TMJ arthritis is a frequent complication of otomastoiditis

Background:Polymyositis (PM) and dermatomyositis (DM) are autoimmune inflammatory diseases characterized by proximal myositis. Dysphagia has been reported to develop in 35 to 62% of PM/DM patients and known as poor prognosis factor.Objectives:The purpose of this study is to determine the clinical characteristics of PM/DM patients who present with deglutition disorder.Methods:Consecutive patients with PM/DM who visited National Hospital Organization Tokyo Medical Center between April 2010 and January 2021 are included in this study. We compared clinical features between the patients with and without dysphagia. The diagnosis of dysphagia was based on videofluorography swallow study, and dysphagia requiring gastrostomy was defined as severe dysphagia. The clinical characteristics compared in this study were following: age of onset, levels of serum creatine kinase (CK) and lactate dehydrogenase(LDH), sense of dysphagia, manual muscle test (MMT) score, and complication of malignancy or interstitial pneumonia.Results:A total of 73 patients with PM/DM were identified. Among them, 12 patients were diagnosed with dysphagia, and 5 patients developed severe dysphagia. Patients with dysphagia had the following characteristics compared to patients without dysphagia: higher levels of serum LDH (833.7 ± 500.1 U/L vs 471.9 ± 321.0 U/L, p = 0.0088), higher levels of serum CK at initial examination (6070.3 ± 7184.8 IU/L vs 1534.7 ± 2978.8 IU/L, p = 0.0086) and more frequent sense of dysphagia (90.9% vs 10.6%, p< 0.0001), lower MMT score(3.18 ± 1.07 vs 4.31 ± 0.75, p = 0.0017). In addition to those, patients with severe dysphagia presented older age of onset (mean age 69.4 ± 12.0 vs 51.7 ± 14.8, p = 0.014), more frequent complication of malignancy (80.0% vs 14.8%, p= 0.0048) and less frequent complication of interstitial pneumonia (0.0% vs 55.5%, p= 0.023).Conclusion:These results indicate that dysphagia develops frequently in PM/DM patients with higher levels of serum LDH or CK, sense of dysphagia and low MMT score. Among them, patients with elderly onset or malignancy are at risk for sever dysphagia, and should be treated carefully.Disclosure of Interests:None declared.

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Clostridium difficile-associated diarrhoea, a frequent complication in patients with acute myeloid leukaemia

Annals of Hematology ◽

10.1007/s00277-009-0772-0 ◽

2009 ◽

Vol 89 (1) ◽

pp. 9-14 ◽

Cited By ~ 44

Author(s):

Enrico Schalk ◽

Ulrich R. M. Bohr ◽

Brigitte König ◽

Katrin Scheinpflug ◽

Martin Mohren

Keyword(s):

Clostridium Difficile ◽

Acute Myeloid Leukaemia ◽

Myeloid Leukaemia ◽

Frequent Complication ◽

Clostridium Difficile Associated Diarrhoea ◽

Acute Myeloid

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Management of Persistent Air Leaks with Intrabronchial Valves

The Thoracic and Cardiovascular Surgeon ◽

10.1055/s-0037-1603622 ◽

2017 ◽

Vol 66 (07) ◽

pp. 603-606

Author(s):

Andreas Hecker ◽

Konstantin Mayer ◽

Biruta Witte ◽

Matthias Hecker

Keyword(s):

Thoracic Surgery ◽

Minimal Invasive ◽

Therapeutic Approaches ◽

Air Leak ◽

Frequent Complication ◽

Less Invasive ◽

Air Leaks ◽

Prolonged Hospitalization ◽

Highly Effective ◽

Endoscopic Placement

AbstractPersistent air leaks (PALs) are regarded as a frequent complication after thoracic surgery resulting in prolonged hospitalization and increased morbidity. Several more or less invasive therapeutic approaches are available for treatment of PAL with varying degrees of success. The endoscopic placement of one-way intrabronchial valves in the segment(s) in which the air leak has been located offers a highly effective and well-tolerated minimal invasive option for patients with PAL.

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How I treat renal anemia

Blood ◽

10.1182/blood.2019004330 ◽

2020 ◽

Vol 136 (7) ◽

pp. 783-789

Author(s):

Steven Fishbane ◽

Daniel W. Coyne

Keyword(s):

Decision Making ◽

Kidney Disease ◽

Kidney Function ◽

Advanced Disease ◽

Use Cases ◽

Renal Anemia ◽

Iron Availability ◽

Common Cause ◽

Frequent Complication ◽

Erythropoietin Deficiency

Abstract Anemia is a frequent complication of kidney disease. When severe, it causes symptoms that can be debilitating. The course of anemia tends to track the decline in kidney function, with prevalence increasing in more advanced disease. Although the most common cause is relative erythropoietin deficiency, other factors such as reduced iron availability contribute to the pathobiology. In this review, we use cases to explore the surprising complexity of decision-making in management of renal anemia.

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Eversion of third eyelid and its correction using microsurgery

Veterinarski glasnik ◽

10.2298/vetgl0604233h ◽

2006 ◽

Vol 60 (3-4) ◽

pp. 233-240

Author(s):

Milan Hadzi-Milic

Keyword(s):

Clinical Picture ◽

Operative Procedure ◽

German Shepherd ◽

Frequent Complication ◽

The Third

Eversion of the third eyelid - EPT, is a condition when the third eyelid rolls back, actually of its margin anteriorally. It occurs almost exclusively in big dog breeds such as the German shepherd, doga, St. Bernard, Newfoundalnder, retrievers, and English bulldogs. Congenital or acquired weakness of the PT cartilage is considered as the main reason for the incidence of EPT. The clinical picture is diverse and it most often depends on the intensity, duration and possible complications. The most prominent sign is a certain degree of EPT. Therapy is based on careful submucous excision of the deformed cartilage, with optional stitching of the conjunctive. The most frequent complication is a repeated eversion of the eyelid, as well as protrusion of the PT gland. The prognosis is good if the preoperative and operative procedure are carried out as required, and the eyelid is not too long. .

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Radiological and CT Features of Secondary Amyloid Arthropathy as a Frequent Complication of Chronic Hemodyalysis: Spinal Localisation

Imaging of Brain Metabolism Spine and Cord Interventional Neuroradiology Free Communications ◽

10.1007/978-3-642-74337-5_114 ◽

1989 ◽

pp. 398-398

Author(s):

L. Ticket ◽

R. Potvliege

Keyword(s):

Frequent Complication ◽

Amyloid Arthropathy ◽

Ct Features

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Postdural Puncture Headache in Obstetrics: A Meta-analysis

50 Studies Every Anesthesiologist Should Know ◽

10.1093/med/9780190237691.003.0046 ◽

2018 ◽

pp. 247-250

Keyword(s):

Dural Puncture ◽

Meta Analysis ◽

Spinal Needle ◽

Spinal Analgesia ◽

Postdural Puncture Headache ◽

Neuraxial Blockade ◽

Frequent Complication ◽

Obstetric Population

This case focuses on how often postdural puncture headaches appear after using neuraxial blockage by asking the question: What are the frequency, onset, and duration of postdural puncture headache (PDPH) in the obstetric population after neuraxial blockade? This meta-analysis found that PDPH is a frequent complication, with an estimated incidence of 1.5% for epidurals and of 52.1% when dural puncture occurs. For spinals, the risk for PDPH varied depending on the type of spinal needle and ranged from 1.5% to 11.2%. The conclusions of this meta-analysis are consistent with prior recommendations that smallest diameter, atraumatic needles be used for spinal analgesia or anesthesia.

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