WEREWOLF SYNDROME WEREWOLF SYNDROME/AMBRAS SYNDROME IS AN ABNORMAL AMOUNT OF HAIR GROWTH OVER THE BODY. ONE IN ONE BILLION IS AFFECTED BY THIS CONDITION SUFFERERS NORMALLY LIVE AN ISOLATED WAY OF LIFEDUE TO EMBARRASSMENT BECAUSE MAJORITY DO NOT REALISE THAT IT IS A FORM OF DISORDER. THEIR CONDITION IS FREQUENTLY ASSOCIATED WITH SUPERSTITIOUS BELIEFS AND MYTHOLOGICAL STORIES. TYPES OF WEREWOLF SYNDROME WWS IS CLASSIFIED INTO CONGENITAL HYPERTRICHOSIS AND AQUIRED HYPERTRICHOSIS. CONGENITAL HYPERTRICHOSIS:CONGENITAL HYPERTRICHOSIS IS CHARACTERISED BY THE OVERPRODUCTION OF FINE,SOFT AND NON PIGMENTED HAIR AND CONTINUES THROUGH LIFE.THIS CONDITION NORMALLY OCCURS DUE TO SOME FLAWS AT THE COURSE OF PREGNANCY. THE LANUGO,WHICH REFERS TO THE FINEHAIR LAYER COVERING THE FETUS ,NORMALLY FALLS OF IN THE EIGHTH MONTH.IF THIS FAILS TO HAPPEN, THE HAIR CONTINUES TO GROW. SUB TYPES OF CONGENITAL HYPERTRICHOSIS: 1)NAEVOID HYPERTRICHOSIS:EXCESSIVE GROWTH OF HAIR IN ONE PART OF THE BODY SURROUNDED BY NORMAL HAIR. 2)HYPERTRICHOSIS LANUGINOSA. 3)GENERALISED HYPERTRICHOSIS :OVERPRODUCTION OF HAIR IN UPPER PART OF THE BODY AND FACE.SOLES,PALMS AND MUCOUS MEMBRANES ARE UNAFFECTED. 4)CIRCUMSCRIBED HYPERTRICHOSIS:LOCALISED. 5)TERMINAL HYPERTRICHOSIS:FULLY PIGMENTED HAIR COVERING THE WHOLE BODY. ACQUIRED HYPERTRICHOSIS NORMALLY OCCURS AFTER BIRTH WITHOUT A PRESET TIME PERIOD. THIS IS ALSO CLASSIFIED AS HYPERTRICHOSIS LANUGINOSA, GENERALISED HYPERTRICHOSIS, PATTERNED HYPERTRICHOSIS AND LOCALISED HYPERTRICHOSIS. CAUSE THE REAL CAUSE OF WWS IS UNCLEAR. THE DISORDER RUNS IN FAMILIES. SCIENTISTS DISCOVERED A GENETIC MUTATION RESPONSIBLE FOR THE DISORDER. IN 1995 THEY TRACED THE APPROXIMATE LOCATION OF THE MUTATION TO A SECTION OF THE X CHROMOSOME IN A MEXICAN FAMILY AFFECTED BY HYPERTRICHOSIS. TREATMENT OF WWS: THERE IS NO KNOWN CURE.BUT THE HAIR CAN BE MANAGED BY BLEACHING, SHAVING AND HAIR REMOVAL CREAMS,ELECTROLYSIS, AND LASER HAIR REMOVAL. HISTORY: ANCIENT GREEK AND ROMAN WRITERS RECORD ACCOUNTS OF WEREWOLVES. A CRUEL GREEK TYRANT LYCAON WHO ANGERED THE MYTHOLOGICAL GOD ZEUSWAS PUNISHED WITH THE CURSE,HENCEFORTH BEARING IN HIS FLESHTHE ANIMALISTIC FEROCITY THAT HAD ALWAYS RULED HIS LIFE. IN THE OLD TESTAMENT IN BIBLETHE BABYLONIAN KING NEBUCHADNEZZAR WHO DECLARED HIMSELF THE AUTHOR OF HISOWN GOOD FORTUNE AND THE DESIGNER OF HIS OWN DESTINY TURNED INTO A WEREWOLF. PETROS GONZALES,BORN IN THE CANARY ISLANDS IN THE 16TH CENTURY AND HIS DESCENDANTS ARE ALL COVERED WITH HAIR. DEVI BUDHATHOKI AND HER THREE CHILDREN FROM NEPAL SUFFERED FROM WWS.THEY HAVE UNDERGONE LASER HAIR REMOVAL. THE REAL LIFE STORIES ARE ALSO SHOWN IN DISCOVERY CHANNEL.

42 year old lady with a fungating breast lesion X 5 months duration. Extensive matted LN in right Axillary and Lymphedema in the right UL. Supraclav LN present as well. IDC - grade 3. TNBC. Metastasis to lungs, liver. Let's discuss the management. It is sad to see such advanced cases.

31 year old male with lesion originating from left side of forehead. Present for more than 3 years. No other lesions elsewhere in the body. Let's see who gets the correct diagnosis.

30 year old lady with recurrent headaches, more in the evening. headache more on left side for last 4 months. no sinus tenderness. CT normal. what could be the other causes and how to manage

A 73-year-old male with a history of 5 vessel CABG 2 years ago and current CHF presents to the ER complaining of SOB. Who can identify his device shown here? and what is cause for SOB?