scholarly journals Cost effective Management of Chronic Psoriasis using safe Siddha herbal drugs – A Case Report

2020 ◽  
Vol 6 (1) ◽  
pp. 9-11
Author(s):  
Arul Amuthan ◽  
◽  
Muthu Santhi ◽  
◽  
Keyword(s):  
Case Report ◽  
Side Effects ◽  
Psoriasis Patient ◽  
Cost Effective ◽  
Early Morning ◽  
Morning Dose ◽  
Herbal Drugs ◽  
Effective Management ◽  
Total Cost ◽  
History Of

Traditional Siddha medicine is popular for the management of Psoriasis. This article reports one chronic psoriatic case that was successfully treated with Siddha drugs. A psoriasis patient with chronic history of eight years was under conventional therapy. Due to side effects and recurrence, he visited Siddha clinic. He was prepared for Siddha treatment with a single early morning dose of Agasthyar kuzhampu. Sivanar vembu kuzhi thailam, karbogi mathirai and Raktha suddhi mathirai were administered orally for three months. Vetpalai thailam was applied externally for three months. The lesions were gradually reduced and completely disappeared in three months of treatment without any side effects. Diarrhea, nausea and tiredness were observed for one day during the administration of Agasthyar kuzhampu. The total cost for the Siddha therapy was INR 5,000 for three months. Siddha medicines could be cost effective and safe in the management of psoriasis.

scholarly journals RETRIEVING BROKEN INSTRUMENT IN HALF OF THE APIKAL ON CANINES TEETH WITH H-FILE BRAIDING TECHNIQUE

2021 ◽  
Vol 8 (2) ◽  
pp. 146
Author(s):  
Yunita Styaningrum ◽  
Yoanita Dwi Andina ◽  
Yulita Kristanti
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Root Canal ◽  
Composite Resin ◽  
Cost Effective ◽  
Class I ◽  
Root Section ◽  
History Of ◽  
Composite Resin Restorations ◽  
Initial Root

ABSTRACTBackground: Broken instruments affect the outcome and prognosis. A broken instrument will prevent the procedure of cleaning and shaping, irrigation and obturation of the root canal on the obstructed root section causing failure in endodontic treatment. There are some treatments for broken instrument including retrieving a broken fragment file and bypassing it on the root canal. the aim of the case report aims to provide an alternative for retrieving broken instruments using the H-file braiding technique. Method: A 38-year-old female patient came to the Dental Conservation Clinic RSGM Prof. Soedomo FKG UGM. A patient got a history of initial root canal treatment in a clinic, which ended with a separated file on canine teeth left upper. No complain pain, from the investigation radiographic there is an instrument broken in half apical. The teeth 23 seen temporary restoration cavity class I is still in good. Retrieving broken instruments using the H-file braiding technique, preparation with step back techniques, obturation with warm vertical condensation technique and class I composite resin restorations with fiber-reinforced retention. Result: No complain pain after 2 weeks retrieving broken instrument.Conclusion: The technique of the H-file braiding technique is one technique to retrieve a broken instrument, this procedure is simple, cost-effective, harmless to the teeth and gives root canal sealing.

scholarly journals Pulmonary fibrosis and embolism secondary to silicon implant leak

2019 ◽  
Vol 12 (6) ◽  
pp. e229470 ◽  
Author(s):  
Ahad Azeem ◽  
Samreen Khuwaja ◽  
Rukma Parthvi ◽  
Teekaram Persaud
Keyword(s):  
Case Report ◽  
Respiratory Failure ◽  
Side Effects ◽  
Pulmonary Fibrosis ◽  
Breast Implants ◽  
Shortness Of Breath ◽  
Silicone Breast Implants ◽  
Embolism Syndrome ◽  
History Of ◽  
Prompt Diagnosis

Pulmonary fibrosis in a patient with history of ruptured silicone breast implants may present a therapeutic challenge to diagnose and treat. In this case report, we aim to discuss our experience in diagnosing a patient with chronic silicone embolism syndrome masquerading as refractory multifocal pneumonia that presented with respiratory failure. A young woman with no significant past exposure having recurrent admissions to the hospital due to fever and shortness of breath was found to have chronic silicone embolism with pneumonitis. This case report emphasis the prompt diagnosis and treatment of silicone induced fibrosis and approach to the most common side effects of breast implants.

Risperidone-Induced Neuroleptic Malignant Syndrome: A Case Report and Review

1996 ◽  
Vol 41 (1) ◽  
pp. 52-54 ◽  
Author(s):  
Gb Meterissian
Keyword(s):  
Case Report ◽  
Side Effects ◽  
Neuroleptic Malignant Syndrome ◽  
Clinical Features ◽  
Prior History ◽  
Extrapyramidal Side Effects ◽  
Life Threatening ◽  
History Of ◽  
Life Threatening Complication ◽  
The One

Objectives: 1. To report the case of a 53-year-old patient who developed neuroleptic malignant syndrome (NMS) — a rare but potentially life-threatening complication of neuroleptic therapy — 4 days after treatment with risperidone was initiated. 2. To review previously reported cases of NMS associated with risperidone. Methods: A computerized search of several databases, including MEDLINE, was conducted to find all previously reported cases of NMS with risperidone. Results: Five reported cases of risperidone-induced NMS were found in the literature. All cases including the one reported here displayed typical clinical features of NMS and all 6 patients had a prior history of extrapyramidal side effects and/or NMS. Age and duration of exposure to risperidone did not seem to be of significance. Conclusions: These cases illustrate that clinicians should be on the lookout for risperidone-induced NMS.

Management of Sudden Sensorineural Hearing Loss

1995 ◽  
Vol 112 (5) ◽  
pp. P150-P150
Author(s):  
Frederick Byl
Keyword(s):  
Hearing Loss ◽  
Natural History ◽  
Sensorineural Hearing Loss ◽  
Cost Effective ◽  
Management Plan ◽  
Sudden Sensorineural Hearing Loss ◽  
Sensorineural Hearing ◽  
Effective Management ◽  
History Of ◽  
Medical Judgment

Educational objectives: To better understand the etiology and natural history of sudden sensorineural hearing loss and to develop a practical, cost-effective management plan consistent with sound medical judgment.

scholarly journals Polylactic Acid Implant for Cranioplasty with 3-dimensional Printing Customization: A Case Report

2020 ◽  
Vol 8 (C) ◽  
pp. 151-155
Author(s):  
Tedy Apriawan ◽  
Khrisna Rangga Permana ◽  
Ditto Darlan ◽  
Muhammad Reza Arifianto ◽  
Fitra Fitra ◽  
...  
Keyword(s):  
Case Report ◽  
3D Printing ◽  
Polylactic Acid ◽  
Cost Effective ◽  
Skull Defect ◽  
3 Dimensional ◽  
First Case ◽  
Good Cosmetic ◽  
History Of ◽  
The Right

BACKGROUND: Cranioplasty is aimed to restore the structure and function of the lost portion of the skull defect. Many materials can be used for cranioplasty, such as the bones of the patient (autograft), the bones of other patients (allograft), bones of animals (xenograft), or synthetic materials such as acrylic or titanium mesh. These materials are quite expensive and sometimes require complex processes. Manual shaping of material for cranioplasty is also quite time-consuming and prone to cause esthetic dissatisfaction. The author will discuss the case of using polylactic acid (PLA) implant with 3-dimensional (3D) printing customization as a cheap and accurate cosmetic solution for cranioplasty procedures. CASE REPORT: We report 2 cases of skull defect underwent cranioplasty. The first case, female, 20-year-old, had a history of severe traumatic brain injury (TBI) and epidural hematoma. She underwent decompression craniotomy on the left frontotemporoparietal region of her skull. The second case, male, 46-year-old, had a history of spontaneous intracerebral hemorrhage due to arteriovenous malformation (AVM). He underwent decompression craniotomy on the right frontotemporoparietal region of her skull. Both the data of computerized tomography (CT) scan were reconstructed to get 3D model of skull defect. Prosthesis was made by 3D printer accordingly using PLA as material. There was no complication reported postoperatively and cosmetic satisfaction was obtained on both cases. CONCLUSION: The use of PLA implant with 3D printing customization was proved to be cost-effective and good cosmetic satisfaction with no complication reported following cranioplasty procedure.

scholarly journals THE CONCEPT AND MANAGEMENT OF WAJAUL MAFASIL IN UNANI MEDICINE

2021 ◽  
pp. 7-13
Author(s):  
ZEHRA ZAIDI
Keyword(s):  
Side Effects ◽  
Clinical Studies ◽  
Pharmacological Therapy ◽  
Phase Iii ◽  
Herbal Drugs ◽  
Effective Management ◽  
Unani Medicine ◽  
Herbal Medications ◽  
Classical Knowledge

More than 54 million Americans suffer from some form of arthritis and 23.7 million are limited in their usual activity, primarily due to pain. The study aims to highlight the concept of Arthralgia and the potential of its management in Unani Medicines. Osteoarthritis (OA) is a slowly progressive condition with a variable prognosis. In general, predicting the prognosis in patients with OA is difficult. However, pharmacological therapy can be associated with serious side effects and high costs. Therefore, alternative therapies have been under investigation. Herbal medications have shown the potential for safe and effective management of arthritis. The Unani Medicine is a rich source of classical knowledge on arthritis. OA has been mentioned as Wajaul Mafasil Balghami/Saudawi, and Unani Physicians has been treating this disease successfully with mostly single herbal drugs and their compound formulations for centuries. It has been revealed through animal, in vitro, and clinical studies that most of the single and compound Unani formulations are safe, without any side effects, and effective in OA, especially gout and rheumatoid arthritis. There is a need to conduct studies at Phase III level after analyzing 2nd Phase clinical studies of Unani medicine, so a promising safe, economic, and effective treatment can be provided to the ailing society for OA.

scholarly journals Gemcitabine-induced pseudocellulitis: a case report and review of the literature

2019 ◽  
Vol 26 (5) ◽  
Author(s):  
H. Bami ◽  
C. Goodman ◽  
G. Boldt ◽  
M. Vincent
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Side Effects ◽  
Chemotherapeutic Agent ◽  
Whipple Procedure ◽  
Venous Stasis ◽  
Past Medical History ◽  
Review Of The Literature ◽  
Peripheral Vascular ◽  
History Of

Gemcitabine is a chemotherapeutic agent used in a wide variety of solid tumours. Known side effects include a dose-limiting myelosuppressive toxicity, mild rash, and radiation-dependent dermatitis. Rarely, localized inflammation in the form of pseudocellulitis has also been observed. We present the case of a 77-year-old woman with a history of a Whipple procedure for pancreatic adenocarcinoma who presented to the emergency department after the start of gemcitabine therapy with increased erythema, swelling, and tenderness in her lower legs. Relevant past medical history included peripheral vascular disease, dyslipidemia, and hypertension. A diagnosis of gemcitabine-induced pseudocellulitis aggravated by venous stasis was confirmed after an extensive workup. This case report and the literature review describe this rare reaction, highlighting the need for increased recognition to avoid unnecessary therapeutic intervention.

Ibopamine Treatment in Chronic Hypotony Secondary to Long-Lasting Uveitis. A Case Report

2000 ◽  
Vol 10 (4) ◽  
pp. 332-334 ◽  
Author(s):  
P. Pivetti-Pezzi ◽  
S. Da Dalt ◽  
M. La Cava ◽  
M. Pinca ◽  
F. De Gregorio ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Intraocular Pressure ◽  
Case Report ◽  
Side Effects ◽  
Visual Field ◽  
Clinical Efficacy ◽  
Eye Drops ◽  
Days Of Therapy ◽  
History Of

Purpose To assess the clinical efficacy of ibopamine eye drops in severe hypotony secondary to chronic progressive uveitis. Methods Case report. A 47-year-old man with a 37-year history of diffuse uveitis and severe refractory hypotony was treated with topical 2% ibopamine (Trazyl®) six times a day. Intraocular pressure, visual acuity, visual field and side effects were recorded during 15 months of follow-up. Results IOP, visual acuity and visual field increased after four days of therapy and lasted for two months when the drug was suspended because of the onset of filamentous keratopathy. A new course of treatment with 2% ibopamine eye drops in a different solvent (BSS®) resulted in a stable increase in IOP, VA and visual field, with no side effects in a follow-up of 13 months. Conclusions Ibopamine 2% eye drops in BSS® solvent seem effective in the treatment of uveitis-related hypotony.

scholarly journals Case Report: Importance of dietary modification in successful management of eosinophilic gastroenteritis

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1761
Author(s):  
Pujitha Kudaravalli ◽  
Sheikh A. Saleem ◽  
Sana Riaz ◽  
Bishnu Sapkota
Keyword(s):  
Case Report ◽  
Side Effects ◽  
Parasitic Infection ◽  
Elimination Diet ◽  
Eosinophilic Gastroenteritis ◽  
Dietary Modification ◽  
Inflammatory Disorder ◽  
Recurrence Rates ◽  
Hiv Test ◽  
History Of

Introduction: Eosinophilic gastroenteritis (EGE) is an extremely rare inflammatory disorder with an estimated prevalence of 22-28/100 000. We herein, present a case of EGE in an elderly patient which was successfully managed with dietary restriction. Case report: A 70-year-old male with a history of gastroesophageal reflux disorder (GERD), atopic dermatitis and asthma presented with 2 weeks history of foul-smelling non-bloody diarrhea associated with nausea, vomiting and weight loss. Physical examination was significant for dry oral mucosa and loss of skin turgor. Lab findings were significant for a hemoglobin of 13.2 g/dl, hematocrit of 38.5%, mean corpuscular volume of 86.3%, white blood cell count of 24,200/mm3, albumin of 2.2 g/L, stool fat of 70g, stool osmolar gap of 115, C-reactive protein 1.47. Erythrocyte sedimentation rate, HIV test were unremarkable. Infectious stool work-up was negative. Computed tomography of the abdomen was unremarkable. The mucosa appeared mildly inflamed on upper endoscopy and colonoscopy, and biopsies showed eosinophilic infiltration of the mucosal and muscular layers. A diagnosis of eosinophilic gastroenteritis was made after other causes such as parasitic infection, drug use and malignancy were ruled out. The patient was counseled on a six-food elimination diet which successfully resolved his diarrhea. The patient did not have any relapses with dietary modification on follow-up. Discussion: The recurrence rate of EGE is 50%. Steroids improve symptoms in 90% of cases but the recurrence rates are high. The type, dose and duration of steroid therapy is unclear. Sodium cromoglicate, ketotifen, and Montelukast are other proposed treatments, the results being inconclusive. Bowel resection is performed in intestinal obstruction, but medical therapy is needed as recurrence in other segments in common. Dietary modification, a therapy with no side-effects should be the first line of treatment as it can result in resolution sparing the patient of steroid induced side effects.

Chlormethiazole Dependency—A Case Report

1979 ◽  
Vol 13 (4) ◽  
pp. 349-351 ◽  
Author(s):  
M. H. L. De Groot
Keyword(s):  
Case Report ◽  
Side Effects ◽  
Female Patient ◽  
Previous History ◽  
Detailed Report ◽  
History Of

Although dependency is reported to be one of the side effects of chlormethiazole, very few cases of such dependency have been reported. A detailed report of a female patient with a previous history of other dependencies, and who subsequently became dependent on chlormethiazole, is offered.

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