60,183 results match your criteria describes case

Alopecia areata severity index (AASI): a reliable scoring system to assess the severity of alopecia areata on face and scalp- a pilot study.

J Cosmet Dermatol 2021 Jun 15. Epub 2021 Jun 15.

Dermatologist JK Medical Services, Department of Health and Family Welfare, Kashmir.

Background: All scoring systems used in Alopecia Areata (AA) focus mainly on scalp and cannot assess the severity or treatment response when AA involves the beard hair, eyebrows or eyelashes.

Aim: This study describes and assesses the reliability of a new scoring system 'Alopecia Areata Severity Index' (AASI) for measuring the severity of AA of scalp, beard and upper face.

Methods: Scalp hair, beard hair, upper face (eyebrows and eyelashes) were individually assessed and the severity of AA was scored from 0 to 100 (0-50 in case of upper face). Read More

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Clinical Ethics Consultation during the First COVID-19 Lock Down in France: The "Commitment Model": Balancing General Questions and Individual Cases.

J Clin Ethics 2021 ;32(2):155-164

Centre d'éthique clinique, 27 Rue du Faubourg St. Jacques, 75014 Paris, France.

During the first outbreak of COVID-19, the French governmental advisory council on bioethics suggested the need to support healthcare providers with ad hoc "ethical support units." Several units engaged in such endeavors across the country. This article outlines some methodological considerations made by the Cochin Hospital Clinical Ethics Center (the Cec). Read More

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Teaching Outbreak Investigations with an Interactive Blended Learning Approach.

J Vet Med Educ 2021 Jun 15:e20200077. Epub 2021 Jun 15.

Public health is a central but often neglected component of veterinary education. German veterinary public health (VPH) education includes substantial theory-focused lectures, but practical case studies are often missing. To change this, we combined the advantages of case-based teaching and blended learning to teach these topics in a more practical and interactive way. Read More

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Mental health of children with neurodevelopmental disorders during COVID-19: A brief report of family experiences from a low and middle income country.

Clin Child Psychol Psychiatry 2021 Jun 15:13591045211026058. Epub 2021 Jun 15.

Center for Advanced Research and Excellence in Autism and Developmental Disorders (CAREADD), St. John's Medical College, Bangalore, Karnataka, India.

COVID-19 has grossly impacted lives of people across the globe. In particular, children have also been affected due to closure of schools, therapy, and day care centers. Families have been challenged with new circumstances, and mental health professionals are coming up with novel ways to help these families who have children with mental health issues. Read More

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A Novel PRPH2/RDS Mutation Identified in a Family with Varying Clinical Manifestations: A case report.

Retin Cases Brief Rep 2021 Jun 11. Epub 2021 Jun 11.

Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, United States of America Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, United States of America.

Purpose: To present the case of a family with a novel PRPH2/RDS mutation.

Methods: A case report.

Patients: A 44 year old female and her immediate family, including a father and sister who shared her PRPH2/RDS mutation. Read More

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A colossal, enigmatic, and long-lasting high-sensitivity cardiac troponin T elevation.

Clin Chim Acta 2021 Jun 11;520:214-216. Epub 2021 Jun 11.

Department of Clinical Biochemistry, Cliniques Universitaires St-Luc and Université Catholique de Louvain, Brussels, Belgium; Pôle de recherche en Endocrinologie, Diabète et Nutrition, Institut de Recherche Expérimentale et Clinique, Cliniques Universitaires St-Luc and Université Catholique de Louvain, Brussels, Belgium.

This case describes the incidental finding of a massive and persistent elevation of troponin T in a patient with end-stage renal disease. This high troponin T value was not consistent with the patient's clinical condition and the laboratory was called in to investigate this discrepancy. After exclusion of analytical interference and discovery of a discordance between troponin T and troponin I, a clinical investigation including cardiac and whole-body magnetic resonance imaging was performed. Read More

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Immediate Endoscopic Dacryocystorhinostomy in Patients With New Onset Acute Dacryocystitis.

Laryngoscope 2021 Jun 14. Epub 2021 Jun 14.

Department of Orbital and Oculoplastic Surgery, Eye Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.

Objectives: To compare the results of immediate endoscopic dacryocystorhinostomy (En-DCR) and delayed En-DCR in the treatment of new-onset acute dacryocystitis (AD).

Study Design: This report describes a prospective randomized controlled interventional case series.

Methods: Between April 2009 and May 2019, 176 adults presenting at a tertiary eye care center with new-onset AD manifesting within the last 48 hours were randomized into two groups. Read More

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Paracentral Acute Middle Maculopathy Revealing a Giant Aortic Aneurysm.

Ocul Immunol Inflamm 2021 Jun 14:1-5. Epub 2021 Jun 14.

Department of Neurology, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey.

: This report describes a case with paracentral acute middle maculopathy revealing a giant aortic aneurysm.: A 41-year-old man presented with unilaterally unexplained sudden vision loss in the left eye. Fundoscopy revealed a slightly pale r -26etinal reflex in the superior retinal hemifield. Read More

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Case Report: Stress Fracture in an International Triple Jumper: Importance of an Integrated Care Approach Which Also Incorporates Biomechanics.

Front Sports Act Living 2021 28;3:683691. Epub 2021 May 28.

CHRU-Nancy, University Center of Sports Medicine and Adapted Physical Activity, Nancy, France.

Athletes fear stress fracture (SF) injuries as they can put a premature end to their athletic careers. Understanding any mechanical constraints can suggest preventive management approach. Specifically, for the triple jump, the mechanical stresses that occur during the event appear to be the main factors for risk of injury. Read More

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Bullet-associated ventricular tachycardia: a case report.

Eur Heart J Case Rep 2021 Apr 26;5(4):ytab101. Epub 2021 Apr 26.

Department of Cardiology II (Electrophysiology), University Hospital Münster, Albert-Schweitzer-Campus 1, 48149 Münster, Germany.

Background: The majority of ventricular tachycardias (VTs) occurs in patients with structural heart disease and is associated with an increased risk of sudden cardiac death. These VT are scar-related and may develop in patients with ischaemic or non-ischaemic cardiomyopathies.

Case Summary: We describe a 44-year-old patient without any pre-existing cardiovascular disease, presenting with the first documentation of a haemodynamically unstable sustained fast VT with a cycle length of 250 ms. Read More

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Left anterior descending/right coronary artery bifurcation angioplasty in a rare case of single coronary artery: a case report.

Eur Heart J Case Rep 2021 Apr 21;5(4):ytab047. Epub 2021 Apr 21.

Professor of Medicine & Interventional Cardiologist, Department of Cardiology, Military Hospital, Jaipur-302016, India.

Background: Single coronary artery (SCA) is a rare congenital coronary anomaly with incidence of 8-66 per 100 000 cases. Percutaneous coronary intervention (PCI) in patients with SCA is technically challenging. This is a case of bifurcation angioplasty involving left anterior descending/right coronary artery (LAD/RCA) in a patient with SCA and 1-year follow-up with computed tomography coronary angiography (CTCA). Read More

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Virtual student experiences: A case study of objectives, outcomes, and anticipated consequences.

AEM Educ Train 2021 Jul 9;5(3):e10582. Epub 2021 Mar 9.

Brigham and Women's Hospital Boston Massachusetts USA.

Due to the COVID-19 pandemic, most in-person visiting clerkship opportunities have been canceled. Many institutions have developed virtual experiences to fill this void; however, the format and objectives of these experiences are variable. This article describes an education intervention for visiting students where both learner-oriented and program-oriented outcomes of a nonclerkship virtual student experience are explored. Read More

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Immune checkpoint inhibitor associated ocular hypertension (from presumed trabeculitis).

Am J Ophthalmol Case Rep 2021 Sep 24;23:101125. Epub 2021 May 24.

Ophthalmic Oncology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Purpose: Immune checkpoint inhibitors (ICIs) are associated with a range of immune-related adverse ophthalmic events. To date, there are scant reports of ocular hypertension coupled with ICI-associated uveitis. However, in instances of ocular hypertension in the context of only mild uveitic reaction and absence of synechiae, trabeculitis is considered. Read More

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September 2021

Posterior Mediastinal Epithelioid Angiosarcoma Arising in Schwannoma: A Case Report and Review of the Literature.

Front Surg 2021 28;8:666389. Epub 2021 May 28.

Lishui Municipal Central Hospital, Lishui, China.

Epithelioid angiosarcoma arising in schwannoma is an extremely rare mesenchymal tumor that accounts for only 1 to 2% of all sarcomas. This type of tumor occurs in all parts of the body, most often in the skin and soft tissues and rarely in the mediastinum. The present study describes the case of an asymptomatic, 58-year-old male who presented with epithelioid angiosarcoma in the posterior mediastinum during a physical examination. Read More

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The fate of overfilling in root canal treatments with long-term follow-up: a case series.

Restor Dent Endod 2021 May 29;46(2):e27. Epub 2021 Apr 29.

Unit of Endodontic, Department of Oral Science, Nano and Biotechnology, University "G. D'Annunzio" of Chieti, Chieti, Italy.

This study describes 6 cases of endodontic overfilling with successful clinical outcomes during long-term (up to 35 years) radiographic follow-up. Successful endodontic treatment depends on proper shaping, disinfection, and obturation of root canals. Filling materials should completely fill the root canal space without exceeding the anatomical apex. Read More

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A Fatal Case of Hypertriglyceridemia-Induced Acute Pancreatitis in a Patient With Diabetic Ketoacidosis.

Cureus 2021 May 11;13(5):e14968. Epub 2021 May 11.

Pulmonary and Critical Care, Richmond University Medical Center, Staten Island, USA.

Diabetic ketoacidosis (DKA) with coexisting hypertriglyceridemia-induced acute pancreatitis is a rare yet potentially life-threatening condition. This report describes a patient with no history of diabetes who presented with DKA and coexisting acute pancreatitis secondary to severe hypertriglyceridemia. The patient did not respond to standard DKA management or plasmapheresis, developed acute respiratory distress syndrome (ARDS), and eventually expired. Read More

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Severe Mental Illness: A Contraindication to Watchful Waiting in Hernia Management?

Cureus 2021 May 9;13(5):e14915. Epub 2021 May 9.

Department of Surgery, Eric Williams Medical Sciences Complex, Mount Hope, TTO.

Watchful waiting (WW) is a strategy that can be used to manage hernias whereby patients who are asymptomatic or minimally symptomatic are observed until symptoms worsen or complications develop, prompting surgical intervention. The successful implementation of a WW strategy requires patients to report changes in their clinical condition to receive timely care. Patients who have severe mental illness may defer seeking care when appropriate. Read More

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A Rare Case of Intestinal Low-Grade Endometrial Stromal Sarcoma With Glandular Differentiation and Associated Endometriosis.

Cureus 2021 May 2;13(5):e14801. Epub 2021 May 2.

Histopathology, Northern Care Alliance National Health Service (NHS) Trust, Oldham, GBR.

Endometrial stromal sarcoma is a rare tumour. It is even rarer to find it arising in the background of endometriosis in an extrauterine location. This case report describes a case of missed diagnosis of intestinal extra-uterine endometrial stromal sarcoma associated with endometriosis, and the subsequent presentation with distant metastases. Read More

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Upper Extremity Superficial Vein Thromboses Presenting as Acute Neck Pain in a Young and Healthy Male: A Case Report.

Int J Sports Phys Ther 2021 Jun 1;16(3):854-861. Epub 2021 Jun 1.

U.S. Army Research Institute of Environmental Medicine.

Background And Purpose: Neck pain in the United States is pervasive and contributes to disability. While the majority of neck pain in young and healthy individuals is neuromusculoskeletal in nature, screening for red flags is necessary for ruling-out serious medical pathologies. The purpose of this case report is to describe a young and healthy male subject with a primary complaint of acute neck pain with multiple underlying upper extremity superficial vein thromboses (UESVTs). Read More

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A Targeted Approach to Evaluating the Golfing Athlete with Low Back Pain: A Resident's Case Report.

Luke Deckard

Int J Sports Phys Ther 2021 Jun 1;16(3):636-650. Epub 2021 Jun 1.

ProRehab Physical Therapy.

Background And Purpose: Low back pain is one of the most common conditions occurring in the golfing population. Many approaches have been utilized throughout the years to address this condition including the concept of regional interdependence. The purpose of this case report is to describe the evaluation process and treatment approach of a golfer with low back pain using the principles of regional interdependence. Read More

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Fusion or Gemination? Diagnosis and Management in Primary Teeth: A Report of Two Cases.

Case Rep Dent 2021 1;2021:6661776. Epub 2021 Jun 1.

Pediatric and Preventive Dentistry Department, Faculty of Dental Medicine of Monastir, Monastir, Tunisia.

Primary double teeth (PDT), referring to either gemination or fusion, are one of the most important and frequent developmental dental anomalies that can affect children's oral health. Many clinical complications are correlated with these anomalies, such as dental caries, malocclusions, periodontal problems, and dental anomalies in permanent dentition. The aim of this report was to describe, through two cases, a case of gemination and another of fusion, the clinical management, the consequent effects, and the possible repercussions of these two developmental abnormalities on permanent successors. Read More

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Obstructive lower urinary tract symptoms (LUTS) as the initial presentation of penile paraffinoma: a case report and literature review.

Pan Afr Med J 2021 15;38:265. Epub 2021 Mar 15.

First Department of Urology, Aristotle University of Thessaloniki, School of Medicine, G. Gennimatas General Hospital, Thessaloniki, Greece.

Penile paraffinoma is a rare condition after penile injection of liquid paraffin or other mineral oils, with well-documented debilitating complications. Nevertheless, such injections are still performed by people of Eastern European and Asian descent for cosmetic penile augmentation. We report a case of penile paraffinoma in an otherwise healthy, 30-year-old male, with obstructive lower urinary tract symptoms (LUTS) as the sole complaint at presentation in the emergency department and a conservative approach. Read More

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Difficult tracheal extubation due to endotracheal tube malfunction: A challenge during the COVID-19 pandemic.

J Taibah Univ Med Sci 2021 Jun 8. Epub 2021 Jun 8.

Department of Surgery, National Hospital, Abuja, Nigeria.

Tracheal extubation is an aerosol-generating medical procedure. A difficult tracheal extubation results in a serious complication that increases the risk of respiratory aerosol and pathogen spread, especially during the COVID-19 pandemic. The management of difficult extubation is potentially even more challenging during the pandemic. Read More

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Fatal necrotising cutaneous mucormycosis due to novel species: a case study.

J Wound Care 2021 Jun;30(6):465-468

Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

This case report describes the progressive wound infection in the left thigh of a 34-year-old man due to an old landmine explosion. The infection developed into rapidly spreading skin and soft tissue necrotising infection, despite antifungal therapy and surgical debridement. The report provides evidence that spp. Read More

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Monocular central retinal artery occlusion caused by bilateral internal carotid artery hypoplasia complicated with patent foramen ovale: a case report and review of literature.

Eur J Med Res 2021 Jun 13;26(1):55. Epub 2021 Jun 13.

Department of Neurology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, 109 Xueyuan Road, Wenzhou, 325027, Zhejiang, China.

Background: Central retinal artery occlusion (CRAO) is an emergent ophthalmic disease which is commonly caused by atherosclerosis, thromboembolism, and arteriospasm. Here, we report a case of CRAO which is caused by extreme rare bilateral internal carotid artery (ICA) hypoplasia complicated with patent foramen ovale (PFO). The cardiogenic emboli blocked central retinal artery through unclosed foramen ovale and specific blood flow pathway. Read More

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An Atypical Bilateral Presentation of Fibrous Dysplasia (FD) in the Mandible: Clinical, imaging and therapeutic characterization.

Int J Surg Case Rep 2021 May 29;84:106049. Epub 2021 May 29.

Department of Oral and Maxillofacial Surgery, Central University of Ecuador, Quito, Ecuador.

Introduction And Importance: Fibrous Dysplasia (FD) is a benign fibro-osseous lesion, characterized by replacement with fibrous connective tissue instead of normal bone. The best treatment option for the condition has not yet been established, although several therapeutic approaches have been reported. The present case report describes the clinical, imaging and therapeutic aspects of an atypical bilateral presentation of FD in the mandible. Read More

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Staged acute mesenteric and peripheral ischemia treatment in COVID-19 patient: Case report.

Int J Surg Case Rep 2021 Jul 9;84:106105. Epub 2021 Jun 9.

Vascular Surgery Unit - AOUP Policlinico 'P. Giaccone', Palermo, Italy.

Introduction: COVID-19 is an infectious disease that has been associated not only with respiratory complications. The COVID-19 disease includes, also damage to other organ systems as well as coagulopathy. The present report describes a case of COVID-19 presenting with acute mesenteric ischemia (AMI) and subsequent acute limb ischemia (ALI). Read More

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Iatrogenic Middle Meningeal Arteriovenous Fistula During Embolization: Two Case Reports and Literature Review.

J Stroke Cerebrovasc Dis 2021 Jun 10;30(8):105909. Epub 2021 Jun 10.

Department of Neurosurgery, St. Mary's Hospital, 422 Tsubukuhonnmachi, Kurume, Fukuoka 8308543, Japan. Electronic address:

Objective Dural arteriovenous fistulae of the middle meningeal artery are rare. There are few reports of complications associated with endovascular therapy. This report describes two cases of iatrogenic middle meningeal arteriovenous fistula due to vascular injury sustained during endovascular treatment. Read More

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Gigantic Ocular Squamous Cell Carcinoma Mixed With Fibrosarcoma in a Mare: Clinical, Laboratory, Ultrasonography and Histopathology Findings.

J Equine Vet Sci 2021 Jul 29;102:103639. Epub 2021 Apr 29.

Pathology Department, Faculty of Veterinary Medicine, Cairo University, Giza, Egypt.

Ocular neoplasms represent 10% of all equine neoplasms and ocular squamous cell carcinoma (OSCC) is the most common one. This report describes the clinical presentation, laboratory, ultrasonography, postmortem, histopathology and immunohistochemistry findings of a mixed ocular neoplasm in a 10-year-old draft mare. The mare had a one-year history of left ocular mass. Read More

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Anti-beta 2 glycoprotein 1 domain IgA positive antiphospholipid syndrome secondary to incomplete Behcet's disease: a case report.

Ann Palliat Med 2021 Jun 8. Epub 2021 Jun 8.

Department of Rheumatology, the First Hospital of Hebei Medical University, Shijiazhuang, China.

Antiphospholipid syndrome (APS) is an autoimmune systemic disorder characterized by arterial, venous, or small vessel thrombosis, and/or recurrent early pregnancy loss, fetal loss, or pregnancy morbidity. APS is induced by persistent positive antiphospholipid antibodies (aPL), the main being lupus anticoagulant (LA), and/or anticardiolipin (aCL) antibodies, and/or anti-beta 2 glycoprotein 1 (β2-GP1) antibodies. Some studies have shown that the incidence of APS is about 5 new cases per 100,000 persons per year, and the prevalence is around 40-50 cases per 100,000 persons. Read More

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