Open Access DOI:10.23937/2378-3656/1410062

Spondyloepiphyseal Dysplasia Tarda with Progressive Arthropathy Associated with Osteoporosis and Cataract: A Case was Misdiagnosed as Juvenile Idiopathic Arthritis

Fatma Gul Yurdakul, Rezan Kocak, Filiz Sivas, Aysegul Altun Guvenir and Hatice Bodur

Article Type: Case Report | First Published: October 09, 2015

Spondyloepiphyseal dysplasia tarda with progressive arthropathy (SEDT-PA) is rare hereditary disorder with autosomal recessive, X-linked recessive or autosomal dominant inheritance. Because of joint involvement SEDT-PA may be confused with juvenile idiopathic arthritis and SEDT-PA also called progressive pseudorheumatoidarthropathy of childhood. The present case had been misdiagnosed as juvenile arthritis and received unnecessary treatments for years....

 Open Access DOI:10.23937/2378-3656/1410061

A Rare Case of Bilaterale Ureterohydronephrosis due to Cystitis Cystica Et Glandularis and Review of the Literature

Zafer Demirer, Ali Guragac, Burak Kopru, Bilal Firat Alp and Ibrahim Yildirim

Article Type: Case Report | First Published: October 05, 2015

Cystitis Cystica Et Glandularis (CCEG) is a metaplastic lesion of the bladder mucosa with a characteristic histopathologic appearance. CCEG are commonly found in specimens taken from the bladder wall of patients with cancer and other diseases or at autopsy. In most cases the course of CCEG is asymptomatic. Some patients complain of hematuria, symptoms associated with the obstruction of the upper urinary tract, or lower urinary tract symptoms. The main symptoms of CCEG accompanied with upper urin...

 Open Access DOI:10.23937/2378-3656/1410060

Untreated Chiari 1 Malformation in Adulthood with Massive Hydrosyringomyelia and Hydrocephalus

Carlo Nicola De Cecco, Davide Bellini, Elisa Porretta, Francesca Cortese, Andrea Laghi and Gianluca Coppola

Article Type: Case Report | First Published: October 1, 2015

We describe a case of untreated Chiari I malformation in adulthood. It is characterized by displacement of the cerebellar tonsils caudally through the foramen magnum, associated with massive hydrosyringomyelia and tetraventricular hydrocephalum. Magnetic Resonance (MR) imaging provides excellent visualization of intracranial and intraspinal malformations, and thus contributes greatly to their correct diagnosis and treatment....

 Open Access DOI:10.23937/2378-3656/1410059

Posterior Uterine Wall Rupture of an Unscarred Uterus in a Woman with History of Congenital Diaphragmatic Hernia Repair

Anna Grassi, Benjamin Scott, Dominic Cammarano, Xuezhi Jiang and Peter F Schnatz

Article Type: Case Report | First Published: September 28, 2015

A 24-year-old woman, gravida 5, para 2, with single gestation at 41 weeks and 1 day was admitted to the labor unit with regular uterine contractions. Her obstetrical history was significant for two previous uncomplicated spontaneous vaginal deliveries, one ectopic pregnancy and one missed abortion. Her medical history was unremarkable. Her surgical history was significant for a congenital diaphragmatic hernia repair as an infant and dilation and curettage for missed abortion. During an uneventfu...

 Open Access DOI:10.23937/2378-3656/1410058

The Challenge of Infections in Frail Elderly: The Story of Mr. Nilsson

Sund-Levander M and Grodzinsky E

Article Type: Case Report | First Published: September 26, 2015

Signs and symptoms of infection in Nursing Home Residents (NHR) are often atypical with a lack of specific ones, causing a delay in diagnosis and treatment. The complexity of detecting infections in NHR can be explained by difficulties in understanding and interpreting non-specific signs and symptoms and co-existing chronic diseases that blur the clinical picture. The case of Mr. Nilsson illustrates the process from the first signs and symptoms of infection to diagnosis in an elderly person with...

 Open Access DOI:10.23937/2378-3419/2/4/1028

Targeting of Myeloid Derived Suppressor Cells Using Anti-inflammatory and Pro-inflammatory Agents

Parvin Forghani and Edmund K Waller

Article Type: Review Article | First Published: October 03, 2015

Myeloid-derived suppressor cells (MDSC) have been considered to be key mediators of immuno-suppression in cancer. The numbers of MDSCs increased in the blood and in the tumor microenvironment during inflammation. Due to the strong correlation between inflammation and cancer that results in tumor progression through MDSCs-associated immune-suppression, it is posited that modulating MDSCs using anti-inflammatory drugs will enhance the activity of immunotherapy and antitumor immunity....

 Open Access DOI:10.23937/2378-3419/2/4/1027

Metastatic Squamous Cell Carcinoma of the Neck from Unknown Primary Sites: the Ottawa Regional Cancer Centre (ORCC) Experience

Osama Marglani, Ameen Zaid Alherabi, Ali Safar, Suliman Alghamdi, Libni Eapen, Helen Caetano and Martin Corsten

Article Type: Original Research Article | First Published: September 25, 2015

Metastatic squamous cell carcinoma (SCC) to the neck from an unknown primary site presents a challenging diagnostic and therapeutic disease entity, despite a thorough diagnostic workup. The optimal management of patients who have this syndrome is still unclear and controversial. We present our experience in management of patients with unknown primary....

 Open Access DOI:10.23937/2378-3419/2/4/1026

Systematic Review and Meta-Analysis to Determine the Optimum Staging modality for Primary Breast Cancer

Berney M, Manning A, Carter M, Sacchini V, Kell M R. Barry M

Article Type: Original Article | First Published: September 24, 2015

Staging of primary breast cancer can radically alter the management if stage IV disease is accurately detected. A systematic review and meta-analysis were performed to determine whether conventional CT TAP or PET-CT provides the optimum staging modality. A meta-analysis involving 158 patients with primary breast cancer showed that PET-CT was more sensitive than CT-TAP for detection of metastatic disease (OR 3.28, 95% CI 2.37 - 4.53, p < 0.0001). A systematic review of 1780 patients undergoing PE...

 Open Access DOI:10.23937/2378-3419/2/4/1025

Common Polymorphisms in the USF1 Gene and Cancer Susceptibility: A Meta-Analysis

Meng Zhang, Jian Bai1, Junjie Huang, Yukun Ge, Hu Xiong, Wei Lu, Jizhou Shi, Lu Fang, Song Wu and Zhiming Cai

Article Type: Original Article | First Published: September 21, 2015

Upstream transcription factor 1(USF1) has been identified to be implicated in the development of many cancer categories. In view of recent studies, several polymorphisms in USF1 gene appeared to exert diverse influence on cancer susceptibility. However, the association between USF1 polymorphisms and cancer susceptibility remains inconclusive due to the finite relevant published discoveries. Therefore, we conducted a meta-analysis by pooling all available published data on the susceptibility of U...

 Open Access DOI:10.23937/2469-570X/1410011

Potential Immune Modulatory Action of Mesenchymal Stem Cell-Derived Extracellular Vesicles in Type 1 Diabetes

Andrea Carpanetto, Chiara Gai, Enrica Favaro, Maria Maddalena Zanone and Giovanni Camussi

Article Type: Short Review | First Published: September 28, 2015

Several preclinical studies have shown potential immune-modulatory properties of mesenchymal stem cells (MSC) in type 1 diabetes leading to phase I/II clinical trials. Immune-modulatory properties of MSC have been mainly ascribed to their secretome. The extracellular vesicles (EV) have emerged as paracrine mediators of MSC actions. In fact, MSC-derived EV have been shown to carry proteins and nucleic acids capable to mimic the effect of originating cells. In the present short review we discuss e...