‘Lint ball’ omphalitis, a rare cause of umbilical discharge in an adult woman: a case report

“Umbilical discharge in adult is rare and is usually induced by foreign material, most commonly hair. Rarely, it may be due to embryonal anomalies. We are reporting an unusual case of umbilical discharge in adult secondary to an impacted lint ball… A 55-year-old obese woman presented with a 4-month history of hemorrhagic discharge from the umbilicus. Deep from the base of the umbilicus, a 0.8 cm gray-tan mass was removed that on microscopic examination revealed a lint ball. Conclusion: An impacted lint ball may be a rare cause of umbilical discharge in adult.”

Bonus quote from the full text of the paper:

“A 55-year-old obese white American woman of European descent presented with a 4-month history of slightly hemorrhagic discharge from her umbilicus. There was no history of fever, abdominal pain or any other systemic disease. Physical examination revealed a deep umbilicus with a barely visible opening. There was no redness, edema, or crusting of the periumbilical skin. The deeper aspect of the umbilicus was exposed by using a spatula. A dark, rounded polypoid mass was noted. The clinical impression was that of fibro-epithelial polyp or some other tumor. An attempt was made to remove the mass by excising the base; however, the mass easily came out of the umbilical cavity implying that either it was necrotic or it was not firmly attached to the umbilical tissue at the base. The gray-tan 0.8 cm size round mass on cut section revealed white fibrous appearance. On microscopic examination, it was composed of lint material with typical morphology of refractile bean-shaped and elongated colorless structures, red spindle-shaped keratin material, granular red debris, rare hair fragments and polymorphonuclear leukocytes (Figure 1Figure 1.). Under polarized light, the lint particles showed brilliant blue-green birefringence (Figure 2Figure 2.). A diagnosis of ‘lint ball’ omphalitis was made.”

Photo: flickr/brenbot

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Good news! My brother Ben has been appointed the new language columnist for the New York Times Magazine, taking over from the late William Safire. Expect a few more shamelessly fraternal links next week to various appearances associated with his new position.

I promise to lobby hard for science-related language columns, nefariously using my family back channels. It’s all for a good cause! Here’s an example of my subliminal big-brother mind-control–a conversation Ben and I had on Bloggingheads.tv

And here’s the press release the Times just issued:

NEW YORK–(BUSINESS WIRE)–The New York Times Magazine announced today the appointment of linguist and lexicographer Ben Zimmer as the new “On Language” columnist. Mr. Zimmer succeeds William Safire who was the founding and regular columnist until his death last fall. The column is a fixture in The Times Magazine and features commentary on the many facets – from grammar to usage – of our language. “On Language” will appear bi-weekly beginning March 21.

“I look forward to continuing this fine tradition with my own take on how language shapes our past, present and future.”

In making the announcement, Gerald Marzorati, editor of the magazine said, “Ben brings both an academic’s deep knowledge and a maven’s eye, ear and passion to his commentary on the way Americans write and speak now. We welcome him to our roster and know our readers and ‘On Language’ devotees will greatly enjoy his columns.”

“It’s an honor and a privilege to be welcomed in the space that William Safire called home for thirty years,” Mr. Zimmer said. “I look forward to continuing this fine tradition with my own take on how language shapes our past, present and future.”

Mr. Zimmer is the executive producer of VisualThesaurus.com and Vocabulary.com, online destinations for learners and lovers of language. He is the former editor of American dictionaries at Oxford University Press and is a consultant to the Oxford English Dictionary. He was previously a research associate at the University of Pennsylvania’s Institute for Research in Cognitive Science. He is a 1992 graduate of Yale University with a B.A. in linguistics. He studied linguistic anthropology at the University of Chicago and is the recipient of many fellowships including ones from the National Science Foundation, the Fulbright Program and the Ford Foundation. He has taught at UCLA, Kenyon College, and Rutgers University. He was a frequent guest contributor to the “On Language” column, and his work has also appeared in The Boston Globe, Slate and several language blogs. He is on the Executive Council of the American Dialect Society and a member of the Dictionary Society of North America.

Mr. Safire served as the “On Language” columnist from its inception in 1979 until his death in 2009. In his columns he parsed words, phrases and points of grammar and usage about our written and spoken language.

An extensive study conducted on school children in Western Canada has proved that immunizing kids and adolescents goes a long way towards protecting the entire community from communicable diseases like the flu, thanks to a phenomenon known as “herd immunity.”

The findings come at a time when vaccine phobia is one of our largest public health concerns, with many parents worrying that immunizing kids can lead to adverse side affects. A recent survey revealed that one in four U.S. parents think that vaccines might cause autism, probably due in part to a 1998 paper published in the journal The Lancet that wrongly linked autism to vaccines–that paper has since been refuted, and fully retracted by the journal.

Now, scientists have more evidence that vaccines provide a public health benefit. Researchers studying youngsters in 49 remote Hutterite farming colonies in Canada found that giving flu shots to almost 80 percent of a community’s children created a herd immunity that helped protect unvaccinated older people from illness. As children often transfer viruses to each other first and then pass them along to grown-ups, the study provided solid proof that the best way to contain epidemics like the recent H1N1 outbreak is to first vaccinate all the kids. By immunizing the most germ-friendly part of the herd first, you indirectly protect the rest of the community, scientists say.

This is not the first time that scientists have found evidence that herd immunity can help protect the unvaccinated, but it’s the most definitive study on the subject yet. Researchers say this is the first such study to be conducted in such remote and isolated communities (the Hutterites‘ religious beliefs keep them separate from mainstream society), which reduced the chance that subjects could contract flu from other passing sources. Scientists say the new study provides “incontrovertible proof” that the shots themselves — rather than luck, viral mutations, hand-washing or any other factor — were the crucial protective element [The New York Times].

The study, published in The Journal of American Medical Association, focused on Hutterite farming colonies in Western Canada, where the people live in rural isolation in clusters of about 160 people. Though Hutterites drive cars and tractors, they shun radio and TV and each colony lives like a large joint family–eating together, going to a Hutterite school, and owning everything jointly.

In 25 of the colonies that joined the study, the scientists took school kids aged 3 to 15 years old and gave them flu shots in 2008. In 24 other colonies, the kids got placebo shots. In 2009, the researchers found that more than 10 percent of all the adults and children in colonies that received the placebo had had laboratory-confirmed seasonal flu. Less than 5 percent of those in the colonies that received flu shots had [The New York Times].

The study found that by vaccinating the kids against influenza, almost 60 percent of the larger community was granted “herd immunity” and protected against the illness. Carolyn Bridges, an expert in influenza epidemiology at the Centers for Disease Control and Prevention, says the study implies that giving flu shots only to schoolchildren would protect the elderly just as well as giving flu shots to the elderly themselves. The C.D.C. would never recommend that, she cautioned, “Because you still should vaccinate high-risk people” [New York Times].

The Hutterite study’s findings are in line with a previous study conducted in 1968, in Tecumseh, Michigan. In that study, flu expert Arnold Monto vaccinated almost 85 percent of the town’s schoolchildren during flu season. At the end of season, the town had only a third as many flu cases as nearby Adrian, Mich., which received no shots. There were far fewer cases of flu in all age groups [New York Times].

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Image: iStockPhoto