D Ly-Liu, R Sampedro Ruiz, J P Meza-Budani, E O'Riordan, D Ly-Pen
{"title":"A very frightening but not dangerous rash in children.","authors":"D Ly-Liu, R Sampedro Ruiz, J P Meza-Budani, E O'Riordan, D Ly-Pen","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Presentation: </strong>We present a patient with Urticaria Multiforme (UM). This is not a very frequent disease in primary care.</p><p><strong>Diagnosis: </strong>Their general condition is usually excellent, with no systemic symptoms, although some short-term fever might be present. There is also oedema, usually affecting the face, lips, and extremities. No cases of airway angioedema had been reported in UM. Pruritus is a common symptom. Dermographism is usually present. Laboratory tests are not needed to diagnose UM. UM can be diagnosed safely and accurately based on a thorough clinical history and physical examination.</p><p><strong>Treatment: </strong>Systemic antihistamines are the cornerstone of treatment, providing relief from pruritus. In refractory and severe cases, the use of systemic corticosteroids may be necessary.</p><p><strong>Discussion: </strong>GPs should be aware of this entity because the general condition of the child is very good and lesions are almost pathognomonic. This will avoid the child to undergo for unnecessary laboratory evaluation and hospital referral.</p>","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"118 1","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143492115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M E McMahon, J Keaney, N Walsh, N Conroy, A O'Shea, J Sorensen, A D K Hill, B O'Sullivan, F Martin, R Dolan
{"title":"An Insight into the Implications of the NCCP 2024 Guideline on the Staging & Surveillance of Melanoma.","authors":"M E McMahon, J Keaney, N Walsh, N Conroy, A O'Shea, J Sorensen, A D K Hill, B O'Sullivan, F Martin, R Dolan","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Aim: </strong>In 2024, the NCCP introduced changes to the staging and surveillance of cutaneous melanoma. This study aims to evaluate the cost-effectiveness of this proposed change and the impact on future modelling of services.</p><p><strong>Methods: </strong>Patients diagnosed with melanoma (Clinical Stage Ib and above) treated between 2017 and 2023 at Beaumont Hospital were identified from a prospectively maintained database. Data were analysed for their journey on an idealized pathway modelled over a 5-year follow-up period according to new guidelines. The increased number and cost of surveillance imaging required was estimated and compared with previous best practice.</p><p><strong>Results: </strong>According to new guidelines, based on our patient population, an additional 110 surveillance whole-body CT and brain-CT scans could be required annually for stage IIb and IIc melanoma. Regarding PET-CT scans, this could lead to a potential additional annual expense of €176,000. An additional 390 surveillance MRI-Brain scans could potentially be required annually for stage III and IV melanoma patients.</p><p><strong>Discussion: </strong>This study identifies cost and service access implications with the implementation of these guidelines. The clinical utility of increased surveillance imaging is yet to be determined. This provides key information for planning future service delivery in the context of an aging population and increased prevalence of melanoma.</p>","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"118 2","pages":"18"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143501081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A Ali, R O'Neill, B Treston, E Kitt, P J Morris, M A Healy, J Donnelly
{"title":"RSV Burden on Ireland's Tertiary Children's Hospitals: An In-Depth Winter 2023/2024 review.","authors":"A Ali, R O'Neill, B Treston, E Kitt, P J Morris, M A Healy, J Donnelly","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 10","pages":"1047"},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Challenging convention in Laparoscopic Pyeloplasty: A prospective analysis on the successful application of knotless continuous barbed suture.","authors":"L O'Gorman, P M Collins, D B Hennesy","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 9","pages":"1027"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E Houlihan, A Byrne, M McKenna, B Redmond, S J Knowles
{"title":"Group B Streptococcal Management in Penicillin-allergic Pregnant Women.","authors":"E Houlihan, A Byrne, M McKenna, B Redmond, S J Knowles","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 9","pages":"1030"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Eosinophilic Fasciitis Following Infection With COVID-19.","authors":"C Waters, O Doody, N Ambrose, W Torregiani","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 9","pages":"1032"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"MBRRACE-UK Perinatal Mortality Report.","authors":"J F A Murphy","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 9","pages":"1023"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medical Migration - Time for Change.","authors":"N O'Sullivan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 9","pages":"1037"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tramadol dependency leading to severe Opioid Use Disorder.","authors":"S N Abdullah, S M Khan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 9","pages":"1035"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}