Alexandros G .Sfakianakis,ENT,Anapafeos 5 Agios Nikolaos Crete 72100 Greece,00302841026182

Κυριακή 21 Ιουλίου 2019

Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com,






Cells, Vol. 8, Pages 760: Neurological Enhancement Effects of Melatonin against Brain Injury-Induced Oxidative Stress, Neuroinflammation, and Neurodegeneration via AMPK/CREB Signaling
Cells, Vol. 8, Pages 760: Neurological Enhancement Effects of Melatonin against Brain Injury-Induced Oxidative Stress, Neuroinflammation, and Neurodegeneration via AMPK/CREB Signaling Cells doi: 10.3390/cells8070760 Authors: Shafiq Ur Rehman Muhammad Ikram Najeeb Ullah Sayed Ibrar Alam Hyun Young Park Haroon Badshah Kyonghwan Choe Myeong Ok Kim Oxidative stress and energy imbalance strongly correlate in neurodegenerative diseases. Repeated concussion is becoming...
Cells
18h
Cells, Vol. 8, Pages 759: The Intrinsic GDP/GTP Exchange Activities of Cdc42 and Rac1 Are Critical Determinants for Their Specific Effects on Mobilization of the Actin Filament System
Cells, Vol. 8, Pages 759: The Intrinsic GDP/GTP Exchange Activities of Cdc42 and Rac1 Are Critical Determinants for Their Specific Effects on Mobilization of the Actin Filament System Cells doi: 10.3390/cells8070759 Authors: Pontus Aspenström The Rho GTPases comprise a subfamily of the Ras superfamily of small GTPases. Their importance in regulation of cell morphology and cell migration is well characterized. According to the prevailing paradigm, Cdc42 regulates the formation of filopodia,...
Cells
18h
Cells, Vol. 8, Pages 758: Copine A Interacts with Actin Filaments and Plays a Role in Chemotaxis and Adhesion
Cells, Vol. 8, Pages 758: Copine A Interacts with Actin Filaments and Plays a Role in Chemotaxis and Adhesion Cells doi: 10.3390/cells8070758 Authors: Matthew J. Buccilli April N. Ilacqua Mingxi Han Andrew A. Banas Elise M. Wight Hanqian Mao Samantha P. Perry Tasha S. Salter David R. Loiselle Timothy A.J. Haystead Cynthia K. Damer Copines make up a family of calcium-dependent, phospholipid-binding proteins found in numerous eukaryotic organisms. Copine proteins...
Cells
18h




Pneumonectomy in a Child with Multilobar Pneumatocele Secondary to Necrotizing Pneumonia: Case Report and Review of the Literature
Background. Community-acquired pneumonia (CAP) is common within pediatrics and contributes disproportionately to morbidity and mortality. Necrotizing pneumonia is a well-documented complication of CAP. It is thought to be caused by necrosis and liquefaction of consolidated lung and can result in damage to lung parenchyma, including pneumatocele development. Management of necrotizing pneumonia with pneumatocele may include hospitalization, intensive care unit admission, and lengthy antibiotic courses....
Case Reports in Pediatrics
4d
Single-incision totally extraperitoneal hernia repair with intraperitoneal inspection of strangulated femoral hernia at risk for intestinal ischemia after repositioning: a case report
Totally extraperitoneal hernia repair and the transabdominal preperitoneal approach have advantages and disadvantages. We used the advantages of totally extraperitoneal hernia repair and the transabdominal pre...
Journal of Medical Case Reports - Latest Articles
4d
Malignant phyllodes tumor in Lynch syndrome: a case report
Lynch syndrome, or hereditary nonpolyposis colorectal cancer, is an autosomal dominant genetic syndrome that predisposes individuals to multiple cancer types. The known cancers associated with Lynch syndrome i...
Journal of Medical Case Reports - Latest Articles
4d
Ten-Year Follow-Up of Collision Tumors Composed of Craniopharyngioma and Pituitary Adenoma: A Case Report and Literature Review
Although craniopharyngioma (CP) and pituitary adenoma (PA) are common tumors of the parasellar lesions, the coexistence of CP and PA is very rare. A 48-year-old male visited our hospital because of consciousness disturbance. The neuroimaging revealed a sellar tumor contact with a massive suprasellar cyst including calcification. Preoperative diagnosis was CP, and the patient underwent craniotomy to resolve the suprasellar mass effect. The histological examination disclosed adamantinomatous CP, and...
Case Reports in Medicine
4d
Pulmonary alveolar microlithiasis: often misdiagnosed in children
BMJ Case Reports Last 6 Issues
5d
HIV vasculopathy versus VZV vasculitis in an HIV patient with multiple brain ischaemic infarcts
We report the case of a 56-year-old man who presented to the emergency department with a 3-day onset of left limb weakness and feeling intoxicated with poor balance. Stroke hospitalisations in the USA decreased from 2000 to 2010, however the number of hospitalised patients with ischaemic stroke and HIV infection has increased significantly. Herein, we discuss the management of this unique case to highlight the importance of a broad differential diagnosis when approaching HIV/AIDS patients presenting...
BMJ Case Reports Last 6 Issues
5d
Metastatic prostate cancer presenting as tumour-induced osteomalacia
Tumour-induced osteomalacia (TIO), or oncogenic osteomalacia, is a paraneoplastic syndrome marked by hypophosphataemia, renal phosphate wasting, bone pain, weakness, and fractures. The syndrome has been reported with both benign and malignant tumours including parotid gland basal cell tumours, thyroid carcinomas, colon adenocarcinomas, and prostate cancer. Often, the syndrome is marked by an insidious course during which patients present with generalised bony pain and weakness, which do not resolve...
BMJ Case Reports Last 6 Issues
5d
Renal failure caused by severe pelvic organ prolapse
Pelvic organ prolapse (POP), the transvaginal descent of pelvic organs, can cause mild hydronephrosis but rarely leads to a deterioration in kidney function. We present a case of severe uterovaginal prolapse that caused bilateral ureteral obstruction and led to renal failure and urinary tract infection. During outpatient follow-up, kidney function had already been deteriorating, but POP was not recognised as a causal factor. A longer duration of ureteral obstruction can lead to irreversible kidney...
BMJ Case Reports Last 6 Issues
5d
Myocarditis mimicking acute aortic dissection
We report a case of myocarditis that closely mimicked acute aortic dissection in a young woman. The initial presentation was with sudden onset severe back pain and chest discomfort, associated with bilateral arm paraesthesia. The initial ECG demonstrated inferior ST-segment elevation with reciprocal anterior changes. The diagnosis was facilitated by urgent echocardiography, a CT aortogram and invasive coronary angiography to exclude aortic dissection and myocardial infarction, respectively. Acute...
BMJ Case Reports Last 6 Issues
5d
Orbital abscess as a complication of Potts puffy tumour in an adolescent male
Pott's puffy tumour (PPT) is a known complication of frontal sinusitis. It is defined as subperiosteal abscess formation due to osteomyelitis of the frontal bone presenting as a forehead swelling. It is a life-threatening condition that can lead to intracranial and intraorbital complications. Gadolinium-enhanced MRI and contrast CT scan are the best modalities to localise and define the collection, in addition to confirming disease extension. Once confirmed by imaging and depending on disease extension,...
BMJ Case Reports Last 6 Issues
5d
Posterior reversible encephalopathy syndrome as a complication of pre-eclampsia in the early postpartum period
We present the case of a 30-year-old woman with posterior reversible encephalopathy syndrome (PRES) as a complication of pre-eclampsia in the early postpartum period. PRES is a rare neurological disorder which causes non-specific neurological symptoms such as headache, seizures and visual disturbances. It generally has a good prognosis, but severe complications can arise. Therefore, early recognition and treatment are paramount. Pre-eclampsia is a multiorgan disease and is associated with both maternal...
BMJ Case Reports Last 6 Issues
5d
Lung abscess in an immunocompromised patient: clinical presentation and management challenges
BMJ Case Reports Last 6 Issues
5d
A rare case of long-term paraesthesia diagnosed as a paraneoplastic syndrome by anti-SOX1 antibody determination
Paraneoplastic syndromes (PS) are a rare presentation of cancer, most commonly associated with small cell lung cancer (SCLC), breast cancer and haematologic malignancies. The diagnosis of PS is challenging because it could affect multiple organ systems and it may present before the tumour is visible by imaging. We report a malignant tumour diagnosed in a male patient who referred long-term paraesthesia and proximal muscle strength loss. After ruling out common causes of polyneuropathy, the anti-SOX1...
BMJ Case Reports Last 6 Issues
5d
The Achievement of Long-Term CRPC Control in a Patient with Enzalutamide-Induced Nausea and Fatigue after Overcoming the Adverse Events with a Temporary Drug Holiday
While the overall survival of patients with castration-resistant prostate cancer (CRPC) has been prolonged by enzalutamide, a considerable number of patients suffer from enzalutamide-induced nausea and fatigue. An 86-year-old male patient who started enzalutamide (160 mg) for CRPC treatment, experienced nausea and vomiting approximately 2 weeks after the start of treatment. Enzalutamide treatment was stopped for two weeks, then restarted enzalutamide at a half-dose (80 mg); the dose was then increased...
Case Reports in Oncology
5d




Abdominal Wall Clear Cell Carcinoma: Case Report of a Rare Event with Potential Diagnostic Difficulties
Clear cell carcinoma (CCC) is a well-known aggressive histological type of carcinoma, predominantly seen in ovary and endometrium. However, CCC arising in abdominal wall is a very rare event. We report a case of a 48-year-old woman with an abdominal wall mass at her cesarean section (c-section) scar, which increased in size and became painful in the last months. Radiology revealed a 7 cm mass in the right inferior rectus muscle sheath, suggestive of endometriosis. An irregular, firm mass was resected,...
Case Reports in Pathology
3d
Undiagnosed synovial hemangioma of the knee: a case report
Synovial hemangioma of the knee is a rare benign tumor. Very rarely, the growth of bone is affected by long-term neglect of an intra-articular tumor. Our patient had not only various clinical symptoms but also...
Journal of Medical Case Reports - Latest Articles
3d
Extradural cervical spinal schwannoma in a child: a case report and review of the literature
Extradural schwannoma arising from high cervical spinal root is a rare entity in children. We report a case of extradural cervical schwannoma in a 14-year-old boy.
Journal of Medical Case Reports - Latest Articles
3d
Retrograde transcatheter aortic valve closure in an infant with failing Norwood stage I palliation: a case report
Aortic valve regurgitation leading to coronary steal phenomenon can severely impair cardiac function in hypoplastic left heart syndrome, thus worsening long-term outcome.
Journal of Medical Case Reports - Latest Articles
3d
Giant bladder stone in association with severe kidney injury
ABSTRACTMinimal data exist on the causes, incidence and management of giant bladder stones considering their rare occurrence. Only a handful of case reports have reported stones larger than 10 cm, and most of these cases are managed surgically. We present a case of a 56-year-old female who presented with vague, lower urinary tract symptoms who was later found to have severe post-renal acute kidney injury due to a giant bladder stone measuring 11 × 11 × 10.4 cm.
Oxford Medical Case Reports - current issue
3d
A Rare Association between Myasthenia Gravis and a Growth Hormone Secreting Pituitary Macroadenoma: A Single Case Report
AbstractMyasthenia Gravis (MG) is a chronic autoimmune neuromuscular disease. Although it is well known that patients with myasthenia gravis have a higher incidence of other autoimmune disorders, however, its association with pituitary adenomas is extremely rare. We believe that our case represents the 8th of this association and the 2nd case involving a GH-secreting adenoma. Here we report a case of a 45-year old Syrian woman who presented with typical complaints of myasthenia gravis as she was...
Oxford Medical Case Reports - current issue
3d
Primary intestinal lymphangiectasia in a 23-month- old girl
AbstractPrimary intestinal lymphangiectasia (PIL) is a rare protein-losing gastroenteropathy which is defined as dilation of existing mucosal, submucosal, or subserosal lymphatics within the gastrointestinal tract. That causes loss of lymph fluid into the gastrointestinal tract, leading to the development of hypoproteinemia, edema, lymphocytopenia, hypogammaglobinemia, and immunologic anomalies. It is usually diagnosed in patients younger than 3 years old and is rarely first diagnosed in adulthood....
Oxford Medical Case Reports - current issue
3d
Staphylococcal Pericarditis Causing Pericardial Tamponade and Concurrent Empyema
Bacterial pericarditis is a rare presentation and is usually due to secondary infection from a hematogenous cause or can occur secondary to trauma, intrathoracic surgery, or due to spread of infection from a contiguous focus via ligaments that anchor the pericardium to its surrounding structures. Its course is fulminant characterized by a high mortality rate from sepsis, tamponade, and constriction. We describe a rare case of Staphylococcus aureus pericarditis with concurrent unilateral empyema....
Case Reports in Infectious Diseases
3d
Case 22-2019: A 65-Year-Old Woman with Weakness, Dark Urine, and Dysphagia
Presentation of Case. Dr. Doll L. Golden (Medicine): A 65-year-old woman was admitted to this hospital because of falls, weakness, dark urine, and difficulty swallowing. Approximately 35 years before the current admission, the patient underwent staged male-to-female sex reassignment surgery at…
The New England Journal of Medicine Search Results in Clinical Cases
3d
Cardiac tamponade and purulent pericarditis secondary to an oesophageal pericardial fistula as an initial presentation of squamous cell carcinoma of the oesophagus
Pericardial effusions resulting in a cardiac tamponade have previously been reported with oesophageal cancers. However, most of these cases have been reported in association with radiation and chemotherapy. Rarely as oesophageal pericardial fistuls (OPF) have been reported as the culprits in causing pericardial effusions in patients with oesophageal cancers. Here we present the case of a 61-year-old woman who presented clinically with cardiac tamponade. She was found to have an OPF due to oesophageal...
BMJ Case Reports Last 6 Issues
3d
Proton beam therapy for malignant transformation of intracranial epidermoid cyst
We report the first clinical case on the successful use of proton beam therapy in the management of malignant transformation of intracranial epidermoid cyst. A 43-year-old man was initially diagnosed as this disease with left facial paresis, hypesthesia and hypoalgesia in the territories of the trigeminal nerve. After failure of surgical interventions, he was referred to our radiation centre. We performed a postoperative proton beam therapy for treatment. We delivered a total dose of 57 GyE in 31...
BMJ Case Reports Last 6 Issues
3d
Combined flexor carpi ulnaris and flexor carpi radialis transfer for restoring elbow function after brachial plexus injury
The result of combined agonist and antagonist muscle innervation in traumatic brachial plexus injury through the intraplexal fascicle nerve transfers with the same donor function has not yet been reported. We describe a patient with a C5–C7 traumatic brachial plexus injury who had a combined transfer of the flexor carpi radialis (FCR) fascicle to the musculocutaneous nerve and the flexor carpi ulnaris (FCU) fascicle to the radial nerve of the triceps. The patient returned for his follow-up visit...
BMJ Case Reports Last 6 Issues
3d
Thymoma mimicking an aortic aneurysm: always expect the unexpected
Thymic epithelial tumours (TETs) are rare lesions that represent less than 1% of all malignancies in adults. Presentation occurs in three ways: asymptomatic, with local thoracic symptoms or with paraneoplastic symptoms. Heterotopic ossifications are rare histological features in neoplasms and non-neoplastic lesions. Here, we present a 49-year-old male patient with a thymoma type B2 mimicking an aortic aneurysm. Alongside the thymoma, a cholesterol granuloma with unusual ossification features was...
BMJ Case Reports Last 6 Issues
3d
Bleeding due to acquired dysfibrinogenemia as the initial presentation of multiple myeloma
Patients with multiple myeloma (MM) are at risk for acquired dysfibrinogenemia resulting in laboratory abnormalities and/or bleeding complications. We describe a 63-year-old man who presented with bleeding diathesis in the presence of a low fibrinogen activity level with a normal fibrinogen antigen level. Further studies revealed elevated levels of lambda free light chains, and he was diagnosed with MM. Despite initiating treatment with bortezomib/dexamethasone, he continued to have recurrent bleeds...
BMJ Case Reports Last 6 Issues
3d
Emphysematous cystitis: diagnosed only if suspected
BMJ Case Reports Last 6 Issues
3d
Carotid-cochlear dehiscence: a dangerous mimicker of inner ear pathologies
A 67-year-old woman was referred to the otolaryngology service after presenting to the emergency department for dizziness and loss of balance. She reported several similar episodes over the past years. Physical examination was unremarkable. A temporal bone CT scan revealed dehiscence between the bony carotid canal and the cochlea resulting in the diagnosis of carotid-cochlear dehiscence (CCD). CCD is an extremely rare condition involving the thinning of the bony canal separating the internal carotid...
BMJ Case Reports Last 6 Issues
3d
Seizures, renal failure and acute respiratory failure: not your typical case of Henoch-Schonlein purpura
A 30-year-old Caucasian woman with no prior medical history presented with pedal oedema, arthralgias and abdominal pain with diarrhoea, following a respiratory infection. She had mild abdominal tenderness along with a purpuric rash on the extremities and was anaemic. Following initial workup for anaemia and rash, her condition deteriorated with renal impairment, respiratory failure and seizures necessitating ventilatory support, dialysis and steroids. Serologies were negative, and skin biopsy showed...
BMJ Case Reports Last 6 Issues
3d



Disproportionately large communicating fourth ventricle: two case reports
Abstract Background Management of the disproportionately large communicating fourth ventricle is still problematic. Case presentation Two cases of disproportionately large communicating fourth ventricle were treated successfully. One was a case of a 51-year-old Han Chinese woman with a complaint of headache and dizziness of 1 year's duration....
Latest Results for Journal of Medical Case Reports
1d
Hemodynamically balanced congenitally corrected transposition of the great arteries with a large ventricular septal defect, and subvalvular pulmonic stenosis: a case report
Adults with unoperated congenitally corrected transposition of the great arteries are rare but form a distinct group among adults with congenital heart disease. Patients with congenitally corrected transpositi...
Journal of Medical Case Reports - Latest Articles
1d
Successful laparoscopic resection for gastric duplication cyst: a case report
Gastric duplication is a relatively rare congenital malformation, accounting for approximately 2.9–3.8% of gastrointestinal duplications. Gastric duplication cyst is a congenital anomaly that is rarely observe...
Journal of Medical Case Reports - Latest Articles
1d
An unusual cause of lymphadenopathy in a child
BMJ Case Reports Last 6 Issues
1d
Penile fracture: added value of novel assessment with contrast-enhanced ultrasound
BMJ Case Reports Last 6 Issues
1d
Large pedunculated vulval fibroepithelial polyp
BMJ Case Reports Last 6 Issues
1d
Colonic metastases 13 years after the primary ovarian cancer: a case study with a brief review of literature
Metastatic ovarian malignancy is a known and dreaded complication of ovarian malignancy. Ovarian malignancies primarily disseminate through the peritoneal cavity and are only superficially invasive. They rarely metastasise through the haematogenous route, but that occurs in the presence of heavy peritoneal disease. The involvement of the colon in advanced ovarian malignancy is mostly through the peritoneal seedlings. It is very rare for an ovarian malignancy to invade through the serosa into the...
BMJ Case Reports Last 6 Issues
1d
Non-typhoidal salmonellosis presenting as acute calculus cholecystitis
Non-typhoidal Salmonella spp.are Gram-negative bacilli, which typically cause a clinical picture of gastroenteritis and, less commonly, patients may become a chronic carrier of the pathogen within their gallbladder. We describe a rare clinical presentation of a non-typhoidal Salmonella spp. infection as acute calculus cholecystitis in an adult patient. Salmonella enterica subsp. Salamae (ST P4271) was grown from cholecystostomy fluid, and the patient subsequently underwent a laparoscopic cholecystectomy...
BMJ Case Reports Last 6 Issues
1d
Topical imiquimod-induced linear IgA bullous dermatosis
A 68-year-old woman was referred to the unit of dermatology for a large basal cell carcinoma on the chin. She was treated with imiquimod cream 5%, and 4 weeks after she developed isolated and grouped tense serum-filled vesicles and bullae on lips, nose, scalp, ankles and lumbar area, and then expanded to the whole body. Histological examination was consistent with a subepidermal bullous dermatosis. Moreover, direct immunofluorescence showed linear deposition of IgA at the basement membrane zone supporting...
BMJ Case Reports Last 6 Issues
1d
Rare cause of acute angle-closure glaucoma in an elderly man
BMJ Case Reports Last 6 Issues
1d
Cannabis body packing in Greenland
BMJ Case Reports Last 6 Issues
1d
Diffuse large B-cell lymphoma recurrence presenting as multiple, progressive cranial neuropathies
A 58-year-old man with a history of rheumatoid arthritis and stage IV diffuse large B-cell lymphoma, in complete remission with no evidence of residual disease on positron emission tomography/CT after completing six cycles of rituximab, cyclophosphamide, doxorubicin, vincristine and prednisone chemotherapy, presented with acute onset of dysphagia to solids and liquids. On further evaluation, his dysphagia was attributed to a vagus nerve palsy, and later during his admission, he developed rapidly...
BMJ Case Reports Last 6 Issues
1d
Unduly long left main (79 mm) coronary artery arising from right coronary sinus in a 64-year-old diabetic man
Coronary artery anomalies are usually an incidental finding on coronary angiogram. Most of them are benign, although few of them are malignant which may cause sudden cardiac death. A 64-year-old diabetic, hypertensive man underwent coronary angiography for evaluation of exertional dyspnoea, and angina which revealed an anomalous left main coronary artery (LMCA) arising from right coronary sinus which was unduly long (79 mm) but free from any disease. To the best of our knowledge after extensive search...
BMJ Case Reports Last 6 Issues
1d
Bilateral independent periodic lateralised epileptiform discharges at presentation followed by rapid recovery: novel observations from a case of Epstein-Barr virus encephalitis
Bilateral independent periodic lateralised epileptiform discharges (BIPLEDs) in electroencephalograms (EEGs) are commonly caused by anoxic encephalopathy and central nervous system infections. They are associated with coma and high mortality and are thus markers of poor prognosis. We present a case of encephalitis who presented with BIPLEDs in EEG. Though the clinical, EEG and MRI features closely resembled herpes simplex encephalitis, further investigations proved it to be Epstein-Barr virus (EBV)...
BMJ Case Reports Last 6 Issues
1d
Cardiac arrest in a young healthy male patient secondary to kratom ingestion: is this legal high' substance more dangerous than initially thought ?
Kratom is a psychoactive herb that has stimulant properties at low doses and has opioid-like properties at higher doses. It has been used for centuries in southeast Asia as a stimulant but has gained increasing popularity as a substitute for opioids in western countries as it is easily available. As most cases of kratom use involve other drugs too, the Food and Drug Administration (FDA) has stopped short of restricting kratom due to difficulty in assessing the adverse effects of kratom alone. We...
BMJ Case Reports Last 6 Issues
1d
Challenging diagnosis of resistance to thyroid hormone in a patient with pituitary adenoma
The elevation of thyroid hormone with a normal or elevated thyroid-stimulation hormone (TSH) occurs uncommonly. This set a diagnosis challenge between TSH-secreting pituitary adenoma and resistance to thyroid hormone (RTH). We report a case of a young female patient with palpitations, with elevated thyroid hormone and non-suppressed TSH. TSH receptor antibody was undetectable. Thyroid ultrasound revealed mild heterogeneous goitre, and MRI revealed a microadenoma with 7.5 mm length in pituitary's...
BMJ Case Reports Last 6 Issues
1d
Hennekam syndrome: an uncommon cause of chylous ascites and intestinal lymphangiectasia in the tropics
Paediatric chylous ascites in tropics is commonly caused by infections and trauma. We describe the clinical characteristics of an uncommon inherited cause of chylous ascites, Hennekam syndrome, treated by nutritional modification.
BMJ Case Reports Last 6 Issues
1d
Diagnosis and management of traumatic bilateral chylothorax: a clinical conundrum
A 35-year-old man was admitted in the emergency department with a complaint of progressive dyspnoea and 4-day prior history of a road traffic accident. An initial evaluation was inconspicuous and he was discharged. Clinical examination and radiological imaging suggested bilateral pleural effusion for which bilateral intercostal drains were inserted. Further pleural fluid analysis aided the diagnosis of bilateral chylothorax. A conservative approach consisting of a fat-free diet, total parenteral...
BMJ Case Reports Last 6 Issues
1d
Providing insight into the incubation period of Mycobacterium ulcerans disease: two case reports
Buruli ulcer caused by Mycobacterium ulcerans is endemic in parts of West Africa and is most prevalent among the 5–15 years age group; Buruli ulcer is uncommon among neonates. The mode of transmission and incubat...
Journal of Medical Case Reports - Latest Articles
2d
Isolated congenital inter-costal pulmonary hernia: a case report
Intercostal lung herniation is a rare condition that may be congenital (20%) or acquired (80%). The isolated congenital form is exceptional, with one case reported in the literature.
Journal of Medical Case Reports - Latest Articles
2d
Management of subgingivally fractured maxillary anterior tooth: a multidisciplinary approach
The major challenge in traumatic injuries is the management of subgingival fracture of anterior teeth. Forced orthodontic extrusion is a suitable approach for these teeth as it provides both a sound tissue margin for final restoration and creates a periodontal environment (biological width) which is easy for the patient to maintain. Restoration after orthodontic eruption may present a more conservative treatment choice in young patients compared with the prosthetic restoration after extraction. This...
BMJ Case Reports Last 6 Issues
2d
Percutaneous removal of a retained appendicolith causing recurrent perihepatic abscesses between the liver and diaphragm
Many cases of appendicitis can be associated with appendicoliths. These may sometimes be lost during appendectomies and may be lodged in the body. Most of these cases lead to recurrent abscess formation, and these appendicoliths invariably need removal. Typically, this used to be done as an open surgery or laparoscopically. Here we describe the case of a transcutaneous removal of an appendicolith that was lodged between the liver and diaphragm that led to recurrent perihepatic abscess formation in...
BMJ Case Reports Last 6 Issues
2d
Primary angiosarcoma of the breast: a radiation oncologists perspective with a concise review of the literature
A 28-year-old premenopausal woman presented with a painful rapidly growing mass in her right breast and was evaluated with a core needle biopsy, which was suggestive of poorly differentiated carcinoma. Immunohistochemical evaluation revealed primary angiosarcoma of breast. Whole body 18flouro-deoxyglucose positron emission tomography CT showed few metabolically active soft tissue lesions in upper inner quadrant of right breast. The patient underwent breast conservation surgery and in view of positive...
BMJ Case Reports Last 6 Issues
2d
Hepatomegaly with neutropenia: a girl with glycogen storage disease Ib
BMJ Case Reports Last 6 Issues
2d
Disseminated blastomycosis presenting as a retro-orbital mass
A 43-year-old man with history of non-Hodgkins' lymphoma presented with unilateral eye swelling, pain and vision deficits which had been progressive over 2 months. Symptoms followed a presumed bacterial pneumonia 4 months prior. Imaging demonstrated retro-orbital soft tissue swelling with bony erosion concerning for a mass; surgical decompression was performed with histology confirming disseminated Blastomyces dermatitidis. Symptoms responded rapidly to antifungal therapy with amphotericin followed...
BMJ Case Reports Last 6 Issues
2d
Cerebral autosomal dominant arteriopathy with subcortical infarcts and leucoencephalopathy (CADASIL) presenting with stroke in a young man
Cerebral autosomal dominant arteriopathy with subcortical infarcts and leucoencephalopathy (CADASIL) is caused by mutations in the NOTCH3 gene which maps to the short arm of chromosome 19 and encodes the NOTCH3 receptor protein, predominantly expressed in adults by vascular smooth muscle cells and pericytes. The receptor has a large extracellular domain with 34 epidermal growth factor-like repeats encoded by exons 2–24, the site at which CADASIL mutations are most commonly found. Migraine with aura...
BMJ Case Reports Last 6 Issues
2d



 Periorbital dermatitis in patients receiving docetaxel in combination chemotherapy,
Recognition of new cutaneous side effects of combination chemotherapy can help prevent unnecessary cessation or reduction of cancer therapy. Periorbital rash has not been found with docetaxel alone, but here, we report it as a result of combination chemotherapy. A series of three patients who received docetaxel in combination with other chemotherapies developed clinically near-identical, distinctive periorbital rashes. Rashes resolved by resolving underlying docetaxel-induced epiphora in conjunction with ophthalmological consultation, topical skin-directed care, and in some cases, chemotherapy dose reduction. It is important for dermatologists and oncologists to recognise the increased severity of cutaneous reactions when docetaxel is used in combination chemotherapy.




Triple synchronous tumour of female genital tract: cervical squamous cell carcinoma, right ovarian dermoid cyst and left ovarian benign Brenner tumour
Synchronous tumours of two different histological type are not uncommon in the female genital tract. But triple synchronous tumours of three or more different histological types is extremely rare. We describe a case of a 48-year-old female patient who presented with cervical growth and bilateral ovarian masses. Pathological evaluation of the surgical specimen revealed synchronous cervical squamous cell carcinoma, right ovarian dermoid cyst and left ovarian benign Brenner tumour. The patient was treated...
BMJ Case Reports Last 6 Issues
4m
Closure of bronchopleural fistula by a septal occluder device: a case for close collaboration between heart and lung specialists
We present the case of a 66-year-old woman who underwent right inferior lobectomy for pulmonary carcinoma and developed persistent bronchopleural fistula (BPF) that was not amenable to surgical intervention (two surgical failures). The patient presented with a persistent cough and dyspnoea, which was treated with a hybrid procedure using fluoroscopy and bronchoscopy. A 7 mm Amplatzer septal occluder device (ASOD) was successfully inserted into the BPF. Two weeks after the procedure, a small fistula...
BMJ Case Reports Last 6 Issues
4m
Unmasking of left upper lobe bronchial atresia in a case of H1N1 pneumonia
We describe a case of H1N1 pneumonia with left upper lobe bronchial atresia. Although bronchial atresia as an isolated occurrence is an innocuous finding, but when it is superimposed by another major insult, it can amplify the disease effect and can have adverse implications leading to significant morbidity. This report highlights the fact that anatomical anomalies can be the cause of inordinately severe or prolonged course of acute respiratory infection in children.
BMJ Case Reports Last 6 Issues
4m
Pathological fracture of non-ossifying fibroma associated with neurofibromatosis type 1
We report the management of a pathological fracture through a proximal tibial non-ossifying fibroma (NOF) in a 13-year-old girl with neurofibromatosis type 1 (NF1). The fracture was minimally displaced, and the lesion had clinical features of a NOF, and therefore biopsy was not required. Operative fixation has been the preferred method of treatment for pathological fractures through NOF associated with NF1. Multiple NOFs associated with NF1 are rare but can coalesce resulting in large lesions with...
BMJ Case Reports Last 6 Issues
4m
Periorbital dermatitis in patients receiving docetaxel in combination chemotherapy
Recognition of new cutaneous side effects of combination chemotherapy can help prevent unnecessary cessation or reduction of cancer therapy. Periorbital rash has not been found with docetaxel alone, but here, we report it as a result of combination chemotherapy. A series of three patients who received docetaxel in combination with other chemotherapies developed clinically near-identical, distinctive periorbital rashes. Rashes resolved by resolving underlying docetaxel-induced epiphora in conjunction...
BMJ Case Reports Last 6 Issues
4m
Recurrent fetal hydrops with maternal M alloimmunisation: not a benign condition
Haemolytic disease of the fetus and newborn (HDFN) is associated with red cell antibodies. Anti-M usually results in a mild haemolysis and is rarely clinically significant. There is no established consensus on management of pregnancies with anti-M. A case of recurrent HDFN with maternal M alloimmunisation was identified at a tertiary hospital in Australia. We collected the patient and neonate's clinical and pathological data and interpreted the case with available literature. This is the first case...
BMJ Case Reports Last 6 Issues
4m
Treatment of complete ankylosed elbow with total arthroplasty
We reported the case of a 38-year-old patient who in 2017 presented to our institution after post-traumatic complete ankylosis of the elbow. He complained of stiffness and pain, and the radiographs revealed complete fusion of the humeroulnar joint. The Mayo Elbow Performance Score (MEPS) on admission was 31, and the elbow was fused at 90° flexed position. The patient underwent semiconstrained total elbow arthroplasty with Bryan-Morrey approach; after a 2.1 years follow-up, active arc of movement...
BMJ Case Reports Last 6 Issues
4m
Surgical management of large abdominal wall fibromatosis during pregnancy
BMJ Case Reports Last 6 Issues
4m
Intradural metastasis to the cauda equina found as the initial presentation of breast cancer: a case report
Intradural extramedullary spinal metastasis is a relatively rare condition. Furthermore, there are few reports with the initial presentation being a neurological symptom from an intradural metastasis. We repor...
Journal of Medical Case Reports - Latest Articles
14h
Guillain-Barré syndrome with associated unilateral ptosis without ophthalmoplegia – a rare presentation: a case report and review of the literature
Guillain-Barré syndrome is an acute inflammatory polyradiculoneuropathy. Nearly half of patients with Guillain-Barré syndrome have cranial nerve involvement. However, isolated bilateral ptosis without ophthalm...
Journal of Medical Case Reports - Latest Articles
14h
Rituximab as Rescue Therapy for Aggressive Pediatric Multiple Sclerosis
Multiple sclerosis is a chronic, debilitating disease. Almost one in ten patients with MS has a history of disease onset during childhood. Although numerous therapeutic options exist for adult MS, the available treatments for pediatric patients are still limited. One of the emerging therapies is rituximab, a monoclonal anti-CD20 chimeric antibody that can deplete the CD20+ lymphocyte populations. A 12-year-old boy presented with ataxia, paresthesias, and headache while his brain MRI showed numerous...
Case Reports in Pediatrics
16h







Mackintosh, Pearce-Hall and Time: An EEG study on Inhibition of Return
Publication date: Available online 20 July 2019Source: Biological PsychologyAuthor(s): Salvatore Russo, Nicholas Burns, Irina BaetuAbstractWe investigated whether the temporal dynamics of attention could be used to reconcile exploitative and explorative attentional learning theories. Participants trained on a categorisation task where some stimuli were predictive (P) of the correct response while others were non-predictive (NP). These stimuli were then used in a dot probe task in which we varied...
ScienceDirect Publication: Biological Psychology
11h
Synthesis of quinoline derivatives as diabetic <em>II</em> inhibitors and molecular docking studies
Publication date: Available online 20 July 2019Source: Bioorganic & Medicinal ChemistryAuthor(s): Muhammad Taha, Sadia Sultan, Syahrul Imran, Fazal Rahim, Khalid Zaman, Abdul Wadood, Ashfaq Ur Rehman, Nizam Uddin, Khalid Mohammed KhanAbstractIn searchof the potenttherapeutic agent as an α-glucosidase inhibitor, we have synthesized twenty-five analogs (1-25) of quinoline-based Schiff bases as an inhibitoragainst α-glucosidase enzyme under positive control acarbose (IC50 = 38.45 ± 0.80 µM). From...
ScienceDirect Publication: Bioorganic & Medicinal Chemistry
12h
Poly(3-hydroxybutyrate-<em>co</em>-3-hydroxyvalerate-<em>co</em>-3-hydroxyhexanoate) terpolymer production from volatile fatty acids using engineered <em>Ralstonia eutropha</em>
Publication date: 1 October 2019Source: International Journal of Biological Macromolecules, Volume 138Author(s): Hye-Rim Jung, Jong-Min Jeon, Da-Hye Yi, Hun-Suk Song, Soo-Yeon Yang, Tae-Rim Choi, Shashi Kant Bhatia, Jeong-Jun Yoon, Yun-Gon Kim, Christopher J. Brigham, Yung-Hun YangAbstractOne of the advantages of microbial synthesis of polyhydroxyalkanoates (PHAs) is the production of diverse polymers with different properties by the addition of different monomers, such as 3-hydroxybutyrate (3HB),...
ScienceDirect Publication: International Journal of Biological Macromolecules
13h
Anticancer altretamine recognition by bovine serum albumin and its role as inhibitor of fibril formation: Biophysical insights
Publication date: 1 October 2019Source: International Journal of Biological Macromolecules, Volume 138Author(s): Ritutama Ghosh, Sonya K. Bharathkar, Nand KishoreAbstractBinding of anticancer drug altretamine with bovine serum albumin (BSA) and its inhibitory effect on fibrillation of the protein has been studied by using a combination of spectroscopic and calorimetric methods. Altretamine is observed to bind with BSA with a moderate binding affinity of the order of 105, which is weakly temperature...
ScienceDirect Publication: International Journal of Biological Macromolecules
13h
ω-3 fish oil fat emulsion preconditioning mitigates myocardial oxidative damage in rats through aldehydes stress
Publication date: October 2019Source: Biomedicine & Pharmacotherapy, Volume 118Author(s): Jiaojiao Dong, Xiaona Feng, Jingxiong Zhang, Yujian Zhang, Fangfang Xia, Le Liu, Zhousheng Jin, Caijiao Lu, Yun Xia, Thomas J. Papadimos, Xuzhong XuAbstractω-3 fish oil fat emulsions contain a considerable quantity of unsaturated carbon-carbon double bonds, which undergo lipid peroxidation to yield low-dose aldehydes. These aldehydes may stimulate the production of antioxidant enzymes, thereby mitigating...
Biomedicine & Pharmacotherapy
14h
MiR-25-3p promotes malignant phenotypes of retinoblastoma by regulating PTEN/Akt pathway
Publication date: October 2019Source: Biomedicine & Pharmacotherapy, Volume 118Author(s): Wencui Wan, Weiwei Wan, Yang Long, Qiuming Li, Xuemin Jin, Guangming Wan, Fengyan Zhang, Yong Lv, Guangying Zheng, Zhigang Li, Yu ZhuAbstractAberrant expression of microRNAs plays an important role in the pathogenesis and progression of retinoblastoma. MiR-25, a member of the miR-106b˜25 cluster, has been reported to be abnormally expressed in retinoblastoma, but the exact role of it remains unclear. In...
Biomedicine & Pharmacotherapy
14h
RUNX2 contributes to TGF-β1-induced expression of <em>Wdr72</em> in ameloblasts during enamel mineralization
Publication date: October 2019Source: Biomedicine & Pharmacotherapy, Volume 118Author(s): Xiaoying Liu, Chang Xu, Yuan Tian, Yan Sun, Juanjuan Zhang, Jingkun Bai, Zhifang Pan, Weiguo Feng, Mengge Xu, Chuanji Li, Jinyue Li, Yuguang GaoAbstractThe elaborate modulation of the transforming growth factor β (TGF-β) superfamily signaling network plays an essential role in tooth morphogenesis and differentiation. In our previous studies, we have demonstrated that TGF-β1 promotes enamel mineralization...
Biomedicine & Pharmacotherapy
14h
Vascular and neural basis of the BOLD signal
Publication date: October 2019Source: Current Opinion in Neurobiology, Volume 58Author(s): Patrick J DrewNeural activity in the brain is usually coupled to increases in local cerebral blood flow, leading to the increase in oxygenation that generates the BOLD fMRI signal. Recent work has begun to elucidate the vascular and neural mechanisms underlying the BOLD signal. The dilatory response is distributed throughout the vascular network. Arteries actively dilate within a second following neural activity...
Current Opinion in Neurobiology
15h
Effects of Nano-Hydroxyapatite on the Formation of Biofilms by <em>Streptococcus mutans</em> in Two Different Media
Publication date: Available online 21 July 2019Source: Archives of Oral BiologyAuthor(s): Miseon Park, John B. Sutherland, Fatemeh Rafii
Oral Biology
15h
Oridonin enhances TRAIL-induced apoptosis through GALNT14-mediated DR5 glycosylation
Publication date: Available online 20 July 2019Source: BiochimieAuthor(s): Mi-Yeon Jeon, Seung Un Seo, Seon Min Woo, Kyoung-jin Min, Hee Sun Byun, Gang Min Hur, Sun Chul Kang, Taeg Kyu KwonAbstractOridonin is a diterpenoid isolated from the Rabdosia rubescens and has multiple biological effects, such as anti-inflammation and anti-tumor activities. In present study, we revealed that the sensitizing effect of oridonin on tumor necrosis factor-related apoptosis-inducing ligand (TRAIL)-induced apoptosis...
ScienceDirect Publication: Biochimie
16h
Absolute quantification and analysis of extracellular vesicle lncRNAs from the peripheral blood of patients with lung cancer based on multi-colour fluorescence chip-based digital PCR
Publication date: 1 October 2019Source: Biosensors and Bioelectronics, Volume 142Author(s): Yanan Bai, Youlan Qu, Zhenhua Wu, Yijiu Ren, Zule Cheng, Yunxing Lu, Jie Hu, Jiatao Lou, Jianlong Zhao, Chang Chen, Hongju MaoAbstractEmerging evidence indicates that extracellular vesicle (EV) long non-coding ribonucleic acids (lncRNAs) in lung cancer may be clinically useful biomarkers for early diagnosis using liquid biopsy. However, the extremely low quantities of EV-lncRNAs in peripheral blood are a major...
Biosensors and Bioelectronics
16h
Tryptophan 224 of the rat mitochondrial carnitine/acylcarnitine carrier is crucial for the antiport mechanism
Publication date: Available online 21 July 2019Source: Biochimica et Biophysica Acta (BBA) - BioenergeticsAuthor(s): Nicola Giangregorio, Annamaria Tonazzi, Lara Console, Mariella Pistillo, Vito Scalera, Cesare IndiveriAbstractThe mitochondrial carnitine/acylcarnitine carrier (CACT) catalyzes an antiport of carnitine and acylcarnitines and also a uniport reaction with a rate of about one tenth with respect to the antiport rate. The antiport process results from the coupling of the two uniport reactions...
ScienceDirect Publication: Biochimica et Biophysica Acta (BBA) - Bioenergetics
18h
Your Numbers Might Be Strong, but You Still Need Strength in Numbers
BioEssays
20h
BioEssays 8∕2019
BioEssays
20h
Researchers Keep Rejecting Grandmother Cells after Running the Wrong Experiments: The Issue Is How Familiar Stimuli Are Identified
Grandmother cells constitute a hypothesis of how familiar visual categories are identified, but the primary evidence against them comes from studies that have assessed how neurons respond to unfamiliar visual categories. This review summarizes the existing research and shows that grandmother cells are consistent with current evidence. There is widespread agreement in neuroscience and psychology that the visual system identifies objects and faces based on a pattern of activation over many neurons,...
BioEssays
20h




Volumetric characteristics of prognathic mandible revealed by skeletal unit analysis
13h

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Publication date: Available online 20 July 2019
Source: Annals of Anatomy - Anatomischer Anzeiger
Author(s): Seong Ho Mun, Mira Park, Jun Lee, Hun Jun Lim, Bong Chul Kim
Abstract
The purpose of this study was to evaluate the skeletal units of a normal mandible (class I) and a prognathic mandible (class III), to compare the groups, and to investigate the key functional unit responsible for mandibular prognathism. Hemi-mandibles of 101 cases were evaluated by cone-beam computed tomography. Of these, 50 cases had Class I and 51 had Class III mandibles. The length, volume, and volume/length ratio of each skeletal unit were measured. The ratios of the condyle, body unit, and sum of the hemi-mandible between Class I and Class III showed statistically significant results (P < 0.05). However, the ratios of angle, coronoid, and symphysis units did not show any statistical significance on comparison. Dependent on gender, in males the ratio of the condyle of the hemi-mandible showed statistically significant results (P < 0.05). Meanwhile in females the ratio of the body and sum of the hemi-mandible showed statistically significant results (P < 0.05). Accordingly, the mandibular body and condylar units are thinner in mandibular prognathism. On the basis of the functional matrix theory to determine the etiology of mandibular prognathism, the key skeletal units are the body and condylar units.


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