A 59-year-old man with a medical history of nasopharyngeal carcinoma, prediabetes, hyperlipidemia and hypothyroidism was referred to us for progressive vertical diplopia that had worsened over several weeks.
The diplopia was present with upgaze and was worse at distance than at near. He also reported progressive drooping of the left upper eyelid over the same interval. He denied any prior episodes of diplopia as well as ocular pain, pain with extraocular movements, fever, chills, jaw claudication, weight loss or recent night sweats.
Regarding the patient’s oncologic history, his initial PET

Rheumatoid arthritis is a chronic systemic autoimmune inflammatory disorder that can involve multiple ocular structures, most commonly the ocular surface, sclera and uveal tract.
Although anterior uveitis is less frequent in adults with rheumatoid arthritis, persistent intraocular inflammation may result in significant structural complications and visual impairment. Chronic inflammation and its sequelae are one of the indications for persistent medication in such patients.
Occlusio pupillae refers to complete adhesion of the pupillary margin to the anterior lens capsule, usually resulting from

SAN DIEGO — Inducing torpor to put the body into a hypothermic state could have neuroprotective benefits after a stroke, according to research presented at the American Neurological Association’s 151st annual meeting.
Physicians have known hypothermia to be neuroprotective following a neurological injury, but delivering therapeutic hypothermia to patients with stroke has been challenging, Eric Landsness, MD, PhD, associate professor of neurology at Washington University School of Medicine, told attendees.
“My lab started asking a different question: Instead of forcing the body to get cool to

ORLANDO — Obinutuzumab yielded almost complete B-cell depletion in patients with lupus nephritis, according to a subgroup analysis of the REGENCY trial presented at ACR Convergence.
“Efficacy of an intervention in lupus nephritis trials, and practice, is determined by reductions in proteinuria,” Richard A. Furie, MD, chief of the division of rheumatology at Northwell Health, told Healio. “However, those patients with pre-existing damage in their kidneys, as well as those who quickly accrue damage, may never be able to have a reduction in proteinuria below the threshold

DENVER — Soccer players may experience temporary changes in kidney function, but risks for acute or traumatic kidney injury remained low, according to study data presented at ASN Kidney Week.
Soccer is a high-intensity sport. Players are consistently running, exerting energy, facing physical contact and at times being exposed to high heat conditions, all of which can impact kidney blood flow and fluid and electrolyte balance, according to Prakash Gudsoorkar, MD, associate professor of medicine in the division of nephrology at University of Cincinnati.
Gudsoorkar, along with colleagues,

A CT scan for cancer staging revealed a rare fused supernumerary kidney in a 58-year-old Indian man, allowing surgeons to map unusual vessels before successful surgery.

Cardiologists treating a 49-year-old man for an acute heart attack unexpectedly discovered a congenital interrupted aortic arch, a defect usually diagnosed in infancy and often fatal without treatment.

Doctors reported a rare olfactory groove tumor in a 25-year-old breastfeeding woman whose recurring nosebleeds led to surgery and highlighted difficulties distinguishing schwannomas from olfactory ensheathing cell tumors.

A 48-year-old New Zealand man was found to have a rare possible tubular esophageal duplication after imaging suggested a hiatal hernia. Other doctors questioned whether the diagnosis was definitive.

A healthy 20-year-old developed rhythmic side-to-side eye movements after heavy drinking, but his consciousness and vision returned to normal within three hours without specific treatment.