaques in upper part of natal cleft Fig 2 Hypopigmented atrophic plaques in popliteal fossae Treatment with topical antifungal creams for suspected candidal intertrigo was unsuccessful. Cutaneous examination revealed multiple ill defined hypopigmented plaques in the upper part of the natal cleft and both popliteal fossae. On close inspection, the affected skin showed fine wrinkling and increased translucency (not clear in the figure) …

Swyer-James syndrome is an uncommon disease with unknown aetiology. It is generally discovered on a chest radiograph as increased translucency involving one hemithorax because of diminished vascular markings. Pulmonary vascularization on the affected side is greatly reduced leading to radiological translucency. Myocardial bridging describes an angiographic entity, which is any degree of systolic narrowing of a coronary artery observed in at least one angiographic projection. It is a congenital anomaly of the coronary artery and may occur in 5-12% of the human population. We report a patient suffering from chest tightness and with diagnosed Swyer-James syndrome also having myocardial bridge. (C) 2003 Elsevier Ireland Ltd. All rights reserved.

Cystic testicular tubular dilatation was seen in ducklings fed a ration containing furazolidone at 250, 400, 550, or 700 ppm for 28 days. Gross evidence of cystic testicular dilatation was observed at necropsy in 16% (32/203) of the ducklings that survived to the end of the study. Gross testicular lesions consisted of various degrees of enlargement with increased translucency in moderately to severely enlarged testicles. Histological evidence of cystic testicular dilatation was present in 45% (41/91) of the testicles examined. Histologically, the tubules were in various states of dilatation with attenuation of the seminiferous epithelium proportional to the severity of dilatation. In the most severely affected testicles, tubules were greatly dilated, distorted, and fluid-filled, with extensively flattened epithelium visible on the inner margin of the tubule as a thin rim of cytoplasm with a protuberant nucleus. Interstitial tissues were compressed to thin septa between the dilated tubules.

As a result of serial examinations of two patients with leiomyosarcoma of the stomach, it is felt that the gastroscopic picture at times may be distinctive enough to warrant inclusion of this tumor among the gastroscopically diagnosable diseases. The present findings were those of malignant intramural infiltration with prominent smooth non-ulcerated hemispheric nodules, and increased translucency of the overlying mucosa. The gastroscopic findings may return to normal temporarily following supervoltage roentgen therapy.

Involutional ptosis is a ptosis of varying degree. There is good levator function with a high lid fold and increased lid excursion on downgaze. There may be increased translucency of the upper lid. We reviewed all adult ptosis cases over the past three years at Sydney Eye Hospital and found 20 cases to have aponeurotic defects such as a dehiscence or disinsertion. Ninety percent of our cases had a positive 10% phenylephrine test. We recommend that all operations be done under local anaesthesia without adrenaline, overcorrecting by 1-2 mm at the time of surgery.