scholarly journals Vernal Keratoconjunctivitis and its Management Challenges

2015 ◽  
Vol 77 (4) ◽  
pp. 19
Author(s):  
Onyeahiri Collins
Keyword(s):  
Clinical Signs ◽  
Signs And Symptoms ◽  
Vernal Keratoconjunctivitis ◽  
Inflammatory Disorder ◽  
Care Providers ◽  
Management Options ◽  
Seasonal Incidence ◽  
Young Males ◽  
Clinical Signs And Symptoms ◽  
Number Of Individuals

Vernal keratoconjunctivitis (VKC) is an allergic, bilateral, recurrent inflammatory disorder of the conjunctiva and the cornea that has a seasonal incidence. It affects young males more than females in age bracket of 3 to 16. In the majority of cases, symptoms resolve at puberty, but some may run into adulthood. Diagnosis is based typically on clinical signs and symptoms. The cause of the disease is not clearly known, but it is often associated with atopic diseases such as asthma or eczema and is probably due to a longstanding allergic reaction. The disease consists clinically of the palpebral, limbal and mixed types. Its management has been a great challenge to eye care providers because of its recurrent nature, the large number of individuals who are affected, wrong diagnoses, and lack of judicious drug administration. The disease has the potential of producing serious vision-threatening complications if not adequately managed. This case report also reviews the diagnosis and management options for patients with mixed VKC and demonstrates the importance of the clinician’s role in taking a careful case history and in modifying treatment when necessary throughout care.

scholarly journals Temporomandibular Joint Monoarthritis in Rheumatoid Arthritis - A Rare Case Report

2021 ◽  
Vol 48 (3) ◽  
pp. 43-45
Author(s):  
Md Abu Shahin ◽  
Sudhir Karmacharya ◽  
Md Ariful Islam ◽  
Mamun Khan ◽  
Abdulla Al Morshed ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Temporomandibular Joint ◽  
High Titer ◽  
Clinical Signs ◽  
Joint Stiffness ◽  
Signs And Symptoms ◽  
Joint Inflammation ◽  
Joint Involvement ◽  
Inflammatory Disorder ◽  
Clinical Signs And Symptoms

Rheumatoid arthritis (RA) is a chronic, systemic, autoimmune inflammatory disorder that is characterized by joint inflammation, erosive properties and symmetric multiple joint involvement. Temporomandibular joint (TMJ) is very rare to be affected in the early phase of the disease, thus posing diagnostic challenges for the rheumatologist. TMJ complaints are present in about more than 50% of patients of RA. TMJ is usually among the last joint to be involved and is associated with many clinical signs and symptoms of which pain is a major problem leading to inflammation, limited movements, swelling, joint stiffness, and muscle spasm. Here reported case is 64 years old male, ex-smoker, diagnosed case of diabetes mellitus for 7 years, hypertension for 2 years, came to hospital with the complains of pain in left jaw for 1 year. He had no history of other joint pain, morning stiffness or any deformities. The patient was diagnosed as a case of rheumatoid arthritis on the basis of inflammatory monoarthritis with high titer positive RA factor and anti CCP. The patient gradually improved after treatment with methotrexate. Inflammatory markers like ESR dropped down with the clinical improvement. TMJ is seldom joint to be affected first in the disease course. Bangladesh Med J. 2019 Sep; 48 (3): 43-45

scholarly journals Emerging Psychosis and the Family

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Martin Hambrecht
Keyword(s):  
Psychotic Disorders ◽  
Family System ◽  
Early Adulthood ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
First Episode ◽  
Psychosocial Risks ◽  
Young Males ◽  
Delayed Treatment ◽  
Clinical Signs And Symptoms

Schizophrenias hold a special position among psychotic disorders. Schizophrenias often start in early adulthood and bear considerable psychosocial risks and consequences. Several years of nonpsychotic clinical signs and symptoms and growing distress for patient and significant others may pass by before definite diagnosis. Young males in particular often experience their first episode while still living in their primary families. Thus, the whole family system is involved. In worldwide initiatives on early detection and early intervention, near-psychotic prodromal symptoms as well as deficits of thought and perception, observable by the affected person himself, were found to be particularly predictive of psychosis. Various psychological and social barriers as well as ones inherent to the disease impede access to affected persons. Building trust and therapeutic alliance are extremely important for counseling, diagnostics, and therapy. The indication for strategies of intervention differs from the early to the late prodromal stage, depending on proximity to psychosis. For psychotherapy versus pharmacotherapy, the first evidence of effectiveness has been provided. A false-positive referral to treatment and other ethical concerns must be weighed against the risks of delayed treatment.

scholarly journals Lymphangioma of the Tongue: A Review

2021 ◽  
Author(s):  
Ahmed Hassan Mustafa
Keyword(s):  
Health Care Providers ◽  
Lymphatic System ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Treatment Modalities ◽  
Care Providers ◽  
Maxillofacial Region ◽  
Dental Practitioners ◽  
Precise Diagnosis ◽  
Clinical Signs And Symptoms

lymphangioma is considered as a congenital hamartomatous malformation of the lymphatic system, it is more prevalent in the maxillofacial region. Oral lymphangiomas are rare but if it occurs, the tongue is the most commonly affected site, rarely on other sites such as the palate, gingiva and alveolar ridge of the mandible. This study aims to throw light on lymphangioma of the tongue regarding pathogenesis, clinical signs and symptoms, and the different treatment modalities. Although lymphangioma is benign and its occurrence in the tongue extremely rare, health care providers including general dental practitioners must be vigilant and aware of the presence of such lesion to promote a precise diagnosis. So that, proper treatment can be delivered for this lesion, to avoid serious complications that might occur when it becomes traumatised or infected, in which case it obstructs the airway and leads to the death of the patient, if not promptly rescued.

scholarly journals Dementia and Major Neurocognitive Disorders: Some Lessons Learned One Century after the first Alois Alzheimer’s Clinical Notes

Geriatrics ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 5
Author(s):  
Donatella Rita Petretto ◽  
Gian Pietro Carrogu ◽  
Luca Gaviano ◽  
Lorenzo Pili ◽  
Roberto Pili
Keyword(s):  
Young Woman ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Neurocognitive Disorders ◽  
Lessons Learned ◽  
Alzheimer Dementia ◽  
Clinical Notes ◽  
Alois Alzheimer ◽  
Clinical Signs And Symptoms

Over 100 years ago, Alois Alzheimer presented the clinical signs and symptoms of what has been later called “Alzheimer Dementia” in a young woman whose name was Augustine Deter [...]

scholarly journals Correction to: Levoketoconazole improves clinical signs and symptoms and patient-reported outcomes in patients with Cushing’s syndrome

Pituitary ◽  
2020 ◽  
Author(s):  
Eliza B. Geer ◽  
Roberto Salvatori ◽  
Atanaska Elenkova ◽  
Maria Fleseriu ◽  
Rosario Pivonello ◽  
...  
Keyword(s):  
Cushing’S Syndrome ◽  
Patient Reported Outcomes ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Cushing's Syndrome ◽  
Original Version ◽  
Patient Reported ◽  
Author Group ◽  
Clinical Signs And Symptoms

The original version of the article unfortunately contained an error in the first name and the surname of one of the authors in the author group. The last author name was incorrectly published as ‘F. Pecori Giraldi’ and the corrected name is ‘Francesca Pecori Giraldi’ (First name: Francesca; Surname: Pecori Giraldi).

scholarly journals A 38-year demographic study of central and peripheral giant cell granulomas of the jaws

2016 ◽  
Vol 15 (2) ◽  
pp. 220-223 ◽  
Author(s):  
Shadi Saghafi ◽  
Reza Zare-Mahmoodabadi ◽  
Narges Ghazi ◽  
Mohammad Zargari
Keyword(s):  
Giant Cell ◽  
Medical Science ◽  
Age Distribution ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Posterior Maxilla ◽  
Frequent Site ◽  
Male Patients ◽  
Clinical Signs And Symptoms ◽  
Anterior Mandible

Objective: The purpose of this study was to retrospectively analyze the demographic characteristics of patients with central giant cell granulomas (CGCGs) and peripheral giant cell granulomas (PGCGs) in Iranian population.Methods: The data were obtained from records of 1019 patients with CGCG and PGCG of the jaws referred to our department between 1972 and 2010. This 38-year retrospective study was based on existing data. Information regarding age distribution, gender, location of the lesion and clinical signs and symptoms was documented. Results: A total of 1019 patients were affected GCGLs including 435 CGCGs and 584 PGCGs during the study. The mean age was 28.91 ± 18.16. PGCGs and CGCGs had a peak of occurrence in the first and second decade of life respectively. A female predominance was shown in CGCG cases (57.70%), whereas PGCGs were more frequent in males (50.85%). Five hundred and ninety-eight cases of all giant cell lesions (58.7 %) occurred in the mandible. Posterior mandible was the most frequent site for both CGCG and PGCG cases. The second most common site for PGCG was posterior maxilla (21%), whereas anterior mandible was involved in CGCG (19.45%). The majority of patients were asymptomatic. Conclusions: In contrast to most of previous studies PGCGs occur more common in the first decade and also more frequently in male patients. Although the CGCGs share some histopathologic similarities with PGCGs, differences in demographic features may be observed in different populations which may help in the diagnosis and management of these lesions.Bangladesh Journal of Medical Science Vol.15(2) 2016 p.220-223

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