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Unveiling subungual exostosis: A case report of prolonged misdiagnosis and successful intervention 揭开真皮下骨质增生的神秘面纱：长期误诊和成功干预的病例报告

Medical Reports Pub Date : 2024-02-24 DOI: 10.1016/j.hmedic.2024.100048

Athina Stamati , Christos Lyrtzis , Nikolaos Anastasopoulos , Georgios Paraskevas

{"title":"Unveiling subungual exostosis: A case report of prolonged misdiagnosis and successful intervention","authors":"Athina Stamati , Christos Lyrtzis , Nikolaos Anastasopoulos , Georgios Paraskevas","doi":"10.1016/j.hmedic.2024.100048","DOIUrl":"https://doi.org/10.1016/j.hmedic.2024.100048","url":null,"abstract":"<div><h3>Background</h3><p>Subungual exostosis, a rare and often misdiagnosed condition, presents unique challenges in clinical practice.</p></div><div><h3>Case report</h3><p>We present a case of a 19-year-old patient who, over three years, underwent conservative treatment with drugs and two nail removal procedures due to an initial misdiagnosis of fungal infection. Despite these interventions, symptoms persisted, prompting a reevaluation. Radiographic imaging, including anteroposterior and lateral views of the hallux, revealed a well-defined subungual exostosis. Subsequent surgical excision, meticulously performed, confirmed the diagnosis, and histological examination substantiated the presence of subungual exostosis tissue. Remarkably, one-year post-surgery, the hallux nail exhibited complete restoration to normalcy, emphasizing the efficacy of the tailored surgical approach.</p></div><div><h3>Conclusion</h3><p>This case highlights the diagnostic complexities surrounding subungual exostosis, emphasizing the importance of accurate diagnosis and tailored surgical intervention. The successful outcome underscores the transformative impact of precise clinical evaluation and surgical management in resolving prolonged symptoms associated with this rare intra-articular lesion.</p></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"4 ","pages":"Article 100048"},"PeriodicalIF":0.0,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949918624000135/pdfft?md5=7cc52c741ddcb456b87afdc436198049&pid=1-s2.0-S2949918624000135-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139992715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vesicourethral foreign bodies: A case report 膀胱尿道异物：病例报告

Medical Reports Pub Date : 2024-02-20 DOI: 10.1016/j.hmedic.2024.100047

Hery Siswanto , Risde Hernando Uspessy , Muhammad Asykar Palinrungi , Muhammad Faruk , Syarif , Abdul Azis

{"title":"Vesicourethral foreign bodies: A case report","authors":"Hery Siswanto , Risde Hernando Uspessy , Muhammad Asykar Palinrungi , Muhammad Faruk , Syarif , Abdul Azis","doi":"10.1016/j.hmedic.2024.100047","DOIUrl":"https://doi.org/10.1016/j.hmedic.2024.100047","url":null,"abstract":"<div><p>Foreign bodies in the urinary tract constitute an emergency because of the serious complications that can develop if untreated, such as severe infections or bleeding. A 62-year-old man presented with two weeks of painful testicular swelling. The patient admitted that he had inserted an eyebrow pencil into the urethra two weeks prior that he could not remove. The physical examination found suprapubic tenderness, a palpably distended bladder, and pus seeping from the glans penis. An ultrasound examination detected a stick-shaped foreign body. The patient was catheterized and administered antibiotics and an intravenous analgetic. An open vesicolithotomy was then performed by a general surgeon. Proper handling of vesicourethral foreign bodies reduces the risks of infection and complications in the urinary tract. The surgical technique performed depends on the hospital instrument used and the shape and location of the foreign body.</p></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"4 ","pages":"Article 100047"},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949918624000123/pdfft?md5=a28ae4d807477a1949d005e0721aa3dd&pid=1-s2.0-S2949918624000123-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139936355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Osteopetrosis with Unusual Finding of Missing Mental Foramen and Narrowing of Inferior Alveolar nerve Canal on CT: A Case Report 骨软化症伴有 CT 上牙槽骨孔缺失和下牙槽神经管狭窄的异常发现：病例报告

Medical Reports Pub Date : 2024-02-09 DOI: 10.1016/j.hmedic.2024.100046

Gaurav Jain , Pwint Kyaw , Laurence Gaalaas , Mark Roettger , Natalie Jones , Michael Cole , Paul Orchard

引用次数: 0

A case study of suspected heterophilic interference in serum CA19-9 in immunoassay: Recommended method 血清 CA19-9 在免疫测定中出现疑似嗜异性干扰的病例研究：推荐方法

Medical Reports Pub Date : 2024-02-01 DOI: 10.1016/j.hmedic.2024.100042

Yili Ping , Haiyan Wang , Minghui Li , Yachun Leng , Xiaofang Li , Juqin Sun , Zhengjun Hu

{"title":"A case study of suspected heterophilic interference in serum CA19-9 in immunoassay: Recommended method","authors":"Yili Ping , Haiyan Wang , Minghui Li , Yachun Leng , Xiaofang Li , Juqin Sun , Zhengjun Hu","doi":"10.1016/j.hmedic.2024.100042","DOIUrl":"10.1016/j.hmedic.2024.100042","url":null,"abstract":"<div><h3>Background</h3><p>We reported a patient who exhibited an abnormal increase in carbohydrate antigen 19–9 (CA19–9) concentrations for 5 years in our hospital without matched clinical symptoms. We considered whether it was a false-positive result.</p></div><div><h3>Methods</h3><p>To identify the potential interference, multiple platform detections, gradient dilution, polyethylene glycol (PEG) precipitation and heterophilic antibody blocking assays were respectively used to evaluate the true CA19–9 concentration.</p></div><div><h3>Results</h3><p>The CA19–9 concentration showed an obvious increase (189.9 U/mL) using the Architect i2000SR platform while it was within the reference ranges on the Cobas e801 and DXI800 platforms. PEG precipitation effectively corrected the false CA19–9 concentration, as did the heterophilic blocking tube (HBT).</p></div><div><h3>Conclusion</h3><p>The CA19–9 concentration of this patient was identified to be interfered with by the presence of heterophilic antibodies. The lesson learned from this case is that false positives should be vigilant when using immunoassays to detect markers, especially in patients without corresponding clinical symptoms. Three types of experiments against heterophilic interference, gradient dilution, PEG precipitation, and blockers, are highly operational and effective in clinical laboratories.</p></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"3 ","pages":"Article 100042"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S294991862400007X/pdfft?md5=562c403ed65247909078e6927767ae1e&pid=1-s2.0-S294991862400007X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139631729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nickel sulphate and thiuram mix allergic contact dermatitis with successful response to dupilumab: Should allergens be immunotyped? 硫酸镍和秋兰姆混合型过敏性接触性皮炎对杜必鲁单抗反应成功：是否应该对过敏原进行免疫分型？

Medical Reports Pub Date : 2024-01-28 DOI: 10.1016/j.hmedic.2024.100043

Francisco J. Navarro-Triviño , Álvaro Prados-Carmona , Ricardo Ruiz-Villaverde

引用次数: 0

An adolescent presenting with Caroli syndrome associated with polycystic kidney disease: A case report 一名患有卡洛里综合征并伴有多囊肾的青少年：病例报告

Medical Reports Pub Date : 2024-01-19 DOI: 10.1016/j.hmedic.2024.100041

Bassem Al Hariri , Vajeeha Haider , Memon Noor Illahi , Muhammad Sharif , Abdulqadir J. Nashwan

引用次数: 0

A rare case presentation of gastrointestinal stromal tumor (GIST) in a young adult patient 一名年轻成人罕见的胃肠道间质瘤（GIST）病例

Medical Reports Pub Date : 2024-01-15 DOI: 10.1016/j.hmedic.2024.100040

Bassem Al Hariri , Rawan S. Mohamed , Hadil Altaj Altrify Alsidig , Abdulqadir J. Nashwan , Muad Abdi Hassan

引用次数: 0

Lost in translation: The impact of foreign language reliance in medicine on public health 翻译中的迷失：医学领域依赖外语对公共卫生的影响

Medical Reports Pub Date : 2024-01-13 DOI: 10.1016/j.hmedic.2024.100039

Abdullah Ashraf Hamad , Ibraheem M. Alkhawaldeh

{"title":"Lost in translation: The impact of foreign language reliance in medicine on public health","authors":"Abdullah Ashraf Hamad , Ibraheem M. Alkhawaldeh","doi":"10.1016/j.hmedic.2024.100039","DOIUrl":"https://doi.org/10.1016/j.hmedic.2024.100039","url":null,"abstract":"<div><p>Quality medical care and optimal public health are the cornerstone objectives of the field of medicine and medical education. However, language barriers and the role of language in medicine, medical education, and healthcare have a significant impact. While developed countries prioritize their native language in medicine, developing countries often rely on foreign languages. Typically, discussions about this issue in developing countries revolve around pedagogical contexts. This commentary aims to explore an alternative aspect of this language discourse by examining how relying on foreign language in medicine may impact public health. This impact could encompass various aspects, including the influence on the doctor-patient relationship and the quality of healthcare provided, pedagogical considerations in doctors' learning and training, and the potential linguistic isolation of medicine from the general public. By addressing these ramifications, we can gain a deeper understanding of the role language plays in shaping public health outcomes.</p></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"3 ","pages":"Article 100039"},"PeriodicalIF":0.0,"publicationDate":"2024-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949918624000044/pdfft?md5=0690a66d210fed32814a95bc724095b6&pid=1-s2.0-S2949918624000044-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139493343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Caribbean case of phosphoglycerate mutase deficiency: Relevance of forearm exercise test and electroneuromyography with long exercise test in the diagnosis strategy of rare muscle glycogenosis 一例加勒比地区的磷酸甘油酸突变酶缺乏症：在罕见肌糖原缺乏症的诊断策略中，前臂运动测试和电肌电图与长时间运动测试的相关性

Medical Reports Pub Date : 2024-01-12 DOI: 10.1016/j.hmedic.2024.100038

Elisabeth Sarrazin , Pascal Laforet , Simon Tournier , Jean-Christophe Hebert , Roseline Froissart , Guillaume Nicolas , Robert-Yves Carlier , Rémi Bellance , Anna-Gaëlle Giguet-Valard

引用次数: 0

Evaluation of knowledge and attitude of physicians, nurses, and patients regarding the importance of protection of vascular access in patients undergoing hemodialysis and its prognostic role 评估医生、护士和患者对保护血液透析患者血管通路的重要性及其预后作用的认识和态度

Medical Reports Pub Date : 2024-01-03 DOI: 10.1016/j.hmedic.2024.100036

Mohammad Malekshahi, Ahmed Reza Razi, Seyed Reza Abdullahi

{"title":"Evaluation of knowledge and attitude of physicians, nurses, and patients regarding the importance of protection of vascular access in patients undergoing hemodialysis and its prognostic role","authors":"Mohammad Malekshahi, Ahmed Reza Razi, Seyed Reza Abdullahi","doi":"10.1016/j.hmedic.2024.100036","DOIUrl":"10.1016/j.hmedic.2024.100036","url":null,"abstract":"<div><h3>Introduction</h3><p>An increasing number of people need dialysis each year, and this is a reflection of the rising number of individuals suffering from chronic renal failure (CKD) and progressive underlying nephropathies. The current study conducted to evaluate the knowledge and attitude of physicians, nurses, and patients regarding the importance of protection of vascular access in patients undergoing hemodialysis and its prognostic role.</p></div><div><h3>Method</h3><p>The current cohort study was conducted in 2019–2020 in Ilam using the Waltz and Basel questionnaire. The content validity ratio of this tool was verified according to the Law she table. Using the relevant formula, the validity ratio of the questionnaire was calculated and the statements with a value greater than 0.59 were retained. The data collected were analyzed using SPSS16 software.</p></div><div><h3>Results</h3><p>Ten physicians, 150 nurses, and 80 patients undergoing hemodialysis were included in this study, and their knowledge and attitudes towards the importance of protecting vascular access were assessed. The results showed that with each unit increase in the knowledge and attitude of physicians, nurses, and patients, the prognosis of patient's improved by 0.555 units.</p></div><div><h3>Conclusion</h3><p>The present study showed that the adequate knowledge and positive attitudes of physicians, nurses, and patients regarding the importance of protecting vascular access in patients undergoing hemodialysis is improved the prognosis of patients. Therefore, it is necessary to implement educational programs to increase the knowledge of these people about vascular access protection.</p></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"6 ","pages":"Article 100036"},"PeriodicalIF":0.0,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949918624000019/pdfft?md5=32d0d66273c18943e8745cd47804d812&pid=1-s2.0-S2949918624000019-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139393155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0