Articles Related to cutaneous

Background: Super capsular percutaneously-assisted total hip (Super PATH) approach has been regarded as one of minimally invasive and muscle sparing technique, which accesses the hip maintaining integrity of the external rotators and capsule. The purpose of this study was to compare the Super PATH approach with the conventional posterolateral approach in terms of early clinical outcomes and radiological results.

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Background: Pneumothorax is potentially a life-threatening condition in neonates with little compensatory pulmonary reserve. Hemodynamically significant pneumothorax requires drainage with large-bore chest tubes, and more recently with small-calibre percutaneous pigtail catheters. This study aims to explicate the effectiveness and safety of both the drainage systems exploring ease of insertion, rates of air-leak resolution, recurrence rates as well as potential procedural complications. Methods: This was a retrospective observational audit reviewing medical records of newborns with symptomatic pneumothorax admitted to tertiary neonatal intensive care unit over 4-year duration, and treated with either chest tube or pigtail catheters as the initial treatment approach. Demographic data, details related to pneumothorax, drain related parameters as well as outcome and efficacy parameters were compared among these two methods of intervention. Results: Out of 51 drainage procedures, 27 infants underwent pigtail insertion compared to 24 infants requiring chest tube thoracostomy. Baseline demographic data, time for radiological clearance and resolution of air leak, duration of drain in-situ, recurrence and complication rate, as well as hospitalisation duration were comparable among the two groups. Group of infants who underwent pigtail insertion required significantly less sedation (51.9% vs 83.3%; p=0.021) and invasive ventilation (63% vs 95.8%; p=0.011) than chest tube insertion. Significantly smaller calibre (8.22±1.6Fr vs 9.08±1.44Fr; p<0.05) catheter was required for pneumothorax drainage with pigtail catheter whose insertion was reported to be more operator friendly

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SARS-CoV-2 can reach the central nervous system through the vagal nerve. Microbiota may favour or prevent viral spread. Assess whether auricular transcutaneous vagus nerve stimulation (ATVNS) may favour the occurrence of mild-COVID-19 or the recurrence of herpes simplex type 1. 749 patients were included. 195 patients were recommended and comply with ATVNS. 67 patients of the ATVNS group experienced mild-COVID-19 (34.3%) versus only 28 in the not-recommended ATVNS group (525 patients; 5.3%). A similar percentage was observed in the non-compliant ATVNS group (one case for 29 patients; 3.4%) [p<0.001].

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The aim of this study was to measure the treatment efficiency of percutaneous nephrolithotomy (PNL) patients by Data Envelopment Analysis (DEA), as a novel method with an output minimizing model. Urinary stone disease is a frequent problem with increasing prevalence in recent years. Depending on the location and size, the treatment of renal stone 2 cm or more is surgical and PNL. In this context, a retrospective study in which 154 patients with kidney stones over 2 cm was conducted.

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Dermatofibroma (DF) is a common benign fibrosing lesion that can be found on any surface of the body, most often in the lower extremities. Dermatofibroma that arises on the digits, as in our present case, may be confused with other clinical entities or even malignant tumors, leading to unnecessarily aggressive treatment. To ensure proper diagnosis and treatment, dermatofibroma should be considered in the differential diagnosis of digital papules.

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Guide wire fractures during coronary or peripheral angioplasty are very rare and Incidence of these complications are around 0.02 % [1]. The guide wire remnants can lead to complications, such as thrombosis, embolic phenomena and perforation [2].

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The course of obstructive jaundice (OJ) is frequently complicated by manifestations of cholangitis of different degree of expression and by progression of hepatocellular failure.

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Aeric syndrome during a multiple trauma reflects the severity of this latter, which made mention to extra thoracic or intra thoracic lesion. This requires a good diagnostic and therapeutic strategy. We report the case of a young patient admitted to emergency in an array of closed multiple traumas where the etiological diagnosis was rare and unknown. This case highlights that a careful questioning and a good examination in admission can reveal earlier the diagnosis, the thing that was not well led in our case, because the patient was mute, anxious, and not cooperating making unnoticed rape history.

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The aim of this study was to evaluate the health-related quality of life (HRQoL) as measured by the EQ-5D (European quality of life-5 dimensions) self-report questionnaire in patients treated with complete revascularization versus infarct artery-only revascularization at index admission.

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Oral lichen planus is a chronic inflammatory mucocutaneous disease which frequently involves the oral mucosa. A 48-year-old male patient with the chief complaint of burning sensation in bilateral buccal mucosa, upper and lower labial mucosa diagnosed as Bullous lichen planus and treated with systemic prednisolone and Benzydamine oral rinse. Patient was followed for 6 months and was almost free of lesions. The case is reported with review of current modalities in the management of oral lichen planus.

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Neonates with severe hyperbilirubinaemia are at increased risk for neurological morbidity. Risk factors for early onset hyperbilirubinaemia include prematurity, red cell haemolysis and birth trauma. As most neonates are asymptomatic and clinical evaluation in detecting early jaundice limited, clinical practice guidelines at the Royal Women’s Hospital recommend a serum bilirubin (SBR) level in the first 24 hours following birth for neonates <35 weeks’ gestation. Our audit aims to describe the utility of SBR screening in this population

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This study tested for the cardiac effects of Oprelvekin, recombinant human interleukin-11, a thrombopoietic growth factor, in patients afflicted with chemotherapy-induced thrombocytopenia (platelet count<50,000 cells/ul). Chart-reviews of patients fulfilling the inclusion criteria of: 18-75 yrs of age, non-myeloid malignancy, with adequate hematologic, hepatic and renal parameters and normal electrocardiograms that were enrolled in this phase 2 trial were analyzed. Patients of child-bearing potential agreed to be on a reliable form of birth control for the duration of the study. Results on 4 patients suggest that Oprelvekin does not cause atrial nor ventricular arrhythmia, a rare severe cardiac side effect, in treating patients with chemotherapy-induced thrombocytopenia.

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Subcutaneous emphysema and pneumomediastinum following extraction of mandibular third molars are rare. These complications are caused by forceful injection of air into the connective tissue. The symptoms may vary depending on the quantity of air, its location and the presence or absence of infection. In most cases, the subcutaneous emphysema will begin to disappear in 3-5 days. This report presents a case of subcutaneous emphysema and pneumomediastinum after wisdom extraction.

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A 49-year-old man presented with a 2-year history of an enlarging ulcerated plaque over the right forearm with an associated history of pruritus. Skin biopsy demonstrated an infiltrate of lymphocytes in the dermis and subcutis, together with atypical cells with large nuclei and prominent nucleoli resembling Reed-Sternberg cells.

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