Study of the ascending lumbar and iliolumbar veins: Surgical anatomy, clinical implications and review of the literature

In the pediatric population, Gastric Intestinal Metaplasia (GIM) is a finding with unknown frequency and, more importantly, unknown clinical implications. The relationship between Helicobacter pylori (HP) infection and GIM is well documented, as well as an association between duodenogastric reflux and GIM. We present two cases of pediatric patients with GIM along with a review of the literature. The diagnosis of GIM may have adverse clinical implications and should be made with caution in a child. The association of GIM and adenoma/dysplasia and carcinoma is rarely seen in children, primarily because the time required for these to develop takes the individual into adulthood. Treatment, long-term consequences, and surveillance protocols are not well established in the pediatric population. Studies to evaluate the long-term natural history, treatment, and surveillance protocols in children with GIM are needed.

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The Association Between Depression and Isotretinoin Use in Acne

Australian & New Zealand Journal of Psychiatry ◽

10.1046/j.1440-1614.2003.01111.x ◽

2003 ◽

Vol 37 (1) ◽

pp. 78-84 ◽

Cited By ~ 37

Author(s):

Chee Hong Ng ◽

Isaac Schweitzer

Keyword(s):

Psychological Impact ◽

Clinical Implications ◽

Review Of The Literature ◽

Contributing Factors ◽

Psychiatric Referral ◽

Appropriate Treatment ◽

Low Threshold ◽

Acne Treatment ◽

Isotretinoin Therapy ◽

Uncommon Complication

Objective: The association between isotretinoin and depression has received little attention in the psychiatric literature despite an increasing number of reports in medical journals. The purpose of this paper is to highlight this association, examine the possible link and review the clinical implications. Method: A critical review of the literature pertaining to depression in patients with acne who were treated with isotretinoin was conducted. Results and Conclusions: The causal relationship between isotretinoin therapy and depression has not been clearly established and needs further study. Isotretinoin is likely to have a positive psychological impact for the majority of patients who benefit from such a highly efficacious anti-acne treatment. However, it is important to recognize that depression can occur as an idiosyncratic side-effect that requires urgent and appropriate treatment. Therefore, having a low threshold for detection of this uncommon complication and early psychiatric referral to address both the depression and its contributing factors may prevent serious consequences.

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Passive extensibility of skeletal muscle: review of the literature with clinical implications

Clinical Biomechanics ◽

10.1016/s0268-0033(00)00061-9 ◽

2001 ◽

Vol 16 (2) ◽

pp. 87-101 ◽

Cited By ~ 285

Author(s):

Richard L. Gajdosik

Keyword(s):

Skeletal Muscle ◽

Clinical Implications ◽

Review Of The Literature

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Fatal Aortic Dissection in a Patient with Giant Cell Arteritis: A Case Report and Review of the Literature

Case Reports in Vascular Medicine ◽

10.1155/2013/590721 ◽

2013 ◽

Vol 2013 ◽

pp. 1-4 ◽

Cited By ~ 2

Author(s):

Anjeli K. Nayar ◽

Michael Casciello ◽

Jennifer N. Slim ◽

Ahmad M. Slim

Keyword(s):

Aortic Dissection ◽

Giant Cell Arteritis ◽

Giant Cell ◽

Temporal Arteritis ◽

Acute Aortic Dissection ◽

Vascular Wall ◽

Clinical Implications ◽

Review Of The Literature ◽

History Of ◽

Prompt Diagnosis

Giant cell arteritis may lead to catastrophic, large-vessel complications from chronic vascular wall inflammation without prompt diagnosis and treatment. We describe a rare case of acute aortic dissection without preceding aneurysm secondary to histologically confirmed giant cell arteritis (GCA) in an 85-year-old female with a four-year history of polymyalgia rheumatica and temporal arteritis diagnosed per biopsy six months prior to presentation. The literature is reviewed and the clinical implications of this case are discussed.

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