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Hemoptysis is a common respiratory symptom. One of the most common cause for hemoptysis in India is pulmonary tuberculosis. Pulmonary tuberculosis is more common in young and usually present with fever, cough and hemoptysis. Chest x ray usually shows upper lobe lesions. When sputum examination for AFB smear is negative and chest radiology is not typical of tuberculosis further investigations are indicated for definitive diagnosis. We report a rare case of pleomorphic carcinoma of lung in a young female mimicking pulmonary tuberculosis. Definitive diagnosis was established by biopsy from the lung lesion. [ABSTRACT FROM AUTHOR]

Factitious disorder can present with a wide variety of symptomatology. We present a case of a young girl presenting with spontaneous extrusion of wires from her limbs. These metallic wires were present in both her upper and lower limbs in the muscle bulk and were visible on X-ray. She sought repeated surgical removal of these wires, but the wires would invariably reappear. The patient could not be engaged in a therapeutic relationship and the family took premature discharge against medical advice, as they believed in supernatural causation for the phenomenon and were afraid that medical intervention might bring further ill fortune. The case highlights the importance of belief systems of family members as a barrier in managing such cases. [ABSTRACT FROM AUTHOR]