Open Access DOI:10.23937/2378-3656/1410355

New Diagnostic Algorithm to Asymptomatic Coronary Artery Disease in Patients with Lower Peripheral Artery Disease

Yasemin Saglam, MD and Ersin Saricam, MD

Article Type: Original Article | First Published: June 30, 2021

To suggest a risk index to prediction of coronary artery disease severity by examining lower extremity arterial regions in the patients with lower extremity peripheral artery disease. We retrospectively examined 4255 patients who experienced coronary angiography between September 2015 and January 2020. Medicana International Ankara Hospital Ethics Committee accepted the study schedule [Numbered: 2017/1]. Of the patients, 400 patients underwent both coronary angiography and lower extremity angiog...

 Open Access DOI:10.23937/2378-3656/1410354

Cyclophosphamide Induced Posterior Reversible Encephalopathy Syndrome (PRES) in a Patient with Lupus Nephritis

Chandan Buttar, MD, Sofia Lakhdar, MD, Francisco Cuevas Castillo, MD and Adriana Abrudescu

Article Type: Case Report | First Published: June 30, 2021

Immunosuppressant agent cyclophosphamide is a therapeutic option for treatment of systemic lupus erythematosus (SLE). Cyclophosphamide use is a predisposing factor to development of posterior reversible encephalopathy syndrome (PRES). PRES is a clinical syndrome of headache, altered mental status, changes in vision and seizures. Precipitating factors for PRES are multifactorial and include cytotoxic medications, changes in blood pressure, metabolic derangements and autoregulatory failure. We rep...

 Open Access DOI:10.23937/2378-3656/1410353

Biclonal Gammopathy of Iga Kappa Variant in a Patient with Systemic Lupus Erythematosus: A Case Report

Hicham Esselmani, Asmaa Yassine, Boutaina Akhatar, Otmane Touzani and Abderrazak Lfakir

Article Type: Case Report | First Published: June 30, 2021

The association of systemic lupus erythematosus and multiple myeloma is an uncommon event. Biclonal gammopathy is a rare case, which accounts for only 1.5% of all myelomas but biclonal gammopathy of IgA kappa variant is extremely rare. We report this unusual case in which the simultaneous diagnosis of biclonal gammopathy of IgA kappa variants and systemic lupus erythematosus was made. A 56-year-old man has a past medical history of renal failure (secondary to type 2 diabetes diagnosed 11 years b...

 Open Access DOI:10.23937/2378-3656/1410352

Another Great Pretender: A Case of Tuberculous Peritonitis Mistaken for Malignancy

Lauren Belak, Jane Fazio, Nicole Treadway and Iris Castro-Revoredo

Article Type: Case Report | First Published: June 28, 2021

A 34-year-old female with a history of anemia, low grade cervical dysplasia, and high-risk HPV presented with a 7-day history of worsening abdominal distension, following one month of progressive fatigue, anorexia, weight loss, and subjective fevers. She denied respiratory symptoms, night sweats or changes in bladder or bowel function. The patient immigrated from Mexico 15 years prior, and briefly lived with her father and brother who were both treated for TB decades before. Her aunt and grandmo...

 Open Access DOI:10.23937/2378-3656/1410351

A Rare Case of Adamantinoma in an 11-Year-Old

Pouyan Kheirkhah, Bartlomiej Radzik, Kyle Sonnabend, Grace Guzman and Steven Garzon

Article Type: Case Report | First Published: June 28, 2021

Adamantinoma is a low-grade malignant lesion most frequently arising in the tibial cortex. Approximately 27% of adamantinomas present with multifocal lesions in the same bone and 10% of cases involve the ipsilateral fibula. We describe an 11-year-old male with no significant past medical history who presented to the clinic with a 2-year history of abnormal gait. Two years after the onset of symptoms, a painful mass was noticed on his left shin. Patient biopsy showed a nest of epithelial-like ce...

 Open Access DOI:10.23937/2474-3682/1510179

Intrathoracic Extramedullary Hematopoesis in a Patient with Thalassemia Intermedia

Emine Afsin, MD

Article Type: Image Article | First Published: May 31, 2021

A 52-year-old male patient was referred to our outpatient clinic with complaints of cough, hemoptysis (minimal), and chest pain radiating to the back. The patient’s smoking history was five packs/year, and he was yet an active smoker. On physical examination, respiratory sounds and other system examinations were normal. In laboratory tests, the hemoglobin level was 6.7 g/dL, platelet was 986000 u/L, leukocyte was 13500 u/L, ferritin was > 2000 ng/ml, sedimentation was 2 mm/h, and C-reactive pr...

 Open Access DOI:10.23937/2643-3907/1710051

Implant Insertion after Using of Oxidized Regenerated Cellulose as a Graft Material in a Transalveolar Maxillary Sinus Floor Elevation

Ahmed AH El-Feky

Article Type: Original Article | First Published: June 23, 2021

A clinical study was conducted on sixteen patients, suffering from partially edentulous areas at the maxillary posterior region. Sixteen patients with 18 implants were divided randomly into two equal groups 8 patients with 9 implants in each group. Study group, patients were subjected to trans alveolar sinus lift and Oxidized cellulose (SurgicelSNoW)® Absorbable Hemostat, Ethicon Inc., USA) graft were applied and immediate implant placement. Control group, patients were subjected to trans alveo...

 Open Access DOI:10.23937/2643-3907/1710050

Adenomatoid Odontogenic Tumor: Case Report and Literature Review

Vanessa Espinoza, DDS and Roberto Ortiz, DDS

Article Type: Case Report | First Published: June 23, 2021

The Adenomatoid Odontogenic Tumor presents in low frequency. It is originated from epithelial rests, specifically from the dental lamina, and shows similar characteristics to a wide variety of pathologies. Is a benign non-invasive lesion that can be manage by conservative treatment. Thus, is important to recognize and differentiate it from other pathologies that required more aggressive surgical treatment. The objective of the present article is to report a case of an Adenomatoid Odontogenic Tum...

 Open Access DOI:10.23937/2377-9004/1410203

Neoadjuvant Chemotherapy during Pregnancy in Cervical Cancer Patient Followed by Simultaneous Cesarean Section and Radical Hysterectomy: A Case Report

Olga P Matylevich, MD

Article Type: Case Report | First Published: June 20, 2021

Current recommendations for pregnant women with cervical cancer depend on several factors, such as the stage of the disease, the gestational age at the time of diagnosis, and the patient’s desire to maintain the pregnancy. This report describes the case of a 24 weeks pregnant woman with stage IB2 cervical cancer who was successfully treated with three cycles of platinum-based neoadjuvant chemotherapy followed by a simultaneous Сaesarean section and radical hysterectomy. Her newborn daughter w...

 Open Access DOI:10.23937/2377-9004/1410202

A Case Report of Possible Superfetation with Evidence of Ultrasound Findings, Gestational Age Calculations and Postnatal Complications

Taylor Alten, PA-S and Kevin Alten, MD

Article Type: Case Report | First Published: June 18, 2021

Superfetation is a when second ovum is fertilized after there is already presence of an embryo in the uterine cavity. Human superfetation is extremely rare with less than 10 cases in the literature. According to previous research, the diagnosis of superfetation is suspected when there is a growth discrepancy in a multiple pregnancy. We present a case of a 35-year-old gravid 1 para 0 who presented to her OB/GYN at 7 weeks by known last menstrual period (LMP) for her first prenatal visit. She was ...