A Novel Use of Liraglutide: Induction of Partial Remission in Ulcerative Colitis and Ankylosing Spondylitis
Article Type: Case Report | First Published: August 29, 2019
Ulcerative colitis and ankylosing spondylitis treatment options are limited to a few classes of medications at this time. Those options provide improvement for some patients, but leaves many with ongoing, unremitting symptoms. We report a case of ulcerative colitis (UC) with comorbid ankylosing spondylitis (AS), in which administration of a daily subcutaneous liraglutide, an exogenous Glucagon-like Peptide-1 receptor agonist (GLP-1RA), led to symptomatic remission of UC and significant improveme...
The Impulsivity of the Elderly - Genital Self-mutilation Case Caused from an Argument with his Wife
Michiho Sodenaga, M.D., Ph.D., Koji Hori, M.D., Ph.D., Chiaki Hashimoto, M.D., Kyoko Katsumura, M.D., Ikuko Katsumura, M.D., Masananori Tadokoro, Ph.D. and Sachiko Tsukahara, PhD
Article Type: Case Report | First Published: August 26, 2019
Suicide rate in Japan is also high. The suicide cases were above 30,000 in 1998, which increased to 34,427 in 2003. Then it gradually decreased to 21,897 in 2016 but the suicide rate at the age of more than 60 years is the highest, accounting for about 40%. Morbidity of depression is said as a risk factor of suicide by elderly people. In this case, we have discussed about a 77 year old man, who was in depressed mood. His wife was also unaware with his depression; he often had quarrels and at las...
Surviving a Single Ventricle and a Single Atrium with a Situs Inversus Viscerum
Randa Tabbah, MD, Rachoin Rachoin, MD, Bassam Harb, MD and Kabalan Saroufim, MD
Article Type: Case Report | First Published: August 24, 2019
We report a rare case of an 18-years-old female surviving a single ventricle malformation associated with a single atrium and a situs inversus viscerum. She was misdiagnosed in utero and at birth and lost to follow up since her early age when diagnosed at 4-years-old and didn't undergo any palliative surgeries after then due to financial issues. Patient was admitted for heart failure decompensation with hepatic congestion, supraventricular arrhythmias and bilateral pleural effusion and was treat...
Tracheal Bronchus: Rare Cause of Recurrent Pneumonia and Worsening Bronchiectasis in Adults
Asma Jamil MD, Ayesha Jamil MD, Rajesh Gulati MD, Alina Popa MD and Hiba Ismail
Article Type: Case Report | First Published: August 14, 2019
True tracheal bronchus is an aberrant bronchus arising above 2-6 cm from carina, from the lateral wall of trachea and directed towards the upper lung lobe. Frequently located on the right side, it can be further described as supernumerary if there is an anatomic right bronchus with normal segmental apical, anterior and posterior bronchi. It is considered displaced if it's accompanied by an absence of anatomic segmental bronchi. Tracheal bronchus can supply the entirety or part of the upper lung ...