The facts and information of every individual should be handled with high level of assurance and discretion. It is important to authors to include written consent form from patients who is involved in the case reports and who is subject to the photographs. A case report maybe published without explicit consent if it meets all the below conditions:

• The article has great importance to public health.
• It can be accepted if it is an unusual case, to obtain from patient.
• Can be published if the patient doesn’t have any objection.