Open Access DOI:10.23937/2643-4512/1710050
Pathophysiology and Non-Pharmacological Management of Allergic Rhinitis
Kamlesh Kumar Dubey and Mila Nu Nu Htay
Article Type: Review Article | First Published: September 30, 2020
Allergic rhinitis (AR) is one of the commonest allergic manifestations affecting approximately 400 million people worldwide. It is associated with a reduced quality of life, low productivity in the workplace, and poor school performance. On the other hand, medical cost increases. Allergic rhinitis has a considerable effect on the quality of life and can have significant consequences if left untreated. Many patients downplay rhinitis symptoms as an inconvenience rather than a disease. The majorit...
Open Access DOI:10.23937/2378-3656/1410322
Mesothelial Cells in Lymph Nodes Associated with Massive Pericardial and Bilateral Pleural Effusion, a Diagnostic Dilemma: Report of a Case
Mohammadali Boroumand, MD, Mina Ghorbanpour Landy, MD and Narges Shahbazi, MD
Article Type: Case Report | First Published: October 07, 2020
Malignant pleural mesothelioma is a rare neoplasm that mostly occurs in elderly men. Recurrent unilateral pleural effusion is the most typical presentation and it is very rare to find extra-thoracic lymphadenopathy before the primary tumor, even in advanced cases. Herein, we report a challenging case of a young man presenting with unresolved fever, sore throat, and dysphagia associated with massive pleural effusion, cardiac tamponade, and multiple cervical lymphadenopathy with mesothelial cells ...
Open Access DOI:10.23937/2378-3656/1410321
Unilateral Blindness: Exceptional Complication of Anti-Vitamin K about a Case
Salmi A
Article Type: Original Article | First Published: September 30, 2020
We report the case of a patient hospitalized for management of orbital hematoma on overdose with oral anticoagulants. With the increase of the hematoma and protrusion of the eyeball, the patient came to ICU, including CT scan of the eye had objectified hemorrhagic infiltration of the orbit, head of exophthalmos. Laboratory tests, found a INR greater than 9. The treatment consisted of a vitamin K antagonist by the associated PFC in default of prothrombin complex concentrate. Ophthalmological, evo...
Open Access DOI:10.23937/2378-3656/1410320
A Case Arthrogryposis Multiplex Congenita with Renal Affection at Older Age
Abeer Awad Abdellatif, Mervat Essam Behiry and Asmaa Ezzat
Article Type: Case Report | First Published: September 30, 2020
Report on a known case of female patient, 58-years-old, deaf since birth with skeletal deformity presenting with acute kidney injury. These features are consistent with diagnosis of arthrogryposis multiplex congenita. A congenital disease presenting with multiple joint contractures and deformity with deafness and may be renal affection. The second point is that, up to our knowledge, we are the first authors to take into consideration that the arthrogryposis multiplex congenital may be presented ...
Open Access DOI:10.23937/2377-9004/1410174
In Vitro Fertilization Treatment of a Patient with Primary Partial Empty Sella and Other Co-Factors
Tünde Herman, Péter Török, Antonio Simone Laganà and Attila Jakab
Article Type: Case Report | First Published: September 23, 2020
We report the case of a patient with primary empty sella, who had successful assisted reproductive treatment. The patient is a 28-years-old infertile female with primary amenorrhoea and hypogonadotropic hypogonadism. Serum FSH, LH, E2 indicated central anovulation, but the production of GH, ACTH, TSH and PRL were normal. Obesity and insulin resistance were present. Male partner had asthenozoo-teratospermia and hyperprolactinaemia. After three failed intrauterine inseminations, she was addressed ...
Open Access DOI:10.23937/2377-9004/1410173
Management of Complete Hydatidiform Mole with Co-existing Fetus
Kaitlin DiBartola, MD, Devin Smith, MD, Kara Rood, MD and David O'Malley, MD
Article Type: Case Report | First Published: September 21, 2020
Complete hydatidiform mole with co-existing fetus (CHMCF) is a rare obstetrical finding. These pregnancies pose a unique set of health concerns including hemorrhage, thyrotoxicosis, preeclampsia, and gestational trophoblastic neoplasia (GTN). In this report, we present a 34-year-old G5P1 presented at 6 weeks and 5 days with vaginal bleeding. Further follow-up revealed a complete hydatidiform mole with co-existing fetus in a patient who desired continuation of pregnancy. There is a lack of data a...
Open Access DOI:10.23937/2377-9004/1410172
Case Report: Pregnancy While Using an IUD
Elvin Piriyev and Thomas Römer
Article Type: Case Report | First Published: September 19, 2020
Intrauterine contraception, mostly in the form of copper IUD or hormone-releasing system, is a widely used method with a high level of contraceptive security. Despite high contraceptive efficiency, pregnancy can still occur. Pregnancy with a levonorgestrel-releasing intrauterine system (LNGIUS) in situ is very rare. Intracavitary pregnancy with an IUD can lead to a higher risk of infection and preterm birth. We present the case of a 28-year-old woman who was admitted to our hospital due to pregn...
Open Access DOI:10.23937/2643-4474/1710042
Neuronavigation in Reconstructive Surgery of a Large Skull Defect after Decompressive Craniectomy: Case Report
Zhanna Semenova, MD, PhD and Andrei Marshintsev
Article Type: Case Report | First Published: September 21, 2020
In the absence of autogenous bone due to various reasons, the choice of an implant becomes an important problem of reconstructive surgery. With introduction of computer modelling and development of prototyping technologies the issues of cosmetic reconstructive operations are becoming less relevant. In late cranioplasty implant production and installation is complicated by the presence of significant bone growth along the perimeter of cranial defect. The ability to adjust implant to a bone window...
Open Access DOI:10.23937/2572-3278.1510044
The Impact of Dairy Elimination on Pediatric Atopic Dermatitis
Aleksandra Nikolovski and Stefan Rallis
Article Type: Case Report | First Published: September 23, 2020
Atopic dermatitis (AD) is a relatively common, inflammatory skin condition of variable severity. Known food allergens such as dairy may play a role in the exacerbation of this T-cell mediated autoimmune condition. A four-year-old patient with severe, non-resolving AD was placed on a dairyfree elimination diet. Quantitative analysis included the use of the Hanifin and Rajka diagnostic tool and the Scoring Atopic Dermatitis Calculator (SCORAD). The patient demonstrated a 76% improvement in her sym...