Y179C and p.G396D by allelic discrimination assays using allele-specific TaqManA (R) probes. In all mutation-positive cases, results were confirmed

by sequencing.\n\nBiallelic germline MUTYH mutations were identified in 4 of 60 (6.6%) patients with a phenotype of hereditary colorectal cancer. Germline MUTYH mutation screening should be considered in the differential diagnosis of hereditary colorectal syndromes, and not only in MAP, but also in familial adenomatous polyposis and Bethesda criteria-positive families. Additional mutation screening studies of the MUTYH gene in a larger number of Brazilian patients will be necessary LDN-193189 to confirm these results and determine the validity and applicability of MUTYH mutation screening in our population.”
“Juvenile xanthogranuloma is a relatively rare cutaneous tumor of histiocytic origin, occurring mainly

in neonates, children, and young people in the first 2 decades of life. An occurrence in adults is rare. Very rare is also a “deep” subcutaneous and intramuscular localization of this tumor that is called in such case as “deep juvenile xanthogranuloma.” A very uncommon variant of this tumor is the so-called mitotically active xanthogranuloma, which was described in the literature only in a single case. Nutlin-3a Apoptosis inhibitor We present an interesting case of the mitotically active intramuscular juvenile xanthogranuloma of the upper arm in a 28-year-old woman. Before surgical excision, the tumor was examined by fine-needle aspiration biopsy. A diagnosis of deep malignant melanoma or alveolar rhabdomyosarcoma was considered. One year after the total excision, the patient is free of disease. In the presented case, we emphasize cytologic-histologic correlation. In the differential diagnosis, we considered especially an atypical diffuse giant cell tumor of tendon sheaths and joints (extra-articular pigmented villonodular synovitis) and some rare types of soft tissue leiomyosarcoma, such as epitheloid leiomyosarcoma and leiomyosarcoma with prominent osteoclast-like giant cells. (C) 2010 Elsevier Inc. All rights reserved.”
“We

here report a case of diabetic ketoacidosis Selleckchem PCI-34051 at onset of type 1 diabetes after a prolonged period of starvation due to anorexia nervosa. A 53-year-old female with a history of anorexia nervosa was admitted to the psychiatric clinic due to psychotic behaviour and inability to take care of herself. Twenty-four hours after admission she was transferred to the clinic of internal medicine due to altered mental status, and laboratory screening revealed a pH of 6.895 and blood glucose concentration of 40 mmol/L. Due to the unusual combination of prolonged starvation and diabetic ketoacidosis we implemented some modifications of existing treatment guidelines and some special considerations regarding nutrition in order to prevent a re-feeding syndrome.