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Chintakuntlawar Ashish V AV Division of Hematology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA, - - 2014
Pancytopenia is a very rare complication of thymoma and has been sporadically reported in only a few cases. We report a case of a 68-year-old woman who presented with pancytopenia associated with thymoma. After failing high-dose corticosteroids, she responded to cyclosporine treatment and underwent successful thymectomy. We also reviewed all ...
Zurkova Monika M From the 1Department of Respiratory Medicine, Faculty of Medicine and Dentistry, Palacky University and University Hospital Olomouc, I.P. Pavlova, Olomouc, Czech Republic; 2Department of Gynecology and Obstetrics, Faculty of Medicine and Dentistry, Palacky University Olomouc, Hněvotínská, Olomouc, Czech Republic; 3Department of Clinical and Molecular Pathology, Faculty of Medicine and Dentistry, Palacky University Olomouc, Hněvotínská, Olomouc, Czech Republic; and 4Department of Immunology, Faculty of Medicine and Dentistry, Palacky University Olomouc, Hněvotínská, Olomouc, Czech - - 2014
Sarcoidosis is a multisystem inflammatory disorder of unknown cause that affects multiple organs. To date, only isolated cases of extrapulmonary sarcoidosis of the female reproductive tract, which rarely affects postmenopausal women, have been reported. We describe the case of a postmenopausal woman with sarcoidosis of multiple structures of the genital ...
Alsenaid Adel A Department of Dermatology and Allergology, Ludwig Maximilian University Munich, Munich, - - 2014
Background: Treatment of nail lichen planus (LP) is difficult and an optimal therapy is lacking. Objective: To report additional cases to the scant existing literature to learn more about therapeutic options for nail LP. Methods: A regimen of 30 mg alitretinoin daily in 2 cases of nail LP over a ...
Chaulagain Chakra P CP Taussig Cancer Institute of Cleveland Clinic, Department of Hematology/Oncology, Cleveland Clinic in Weston, FL, USA. Electronic address: - - 2014
Pulmonary alveolar proteinosis (PAP), characterized by deposition of intra-alveolar PAS positive protein and lipid rich material, is a rare cause of progressive respiratory failure first described by Rosen et al. in 1958. The intra-alveolar lipoproteinaceous material was subsequently proven to have been derived from pulmonary surfactant in 1980 by Singh ...
Costantini Nicoletta N Dipartimento di Scienze Mediche Internistiche "M. Aresu" and Azienda Mista Ospedaliero-Universitaria, University of Cagliari, Cagliari, - - 2014
Severe hypertriglyceridemia is a common indication for the need of plasma exchange in treatment of hypertriglyceridemic-induced pancreatitis when normal therapies fail to garner a response. Application of plasmapheresis to prevent complication of hypertriglyceridemia is limited because of its cost and availability. We present a case of a 44-year-old man with ...
Beal Casey J CJ Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, - - 2014
We report a case of intracranial hypertension in a 13-year-old boy on levothyroxine therapy for hypothyroidism and review the literature describing this rare association. He presented with severe headaches and was found to have bilateral optic disk edema and elevated intracranial pressure shortly after an increase in his dosage of ...
Kugler Joseph L JL From the UT Southwestern Psychiatry Residency at the Seton Family of Hospitals, Austin, - - 2014
Catatonia is a syndrome heterogeneous with regard to presentation and etiology. Electroconvulsive therapy (ECT) remains the first-line treatment for catatonia. Literature review reveals only a few published case reports on the use of right unilateral (RUL) ECT in catatonia, 1 case report on ultrabrief RUL ECT, and an absence of ...
Emiley Peter J PJ Department of Emergency Medicine, Denver Health Medical Center, Denver, - - 2014
Osteomyelitis is a challenging and commonly considered diagnosis in the emergency department. Early recognition and treatment with appropriate antibiotic therapy is crucial to prevent complications. This case reviews relevant literature and typical ultrasound features of osteomyelitis. It highlights a previously undescribed and practical application of emergency department bedside ultrasonography, adding ...
Ingle Sachin B SB Sachin B Ingle, Department of Pathology, MIMSR Medical College, Latur, Maharashtra 4132512, - - 2014
As per strict criteria of Das Gupta et al, primary splenic lymphoma is very rare. Herein, we are reporting an unusual case of primary large cell splenic lymphoma of B lineage in a middle aged female presenting with massive splenomegaly (3.8 kg) and hypersplenism. After performing therapeutic splenectomy for hypersplenism, ...
Rabah Fatma F Department of Child Health, Sultan Qaboos University Hospital (SQUH), Muscat, - - 2014
Familial hemophagocytic lymphohistiocytosis (FHLH) is a hereditary hyperinflammatory condition with T-cell and macrophage activation. Treatment consists of immunosuppressive therapy plus bone marrow transplantation. Cardiac manifestations of FHLH were scarcely mentioned in the literature with conflicting pathophysiological explanations. We report a case of hypertrophic obstructive cardiomyopathy associated with FHLH. Guided by ...
Hummers Laura K LK Division of Rheumatology, Department of Medicine, Johns Hopkins Scleroderma Center, Johns Hopkins University, Baltimore, Maryland, - - 2014
To synthesize the current known data on pathogenesis and treatment of scleromyxedema. This review will also highlight the clinical presentation, systemic features and outcomes and distinguishing features between scleromyxedema and scleroderma, as a common mimic. Most recent publications have focused on describing treatment responses with novel therapies, with the majority ...
Ozlu Emin E Department of Dermatology, Faculty of Medicine, Goztepe Research and Training Hospital, Istanbul Medeniyet University , Istanbul , - - 2014
Abstract Alopecia areata is a common form of non-scarring hair disorder. The development of alopecia areata during anti-psoriatic treatment has been reported with the systemic therapies such as infliximab, etanercept, adalimumab, alefacept and efalizumab. Retinoid-induced alopecia areata on the eyelash and eyebrow has not been reported in the literature. We ...
Beers Sue R SR From the *Department of Psychiatry, University of Pittsburgh School of Medicine; †Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center; ‡Department of Pediatrics, University of Pittsburgh School of Medicine; and §Traumatic Brain Injury Program, University of Pittsburgh Medical Center, Pittsburgh, - - 2014
Preclinical studies have established that anesthesia is toxic to the brain in neonatal animals, but scant research investigates the neurodevelopmental effects of exposure to anesthesia. In this article, we discuss the issue of outcome measurement of children after anesthesia administered between infancy and approximately 4 years of age. Recent studies ...
Jackson Pc P Hull and East Yorkshire Hospitals NHS Trust, - - 2014
This is the first reported case in the literature to combine the use of a well established therapy to achieve wound healing (ie hyperbaric oxygen treatment) and a novel sprayed keratinocyte suspension technique to treat a challenging wound successfully. The merits and potential issues associated with these treatments are outlined ...
Lorentzen Anastasia Orlova AO Departments of *Neurology, and †Rheumatology, Rikshospitalet, Oslo University Hospital; and ‡University of Oslo, Oslo, - - 2014
Central nervous system manifestations of sarcoidosis occur in approximately 5% of patients with sarcoidosis, often lead to substantial morbidity, and therefore require immediate treatment. Spinal cord involvement is exceptionally rare. The tumor necrosis factor-α inhibitor infliximab seems to be an effective alternative in severe cases, refractory to other therapies, but ...
Yüksel Ozgür Haki OH Fatih Sultan Mehmet Research & Training Hospital, Dept. of Urology, Istanbul. - - 2014
We report a case of isolated distal ureter tuberculosis who presented with irritative voiding symptoms treated with sole medical therapy and discuss the clinical, imaging, diagnostic and therapeutical features. In case of irritative voiding symptoms and radiological presentation of ureteral pathologies, genitourinary tuberculosis should be considered in the differential diagnosis. ...
Mitchell Gary G Dementia Services Northern Ireland & Wales, Four Seasons Health Care, Northern Ireland, United Kingdom; School Of Nursing And Midwifery, Queen's University Belfast, United Kingdom - - 2014
There are a number of therapies currently available to assist healthcare professionals and carers with non-pharmacological treatment for people living with dementia. One such therapy that has been growing in clinical practice is doll therapy. Providing dolls to some people living with dementia has the potential to enhance personal well-being ...
Martines Francesco - - 2014
To date intracranial complication caused by tooth extractions are extremely rare. In particular parietal subdural empyema of odontogenic origin has not been described. A literature review is presented here to emphasize the extreme rarity of this clinical entity. An 18-year-old Caucasian man with a history of dental extraction developed dysarthria, ...
Liu Jie J Orthopaedics Department, Gansu Province People's Hospital, Lanzhou, Gansu, 730000, - - 2014
Hemangiopericytoma (HPC) is an uncommon highly vascular neoplasm that originated from Zimmerman's pericytes which surrounds the endothelial tissue. Primary epidural HPC of the sacrum is extremely rare. We reported an unusual case of primary epidural malignant HPC of the sacrum that invaded vertebral bone and caused rectum compression in a ...
Borgia Francesco F Department of Clinical and Experimental Medicine - Section of Dermatology, University of Messina, Italy. Electronic address: - - 2014
Ulcerative Necrobiosis lipoidica (NL) is a rare skin condition refractory to conventional therapies. We treated a forty-four year old woman affected by widespread ulcerative NL with 6 sessions of topical ALA-PDT at two weeks intervals. At the end of the treatment a dramatic improvement of the clinical features was observed, ...
De Corti Federica - - 2014
Abstract Consumptive hypothyroidism is a rare condition usually described in association with diffuse infantile hemangioma of the liver, over-expressing type 3 iodothyronine-deiodinase. We report a case of acquired hypothyroidism associated with a parotid hemangioma in a male child, who was initially evaluated at 48 days of age due to persistent ...
García-Fernández P P Dr. Paloma García-Fernández, DVM, PhD, Associate Professor of Surgery, Department of Animal Medicine and Surgery, School of Veterinary Medicine - HCVC, Complutense University of Madrid, Avenida Puerta de Hierro s/n, 28040 Madrid, Spain, Phone: +34 913943808, Fax: +34 913943808, E-mail: - - 2014
Disruption of the triceps tendon insertion is an uncommon injury, with only a few reports of traumatic triceps tendon avulsion in dogs or cats present in the veterinary literature. Although this injury has been previously described in two dogs that had received a local injection of corticosteroids for the treatment ...
Eksan M S MS ORL Department Hospital Pakar Sultanah Fatimah, Muar, Johor, Malaysia. Electronic address: - - 2014
Embryonal rhabdomyosarcoma of external ear canal is very rare, even in the pediatric population. We report an embryonal rhabdomyosarcoma of external acoustic canal, occurring in a 12-year-old Chinese girl who presented with left ear canal mass. Wide local excision of the mass was done under local anesthesia. Histopathological examination revealed ...
Addario Chieco Paola P Paola Addario Chieco, Laura Antolino, Valentina Giaccaglia, Francesca Centanini, Gaetano Vincenzo Cunsolo, Alessandra Sparagna, Vincenzo Ziparo, Department of General Surgery, General Surgery 1 Unit, S. Andrea University Hospital, 00189 Rome, - - 2014
Xanthogranulomatous inflammation (XGI) is a disease of unknown origin, most frequently described in the kidney and gallbladder; its localization in the colorectal tract is extremely rare. The extension of the typical inflammatory process to the surrounding tissues may lead to misdiagnosis as cancer. We report the case of a 56-year-old ...
Zhang Junping J School of Biomedical Sciences, Huaqiao University & Engineering Research Center of Molicular Medicine, Ministry of Education, Xiamen, Fujian Province, - - 2014
Stroke is usually treated by systemic thrombolytic therapy if the patient presents within an appropriate time window. There is also widespread interest in the development of thrombolytic agents that can be used in cases of delayed presentation. Current agents that can be used in cases of delayed presentation of nerve ...
Soipi Soip - - 2014
Herein we present 82-year-old man with leiomyosarcoma arising from the spermatic cord with scalp metastasis, five years after primary surgical treatment. Complete surgical excision is required in such cases, as well as precise evaluation of further therapy. Paratesticular leiomyosarcoma is a rare entity, malignant mesenchimal tumor of smooth muscle differentiation. ...
Milbourn Benjamin T - - 2014
The concept "everyday" appears unchallenged and problematic when applied to people who experience disrupted lives through illness or disability. This study draws upon social and philosophical theory to review the relevance of the concept "everyday" when applied to contemporary occupational therapy and the lives of individuals who experience biographical disruption. ...
Maspero C C Maxillo-Facial and Odontostomatological Unit, Fondazione Ca' Granda IRCCS, Ospedale Maggiore Policlinico, Department of Orthodontics, University of Milan, Milan, Italy - - - 2014
Atypical swallowing is a myofunctional problem consisting of an altered tongue position during the act of swallowing. High incidence in population, multifactorial etiology and the recurring connection with the presence of malocclusions made it a topic of strong interest and discussion in science. The purpose of this review is to ...
Cherian Jacob J Division of Pediatric Neurosurgery, Texas Children's Hospital, Department of Neurosurgery, Baylor College of Medicine, 6621 Fannin Street, CCC 1230.01, 12th Floor, Houston, TX, 77030, - - 2014
Vertebral hemangiomas are common benign vascular tumors of the spine. It is very rare for these lesions to symptomatically compress neural elements. If spinal cord compression does occur, it usually involves only a single level. Multilevel vertebral hemangiomas causing symptomatic spinal cord compression have never been reported in the pediatric ...
Sadek Mikel M New York University Langone Medical Center, Department of Surgery, New York, NY, USA - - 2014
Tumescent anesthesia refers to the percutaneous administration of large volume anesthetic to cause the target tissue to become swollen or firm. The use of tumescent anesthesia is essential for the treatment of refluxing truncal veins using endothermal technologies. In order to obviate the use of tumescent anesthesia as an adjunct ...
Rasmussen Keith G KG From the Departments of *Psychiatry and Psychology and †Anesthesiology, Mayo Clinic, Rochester, - - 2014
Most anesthetic agents used for electroconvulsive therapy (ECT) have few intrinsic adverse effects. Ketamine, however, is well known to be associated with a variety of adverse effects including nausea, dizziness, and psychotomimetic phenomena. Over the past several decades, there have been numerous reports on the use of ketamine for ECT ...
Rasmussen Keith G KG From the Department of Psychiatry and Psychology, Mayo Clinic, Rochester, - - 2014
Propofol is a commonly used anesthetic drug for electroconvulsive therapy (ECT), as evidenced by the frequency with which its use is reported in ECT literature. Concerns have been raised over its propensity to be associated with shortened seizure duration vis-à-vis other anesthetic drugs, thus limiting its use in some settings. ...
Chan I Lym IL Sector of Dermatology and Post-Graduation Course, University Hospital and School of Medicine, Federal University of Rio de Janeiro, - - 2014
We present a typical case of dermatofibrosarcoma protuberans with local recurrence 2 months after surgery and, motivated by this patient, make a review of the most important aspects. This is a rare tumor and we call special attention to the fact that its recurrence is extremely frequent, so there is ...
Medford Richard R Division of Infectious Diseases, Department of Medicine, Queen's University, Kingston, Public Health - - 2014
The authors describe the first case of Weissella confusa infection of a prosthetic joint. Identification of the pathogen required 16S ribosomal RNA sequencing of isolates obtained on two separate occasions during the assessment of an elderly woman with a painful, swollen knee following total knee arthroplasty. A review of reported ...
Fuzzard Dujon R W DR Department of Ophthalmology, The Royal Melbourne Hospital, University of Melbourne, Parkville, Vic., - - 2014
The development of biopharmaceutical agents, including the interferons (IFN), offers new treatment options for a wide range of medical conditions. Such advancements, however, have not come without risk to patients. Optic neuropathy in the setting of IFN therapy has been previously documented and is usually attributed to anterior ischaemic optic ...
Le Ann A Stanford Hospital and Clinics, Stanford, CA, - - 2014
Extravasation is a potential complication associated with intravenous therapy administration. Inadvertent leakage of medications with vesicant properties can cause severe tissue necrosis, which can lead to devastating long-term consequences. Recognizing potential agents is an essential step in mitigating the risk of extravasation. A literature search was carried out using PubMed ...
Pillai Saila T ST Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Heart and Vascular Institute, Cleveland, - - 2014
A 30-year-old male underwent a corrective posterior instrumented spinal fusion for scoliosis. Six years later, he was found to have an aortic dissection after aortic penetration of a spinal pedicle screw. We review the literature, including diagnostic modalities, and treatment decision-making for this unusual complication.
Wang Jing-Xia JX Department of Head-neck Otolaryngology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, - - 2014
AMYLOIDOSIS is a benign process which can have systemic involvement. Though larynx is the common site of localized amyloidosis in the head and neck region,1 it was seldom reported with heterochronous implication of bilateral ventricles. Here we report a case of laryngeal amyloidosis heterochronously localized at bilateral ventricles with tracheobronchial ...
Wu Liang L Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, No.6 Tiantan Xili, Dongcheng District, 100050, Beijing, - - 2014
As a vascular malformation, venous angioma in the spinal cord is extremely rare. To our knowledge, there are only five case reports in the literature, and it has not been previously reported in the pediatric age group. In this paper, we report on a 3-year-old patient who presented with progressive ...
Nayak Shweta S Magee-Womens Hospital, University of Pittsburgh Medical Center, Pittsburgh, PA. Electronic address: - - 2014
To describe a case of prolonged vaginal bleeding in a prepubertal girl. Review of medical record and literature search. A 7-year-old female was referred to our pediatric and adolescent gynecologic clinic for evaluation of vaginal bleeding and ovarian cyst on ultrasonography. Her parents denied any history of trauma or sexual ...
Sekiguchi Yasunobu Y Department of Hematology, Juntendo University Urayasu Hospital, 1-1, 2-Chome, Tomioka, Urayasu, Chiba - - 2014
A 90-year-old man presented with subcutaneous ecchymoses. He had been under treatment with dabigatran etexilate methanesulfonate (DEM). Prolonged APTT and decreased PT was developed 2 months after the start of DEM, more prolonged 6 months later. DEM was discontinued, the coagulopathy did not improve. Factor V activity was decreased, along with appearance ...
Fiegel Matthew J MJ 1University of Colorado Hospital, Aurora, CO, - - 2014
The regional anesthesia literature was quite active in the calendar year 2013. In typical fashion, the literature was composed of articles representing neuraxial analgesia, peripheral nerve blocks, patient outcomes, regional anesthesia adjuvant medications, and patient safety. The goal of this article is to summarize and present the most relevant articles ...
Allison David W - - 2014
The use of transcranial motor evoked potentials (TCMEPs) to detect and hopefully prevent injury to the brain, spinal cord, and peripheral nerves intraoperatively has increased greatly in recent years. It is well established that in addition to certain anesthetic agents, patient factors such as advanced age, obesity, diabetes, hypertension, and ...
Kim Young-Mo YM Department of Orthopaedic Surgery, Chungnam National University Hospital, Daejeon, - - 2014
The authors report a case of localized nodular tenosynovitis originating from the medial plicae of the knee that was grossly observable, palpable, and symptomatic. A 41-year-old male visited our hospital with a complaint of knee pain that began 4 years ago. He complained of intermittent catching and a mass that ...
Griessenauer Christoph J CJ Division of Neurosurgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, - - 2014
Venous drainage of the spine and spinal cord is accomplished through a complex network of venous structures compartmentalized to intrinsic, extrinsic, and extradural systems. As the literature on this topic is scarce, the following review was performed to summarize the available literature into a single coherent format. The medical literature ...
Craig Douglas D Department of Anesthesia, McGill University Health Centre, McGill University, Room D10.142, 1650 Cedar Avenue, Montreal, QC, H3G 1A4, Canada, - - 2014
The timing of the earliest reported ether anesthetics in early 1847, in regions to become Canada in July 1867, was examined using information from on-line and library-based sources. Previous authors had identified the first reported ether anesthetic given by a visiting American dentist in January 1847 in Saint John, New ...
Patzkowski M M Department of Anesthesia, Walter Reed National Military Medical Center, Bethesda, MD, USA. Electronic address: - - 2014
We report a novel circumstance of brachial plexus anesthesia in a parturient. A 25-year-old woman at 34weeks of gestation presented with a pathologic proximal right humerus fracture from an intramedullary mass. She was scheduled for tumor biopsy which was performed using a two-site ultrasound-guided brachial plexus block to maximize odds ...
Ito Hirotaka H Department of Neurosurgery, Tokyo Metropolitan Neurological Hospital, - - 2014
We herein report the case of a 63-year-old woman with an acute spontaneous cervical epidural hematoma who presented with acute hemiparesis and was successfully managed with surgery. Based on a literature review of 50 cases of spontaneous cervical epidural hematomas, we concluded that the relatively high frequency of hemiparesis (12 ...
Kate Mahesh P MP Department of Medicine, University of Alberta, Edmonton, T6G0T1, - - 2014
The spectrum of presentation of intracranial hypotension is clinically perplexing. We report a case of 31-year-old post-partum woman who underwent an uneventful caesarean section under spinal anesthesia. From the second day of surgery she developed postural headache, the headache lost its postural character after few days. She then developed seizures ...
Tan Sien Hui SH Department of Anaesthesia, National University Hospital, 5 Lower Kent Ridge Road 119 074, - - 2014
We present a 9-year-old boy with X-linked cerebral adrenoleukodystrophy (X-linked ALD) and previous umbilical cord transplant who required general anaesthesia. An anaesthetic plan for each individual should be tailored to ensure the best possible anaesthetic care for these patients. The anaesthetic considerations include mental retardation, seizure disorder, hypotonia, liver function ...
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