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Case Report Open Access

A Case of Psoriasis in an HIV Positive Male

Omar F Merchant and Wayne X Shandera
Clin Med Rev Case Rep Volume 2, Issue 8

Abstract: Patients with Human Immunodeficiency Virus (HIV) infection have an increased risk for several variants of psoriasis as well as being refractory to standard treatment regimens. While psoriasis does not affect HIV survival, quality of life may be significantly impaired and these considerations warrant special attention with management. We report a case of psoriasis in a 43-year-old Hispanic male with HIV infection, adequately managed with antiretroviral therapy. He presented with chronic and persistent guttate, red, scaly plaques on his abdomen, back, buttock as well as the extensor surfaces of his extremities. Lesions responded only mildly to steroids, with adequate response attained by administration of high dose acitretin.

PDF   | Full Text   DOI: 10.23937/2378-3656/1410052

Case Report Open Access

Mycotic Aneurysm of Native Renal Artery: Case Report and Review of the Literature

Arru Luca, De Magistris Luigi, Arendt Charlie, Pillet Jeanchristophe, Azagra Juan Santiago, Goergen Martine and Pouthier Dominique
Clin Med Rev Case Rep Volume 2, Issue 8

Abstract: Introduction: Renal native artery is an uncommon localisation of mycotic aneurysm that involves most frequently the artery of renal transplant in immuno-suppressed patients. Septic embolization often occurs during endocarditis and direct infection could complicate endovascular procedures with device placing. Case report: We herein describe the case of a leaking mycotic aneurysm of the native renal artery (MANRA) in a renal transplanted patient, successfully treated by open aneurysmectomy and prolonged antibiotic therapy. Proximal localisation and history of scleroderma has never been described previously.

PDF   | Full Text   DOI: 10.23937/2378-3656/1410051

Case Report Open Access

General and Oral Aspects in Apert Syndrome: Report of a Case

Villarreal-Becerra Einer, Luis Sanchez-Soler, Angel Espias-Gomez, Leonard RH Jr, Julio Herrero-Payo and Eduardo Chimenos-Kustner
Clin Med Rev Case Rep Volume 2, Issue 8

Abstract: Background:The present paper describes the general and oral manifestations in a 32-year-old man previously diagnosed with Apert syndrome. Clinical examination revealed features of acrocephalosyndactyly. The patient was found to have a flattened occiput with frontal prominence, abnormal contour of head (brachycephaly), shallow and downward slanting orbits with bilateral proptosis, hypertelorism, retruded midface, and prognathic mandible.Dental anormalies were present in a patient.

PDF   | Full Text   DOI: 10.23937/2378-3656/1410050

Review Article Open Access

Sural and Radial Sensory Responses in Patients with Sensory Polyneuropathy

Ying Guo, J Lynn Palmer, Xun S Brown and Jack Fu
Clin Med Rev Case Rep Volume 2, Issue 8

Abstract: The amplitude of Sensory Nerve Action Potentials (SNAPs), as an indicator for the amount of peripheral sensory nerve axon, is important in the diagnosis of peripheral neuropathy. Since the sural and radial nerves are at low risk for compressive injury, the sural and radial SNAPs are especially useful in the electrodiagnosis of polyneuropathy.

PDF   | Full Text   DOI: 10.23937/2378-3656/1410049

Case Report Open Access

Hepatic Arterioportal Fistulae: Two Case Reports and Review of the Literature

Thanh Tran, Marc Burrell and William M. Lee
Clin Med Rev Case Rep Volume 2, Issue 8

Abstract: Hepatic arterio portal fistulae are inappropriate connections between the hepatic artery and portal vein and are obscure causes of acquired portal hypertension. There have been a small number of cases reported since it was first described in 1892 by Sachs. These fistulae can cause significant morbidity and mortality as a result of the portal hypertension, but unlike cirrhosis, are potentially curable. Therefore, early diagnosis and treatment is important. The two cases presented here illustrate the vastly different severity and clinical outcomes that may be observed.

PDF   | Full Text   DOI: 10.23937/2378-3656/1410048

Research Article Open Access

Does Assessment of Self-Regulated Learning and Metacognition in Surgical Residents Provide Insight to Performance on High Stakes Standardized Examinations? A Pilot Study

Jack Contessa, Tassos C. Kyriakides and Geoffrey Nadzam
Clin Med Rev Case Rep Volume 2, Issue 8

Abstract: The concept of lifelong learning has received widespread attention in the healthcare field and in numerous other industries due to the sheer volume of new and expanding knowledge and information continuously created by one hand and rendered obsolete by the other. As a result, physicians need to be engaged in lifelong learning to improve, expand, and maintain mastery of their knowledge, skills, and competencies.

PDF   | Full Text   DOI: 10.23937/2378-3656/1410047

Volume 2
Issue 8