Open Access DOI:10.23937/2469-5696/1410021

Significance of sCD86 Levels in Acute Myelogenous Leukemia Patients: An Egyptian Study

Naglaa M Hassan, Nevin M Al-azhary and Marwa M Hussein

Article Type: Research Article | First Published: May 28, 2016

The aim of the study is to assess the level of soluble CD86 (sCD86) in patients with de novo AML and to compare them with a normal control group to determine any possible role with prognosis and clinical outcome, as the significance of sCD86 in hematologic malignancies is still controversial....

 Open Access DOI:10.23937/2469-5696/1410020

Chronic Use of Adalimumab as Potential Cause of Severe Thrombocytopenia in Psoriatic Arthritis Patient: The Need for Regular Monitoring of Cytopenias

Viviane Chaves Pereira, Karoline Honorato Costa and Leonardo Rodrigues de Oliveira

Article Type: Case Report | First Published: May 28, 2016

Although they are rare, severe hematologic adverse effects are described and may be fatal. The current study describes the case of a patient presenting psoriatic arthritis, and under prolonged treatment with adalimumab. His condition worsened due to severe acute thrombocytopenia and severe hemorrhagic manifestations. Adalimumab was considered to be the probable cause of the thrombocytopenia and, therefore, its use was discontinued. The treatment consisted of corticosteroids, human immunoglobulin...

 Open Access DOI:10.23937/2377-4630/3/2/1046

A Retrospective Review of Corneal Abrasions after Oncologic Surgery in a Tertiary Cancer Center

SJ Gandhi, A Zavala, U Williams, A Van Meter, P Hsu, DS Gombos and P Owusu-Agyemang

Article Type: Research Article | First Published: May 07, 2016

Corneal abrasions are the single most common ocular injury in the perioperative period. The exact etiology of perioperative corneal abrasions is usually unclear, and several risk factors have been described. The aim of our study was to determine the incidence of known and hypothetical risk factors for corneal abrasion in a cohort of cancer patients who had developed corneal abrasion after oncologic surgery. Our review showed a high incidence of risk factors which were similar to that reported fo...

 Open Access DOI:10.23937/2469-5807/1510038

Myofibroblasts Role in Wound Healing of Εyelid Lesions

Trisevgeni Ntinioti, Georgia-Heleni Thomopoulou, Eugene Danas, Nikolaos G Kavantzas, Emmanuel Agapitos and Andreas C Lazaris

Article Type: Letter to the Editor | First Published: May 25, 2016

In injured tissues, the repair of the extracellular matrix is organized by activated myofibroblasts. The latter cells support harmonious mechanical tissue organization. At the end of the normal repair process, myofibroblasts disappear by apoptosis but in pathological situations, myofibroblasts likely remain leading to excessive scarring. The eyelids are movable folds of tissue the core of which is represented by a tarsal plate, composed of dense connective tissue, embedded in loose connective ti...

 Open Access DOI:10.23937/2469-5807/1510037

Atypical Retinal Arterial Macroaneurysm

Hans Hoerauf, Philipp Steven and Nicolas Feltgen

Article Type: Case Report | First Published: May 25, 2016

A patient with an atypical retinal arterial macroaneurysm masked by a persistent vitreous haemorrhage mimicking a neoplasm is presented. During vitrectomy a pigmented peripapillary tumour located at large vessels with circinate lipid exsudates was detected. Examination of removed tissue revealed haemosiderin-loaded macrophages resulting in pigmentation. The histologic finding of phagocytosis of intraretinal blood remnants allowed to diagnose an atypical retinal arterial macroaneurysm....

 Open Access DOI:10.23937/2469-5807/1510036

BRAF V600E Immunohistochemistry in Cutaneous Langerhans Cell Histiocytosis: An Analysis of 20 Cases

Ryan C Romano, Wonwoo Shon, Sarah M Jenkins and Karen J Fritchie

Article Type: Review Article | First Published: May 25, 2016

Twenty dermatologic biopsy specimens from 14 patients (9 adults and 5 children) were retrieved. All cases were immunostained with BRAF mutation-specific antibody. Selected BRAF V600E IHC-positive cases were analyzed for BRAF V600E mutation by pyrosequencing. Clinical parameters were correlated with IHC status. BRAF V600E protein overexpression was identified in 15 of 20 (75%) cases (9/14 patients; 5 adults and 4 children). All pediatric patients with bone involvement were BRAF V600E IHC positive...

 Open Access DOI:10.23937/2469-5807/1510035

Severe Complication of POPS: Mesh Malposition in the Bladder

Sabine Kersting, Dirk Kusche, Klaus-PeterJung and Eugen Berg

Article Type: Case Report | First Published: April 30, 2016

The authors present a case of a 68-years-old woman suffering of persistent urinary tract infections accompanied by intermittent fever. She had a history of pelvic organ prolapse suspension (POPS) for descending perineal syndrome with rectal prolapse, carried out elsewhere 15 months ago. Cystoscopy revealed a part of the prolene mesh that was incrusted along the fundus of the bladder to be the source of symptoms. This is probably the first case that reports a complication of POPS, which is a rela...

 Open Access DOI:10.23937/2469-5807/1510034

Opana-Induced Renal and Hepatic Injury: A Case Report and Review

Yahya M Kurdi, Sergey Brodsky and Martha Yearsley

Article Type: Case Report and Literature Review | First Published: April 30, 2016

A 34-year-old Caucasian female presented with headache, fatigue, mild abdominal pain, and dehydration. She admitted to intravenous abuse of "melted" Opana ER tablets (extended-release oral formulation of oxymorphone hydrochloride). Noted clinical signs included tachycardia, tachypnea, and trace peripheral edema. Abnormal laboratory tests included low creatinine clearance, hemoglobin, hematocrit, and platelet. Histological studies of hepatorenal biopsies showed evidence of severe active thromboti...

 Open Access DOI:10.23937/2469-5807/1510033

Anaplastic Large Cell Lymphoma as a Potential Diagnostic Challenge and Pitfall in Aspiration Biopsies of Thoracic Tumours

Justin Bateman, Celeste Morley, Bruce F. Burns and Shahid Islam

Article Type: Case Report and Literature Review | First Published: April 01, 2016

The patient is a 54 year-old male who presented in January 2015 with increasing dyspnea and weight loss over several months, eventually requiring intubation and admission to ICU for respiratory failure. He had a remote history of testicular seminoma and 'melanoma'. A trans-bronchial Wang needle aspirate biopsy of the right sub-carinal lymph node was preformed and showed sheets of large malignant cells with pleomorphic nuclei, multiple prominent nucleoli, and abundant cytoplasm. The tumour cells ...

 Open Access DOI:10.23937/2377-3634/1410060

Evaluation of a Standardized Inpatient Insulin Therapy Based on Electronic Insulin Dose Calculation - A before after Cohort Proof of Concept Study

Rahel Nussbaumer, Philipp Schuetz, Beat Mueller, Robert Thomann and Anne Katrin Borm

Article Type: Original Research Article | First Published: May 31, 2016

Background: Diabetes is a common comorbidity in hospitalized patients. The necessity of blood glucose control in those patients with low variability and avoidance of hypoglycemic episodes is well-known. Yet, there is still only marginal literature about the optimal therapy of hyperglycemia in non critically ill hospitalized patients using tools of modern electronic patients charts. Objectives:The present study aimed to investigate the feasibility, the safety and efficiency of a standardized inpa...