Hypoglycaemia in a non-diabetic patient due to alpha-lipoic acid-induced insulin autoimmune syndrome with HLA-DRB1*04:03:01G [0.03%]
α-硫辛酸诱发的HLA-DRB1*04:03:01G型胰岛素自身免疫综合征导致的非糖尿病患者低血糖症病例报告
Mohd Salman,Hamid Ashraf,Ahmad Alam
Mohd Salman
Insulin autoimmune syndrome (IAS), also known as Hirata syndrome, is a rare cause of endogenous hyperinsulinaemic hypoglycaemia characterised by markedly elevated circulating insulin levels and the presence of insulin autoantibodies in indi...
Case Reports
BMJ case reports. 2026 Jul 23;19(7):e273735. DOI:10.1136/bcr-2026-273735 2026
Salma Mohamed,Claire L Wood,Timothy Cheetham et al.
Salma Mohamed et al.
A prepubertal boy presented to our paediatric endocrinology clinic with long-standing, progressive bilateral gynaecomastia. The diagnostic evaluation to determine the underlying cause led to the identification of Peutz-Jeghers syndrome with...
Case Reports
BMJ case reports. 2026 Jul 23;19(7):e272912. DOI:10.1136/bcr-2026-272912 2026
Kidney function recovery in immunoglobulin A nephropathy patient following bimekizumab therapy [0.03%]
接受毕米珠单抗治疗的IgA肾病患者的肾功能恢复
Benjamin Zhang,Hanish Bagga,Richard Alexander Baer
Benjamin Zhang
Immunoglobulin A nephropathy (IgAN) is one of the most common causes of primary glomerulonephritis and follows a 'four hit' model of pathogenesis. Novel treatments show promise in treating either the early insults described by this model or...
Case Reports
BMJ case reports. 2026 Jul 23;19(7):e272393. DOI:10.1136/bcr-2026-272393 2026
Recurrent embolic cerebellar infarction due to bow hunter's syndrome of the non-dominant vertebral artery [0.03%]
非优势椎动脉颈扭伤综合征导致的复发性小脑梗死
Hakim Baazaoui,Lukas Bastian Otto,Ferdinand Otto et al.
Hakim Baazaoui et al.
We describe a rare presentation of bow hunter's syndrome (BHS) involving the non-dominant vertebral artery (VA), leading to recurrent embolic cerebellar infarction. A male in his mid-70s presented with sudden-onset immobilising vertigo. MRI...
Case Reports
BMJ case reports. 2026 Jul 23;19(7):e272451. DOI:10.1136/bcr-2026-272451 2026
Isolated omental teratoma in a male in early adolescence with normal testes [0.03%]
青少年期孤立性网膜皮样瘤一例（伴有正常睾丸）
Anshul Goel,Manu Vats,Sunita Gupta et al.
Anshul Goel et al.
A male in early adolescence presented with a 6-month history of a progressively enlarging upper abdominal mass. Ultrasonography and contrast-enhanced CT suggested a mature cystic teratoma of the greater omentum. Laparotomy confirmed a multi...
Case Reports
BMJ case reports. 2026 Jul 22;19(7):e268292. DOI:10.1136/bcr-2025-268292 2026
Psychotic depression with suicidality in the context of internet gaming disorder and chronic cannabis use [0.03%]
互联网游戏成瘾和慢性大麻使用背景下的自杀倾向性精神病性抑郁
Mirela Ćelić Ružić,Linda Rossini Gajšak,Darjan Svetinović et al.
Mirela Ćelić Ružić et al.
A man in his 20s was admitted after a serious suicide attempt (hypnotic overdose) following months of severe depression and social withdrawal. In the preceding 2 weeks, after a 2-day forced break from gaming due to a brief, mild, self-limit...
Case Reports
BMJ case reports. 2026 Jul 22;19(7):e272917. DOI:10.1136/bcr-2026-272917 2026
Acute macular neuroretinopathy after endoscopy with general anaesthesia in association with cardiac arrest [0.03%]
全身麻醉内镜检查与心脏骤停相关的急性黄斑神经视网膜病变
Lauren Dimalanta,Alice Yang Zhang
Lauren Dimalanta
A man in his 60s with type 2 diabetes mellitus and hypertension presented with complaints of constant brown spots in his vision 2 weeks after he experienced cardiac arrest during an endoscopy with general anaesthesia. Dilated fundus examina...
Case Reports
BMJ case reports. 2026 Jul 22;19(7):e268290. DOI:10.1136/bcr-2025-268290 2026
Nisha Vilas Rahul,Himansu Sekhar Behera,Smruti Rekha Priyadarshini
Nisha Vilas Rahul
Here, we report a novel case of amikacin-resistant atypical mycobacterial keratitis in a man in his third decade. He presented with gradual diminution of vision associated with pain, redness, watering in his left eye of 1½ months' duration...
Case Reports
BMJ case reports. 2026 Jul 22;19(7):e268190. DOI:10.1136/bcr-2025-268190 2026
Reem AlShimali,Rawan AlShemali,Aseel AlKandari et al.
Reem AlShimali et al.
An infant girl was referred to our paediatric ophthalmology service as a case of congenital glaucoma not responding to topical medication, presenting with asymmetrical globe enlargement, epiphora, corneal oedema and right eye elevated intra...
Case Reports
BMJ case reports. 2026 Jul 22;19(7):e270498. DOI:10.1136/bcr-2025-270498 2026
Natasha Marcella Vaselli,Pradeep Kakkadasam Ramaswamy,Maninder Pal Singh
Natasha Marcella Vaselli
Drug-induced lung injury represents a heterogeneous group of adverse reactions, with an increasing number of implicated medications each year. We report a case of pneumonitis in a woman recently commenced on upadacitinib for ulcerative coli...
Case Reports
BMJ case reports. 2026 Jul 22;19(7):e273829. DOI:10.1136/bcr-2026-273829 2026