Open Access DOI:10.23937/2469-5750/1510050

A Pustular Psoriasis Limited to the Glans Misdiagnosed as Balanitis or Reiter's Syndrome

Zijian Gong, Yayin Sun, Yating Peng, Wei Lai, Qingfang Xu and Yue Zheng

Article Type: Case Report | First Published: November 03, 2017

Genital pustular psoriasis is a rare condition characterized by well-demarcated, clear erythematous, absence of the typical scaling which is apparent on non-genital psoriasis. We describe a 30-year-old man with pustular psoriasis limited only to the glans, he was successively misdiagnosed as balanitis, Reiter's syndrome, coinfection of genital herpes and treated with itraconazole, prednisone, valaciclovir respectively, but without control. Skin biopsy was performed, and histopathological examina...

 Open Access DOI:10.23937/2378-3419/1410086

The Omission of Axillary Lymph Node Dissection in Sentinel Node-Positive Breast Cancer Patients Requires Careful Consideration

Hiroko Nogi, Takashi Kazama, Rei Mimoto, Yoshimi Imawari, Makiko Kamio, Hisashi Shioya, Yasuo Toriumi, Ken Uchida, Masafumi Suzuki and Hiroshi Takeyama

Article Type: Research Article | First Published: October 30, 2017

Sentinel Node Biopsy (SNB) is used to accurately assess axillary lymph node status in patients with node-negative breast cancer. The purpose of this study was to assess the association between non-sentinel node (SN) metastasis and clinicopathological findings in patients with one or two SN-positive breast cancer....

 Open Access DOI:10.23937/2378-3001/1410069

Glycilated Hemoglobin and Cognitive Impairment

Jana Binder, Agnies Marczak and Georg Adler

Article Type: Research Article | First Published: November 03, 2017

Hyperglycemia and type 2 diabetes mellitus have been shown to have a negative impact on cognitive performance in older adults. In order to assess the relevance of this effect in memory clinic patients, we examined the relationship between hyperglycemia and cognition in an unselected out-patient sample....

 Open Access DOI:10.23937/2378-3001/1410068

Perceptions of Fetal Alcohol Spectrum Disorders (FASD) among School Superintendents in the State of Minnesota

Jerrod Brown, Donald Helmstetter, Diane Harr and Jeff Louie

Article Type: short review article | First Published: November 02, 2017

Children with Fetal Alcohol Spectrum Disorders (FASD) offer unique challenges in school and other settings. As such, administrators such as district superintendents, many of whom make recommendations for long-term suspensions or expulsion, need to be prepared to work with students with FASD. This requires familiarity with FASD screening, knowledge of FASD intervention and teaching strategies, and possession of a plan for referring these students for additional assistance....

 Open Access DOI:10.23937/2469-5777/1510055

Saved by the Bar: A Report of Bullet Deflection by Nuss Bar

Farris Serio and Andrew McCague

Article Type: Case Report | First Published: October 27, 2017

This is the case of a 17-year-old male who was saved from a penetrating thoracic gunshot wound by the extra-thoracic segment of a Nuss bar, placed 7 months earlier for treatment of a pectus excavatum defect. We discuss the significance of non-penetrating thoracic trauma and the workup involved....

 Open Access DOI:10.23937/2377-4630/1410059

Pourfour Du Petit Syndrome Presenting as Subdural Block. A Rare Complication of Obstetric Epidural Analgesia: A Case Report

Edward M Becerra, Jose L Aguilar, Raquel Pelaez, Jakeline R Jurado and Jordi Ballabriga

Article Type: Case Report | First Published: October 26, 2017

To report a rare case of Pourfour du Petit Syndrome (PDPS), presenting clinically as subdural block (SDB), as a complication of Obstetric Epidural Analgesia (OEA). PDPS is described as reverse Horner´s syndrome. It is characterized by mydriasis, exophthalmos, eye-lid retraction and hyperhidrosis....

 Open Access DOI:10.23937/2378-3656/1410191

First Report of Geniospasm in a Five-Generation Brazilian Family: Clinical Features, Electromyography Findings and Botulinum Toxin Treatment

Carvalho LB, Rampim DB and Chung TM

Article Type: Case Report | First Published: October 28, 2017

Geniospasm is a rare movement disorder characterized by spontaneous, involuntary, irregular trembling of the chin and the lower lip with accompanying involuntary contractions of the mentalis muscle. It is thought to be an autosomal-dominant inherited condition with high penetrance, which typically manifests in early life and is triggered....

 Open Access DOI:10.23937/2378-3656/1410190

Hypnosis and Transversus Abdominis Plane Block for Brugada Syndrome Anesthesia: A Case Report

Pauline dos Santos, Loic Cailleau, Yveline Coscoy, Antoine Strzelecki, Benjamin Le Gaillard, Christophe Pelletier, Mireille Houadec, Celine Guerrini and Edmundo Pereira de Souza Neto

Article Type: Case Report | First Published: October 27, 2017

Brugada syndrome is a distinct form of an arrhythmic disease affecting ionic channels of the heart. We report the anesthetic management of a patient with Brugada syndrome for inguinal hernia repair which was managed satisfactorily with combined light anesthesia, hypnosis with indirect suggestions and transversus abdominis plane block....

 Open Access DOI:10.23937/2378-3656/1410189

Brief Comment on the Challenge and Opportunities for Effective Containment of the Type 2 Diabetes Mellitus Epidemic that Affects the World Population

Maria Eugenia Velasco-Contreras

Article Type: Commentary | First Published: October 25, 2017

It is a chronic disease associated with multiple health problems: Cardio-cerebrovascular, cancer, behavioral disorders, depression or anxiety, localized or generalized neuropathy problems due to irritation or destruction of the myelin layer, non-traumatic lower limb amputation, blindness, terminal renal damage, the leading cause of death in many countries....

 Open Access DOI:10.23937/2377-9004/1410107

Anterior Vaginal Wall Epitheloid Leiomyoma: A Case Report

Priyanka Singh, Leong May Ying and Han How Chuan

Article Type: Case Report | First Published: October 26, 2017

Primary paraurethral tumours of benign nature in females are quite infrequent. Physical examination and imaging modalities like ultrasound and magnetic resonance imaging of the pelvis help in characterising the mass morphologically and structurally. They also help to decipher the relationship of the mass with the urethra and the vagina....