Injuries Caused by Safety Belt Following a Traffic Accident
Juan-Jose Delgado-Moraleda, MD, Pablo Nogues-Melendez, MD, Luisa Londono-Villa, MD, Jose Melo-Villamarin, MD, Anca Oprisan Anca, MD and Diana Veiga-Canuto, MD
Article Type: Case Report | First Published: August 28, 2019
Wearing seat belt makes driving safer. Nevertheless, it can cause particular lesions. In this case report, we present a woman suffering the characteristic safety belt lesions on bowel, spine and aorta. A 40-year-old woman is brought to the Emergency Room after a high-speed traffic accident. At the time of rescue, the patient was wearing a seatbelt. On examination, she presented tachycardia, hypotension and abdominal rigidity. A CT angiography of the abdominal aorta is requested for suspected aortic rupture....
An Atypical Case: Bilateral Radiation Necrosis
Ali Murat Koc, Hulya Cetin Tuncez, Ozgur Esen and Zehra Hilal Adibelli
Article Type: Case Report | First Published: August 28, 2019
Temporal lobe necrosis (TLN) is often seen in nasopharyngeal carcinoma secondary to less frequent other extracranial malignancies. Radiotherapy is one of the most frequently used methods in the treatment of nasopharyngeal carcinoma. This method can have many side effects. One of the side effects associated with high-dose radiotherapy is cerebral necrosis. Cerebral radiation is the sum of the dose of radiotherapy given as the most important risk factor for necrosis. It is often seen within the first 5 years after the completion of treatment. At present, the development of temporal lobe necrosis...
Diagnostic Efficiency and Reproducibility of Hysterosalpingography
Shimaa Abdalla Ahmed and Hesham Abo Taleb
Article Type: Original Article | First Published: August 10, 2019
200 infertile females underwent hysterosalpingography, hysteroscopy and/or laparoscopy as part of an infertility work up. HSG examinations were retrospectively reviewed by three radiologists, we compared inter-observer variability, differences between the two results of reading the same examination after three months were compared to calculate intra-observer variability. HSG is more accurate in tubal evaluation than the uterine cavity assessment. HSG interpretation is somewhat subjective, although experience and training may improve reporting skills and interpretation results, however, conside...
Adult-Onset Epilepsy in Klinefelter Syndrome? Cognitive and Neurophysiological Evaluation of a 56-Year-Old Man
Yvonne Holler Adriana Sciarrone, Aljoscha Thomschewski and Nathalie Gerner
Article Type: Case Report | First Published: September 06, 2019
Klinefelter syndrome (KS) is one of the most common sex chromosome abnormalities and several cases are documented where children with KS present with epilepsy. Also, cognitive function deficits are common, despite high-functioning cases might occur. However, most reported cases are children or young adults. This case suggests that high-functioning patients with KS may present with epilepsy-typical activity, that could be indicative for late-onset epilepsy. Diagnostic means of routine EEG can be complemented by HFO analysis of HD-EEG. Normal to high cognitive functioning may co-occur with defic...
Baseline Knowledge of Rare Diseases in India - A Survey
Agrawal RK, Amaresh Rao M, Brian M, Chowdary GKB, Gayatri K, Krishnaji Rao M, Sambasiva Rao P, Namineni S, Srinivasa Rao N, Sikri BR, Syed S, Gawron S, Agarwal DR, Lakshmi K and Ramaiah Muthyala
Article Type: Original Research | First Published: August 29, 2019
Recently, rare diseases have received worldwide attention. The developing countries have fallen seriously behind in regards to awareness, drug development, diagnosis, and social services. India, which has one-third of world rare diseases population, has neither accepted definition for RD nor an accurate assessment of the problem. Due to the exorbitant cost of orphan drugs, difficulties in diagnosis and treatments, the Indian government is often in a dilemma as to how to effectively, and efficiently formulate a National Health Policy with a 1.45% GDP healthcare budget for 1.3 billion people. In...
Acrometastasis to Foot Revealing an Occult Lung Adenocarcinoma: Case Report and Literature Review
Ignez Candeloro and Bruno de Carvalho Dornelas
Article Type: Case Report and Literature Review | First Published: September 11, 2019
Metastases to the foot bones are uncommon and they mimic inflammatory conditions. Acrometastases may be the first manifestation of an unknown primary malignant disease. We report a case in which the first sign of lung adenocarcinoma was a pathological fracture due to metastasis to a proximal toe phalanx. A 68-year-old man was evaluated for pain in his fifth toe of the left foot after a trauma. Biopsy and immunohistochemistry reactions confirmed the metastatic lesion. Unfavorable clinical course and imaging exams showed advanced disease. A review of the literature indicates that acrometastases ...
Extra-Nodal Non-Cutaneous Peripheral T cell Lymphoma: Common Peripheral Blood Findings and Clinical Follow Up
Hongwei Ma, Catherine Xie, Mohamed Masoud, Robin Williams and Ming Xie
Article Type: Research Article | First Published: September 07, 2019
Peripheral T cell lymphoma (TCL) is relatively uncommon and may involve lymph node, skin and extra-nodal non-cutaneous organs. Nodal TCL often presents as systemic disease with unfavorable outcomes. Extra-nodal non-cutaneous TCL, however, may remain as localized disease and be treated differently with favorable prognosis. This study revealed the common peripheral blood findings and clinical follow ups in patients with extra-nodal non-cutaneous mature TCL. There were 9 patients, 5 males and 4 females, median age 52, including 1 extra-nodal NK/T cell lymphoma, nasal type; 1 anaplastic large cell...
Retroperitoneal Malignant Solitary Fibrous Tumor: A Case Report and Review of the Literature
Gumusay Ozge, Koseoglu Resit Dogan, Arici Akgul and Akin Ali
Article Type: Case Report | First Published: August 29, 2019
Solitary fibrous tumor is a rare soft-tissue neoplasm that is capable of metastasis of fibroblastic/ myofibroblastic cell origin. Although most of the cases are pleural in origin, extrapleural locations are reported with increasing frequency. Extrapleural cases are mostly seen in retroperitoneal location. Malignant forms are much rarer. The hemangiopericytomatous pattern is seen in many soft tissue tumors. Many cases with extrapleural/ extrathoracal locations that were previously diagnosed as hemangiopericytoma are accepted to be solitary fibrous tumor by the advances of immunohistochemistry. ...
Gingivectomy Approaches: A Review
Millena Mathias Peres, Tais da Silva Lima, Idiberto Jose Zotarelli Filho, Igor Mariotto Beneti, Marcelo Augusto Rudnik Gomes and Patricia Garani Fernandes
Article Type: Review Article | First Published: September 08, 2019
Many patients seek dental offices for a beautiful, harmonious smile to boost their self-esteem. At present, there is a great search for oral aesthetics, where the harmony of the smile is determined not only by the shape, position, and color of teeth but also by the gingival tissue. The present study aimed to establish the etiology and diagnosis of the gingival smile, with the alternative of correcting it with very safe surgical techniques such as gingivectomy. The procedure consists in the elimination of gingival deformities resulting in a better gingival contour. Usually, surgical removal of ...
Impact of Cannabis on the Port of Entry-Oral Tissues: An Overview
Harpreet Singh, Joseph Katz, Wafaa Saleh and Seunghee Cha
Article Type: Systematic Review Article | First Published: September 04, 2019
While there is a recent surge in the publications describing the beneficial effects of cannabis in chronic pain control and anti-seizure effects there is a dearth of reporting on the potential side effects of marijuana particularly in the oral cavity. Since the oral cavity is the main port of entry of cannabis, the aim of this review paper is to inform and educate importance to the dental professionals and public about the negative effects of chronic cannabis use in the oral cavity. The continuous use of cannabis was associated with adverse effects on oral tissues such as increased xerostomia ...