OA Journal of Clinical Case Reports最新文献

{"title":"Introduction of ultrasound at the bedside in the differential diagnosis of the pulmonary embolism as a cause of syncope","authors":"Ion Koldobika Iríbar Diéguez","doi":"10.33118/OAJ.CLIN.2019.01.009","DOIUrl":"https://doi.org/10.33118/OAJ.CLIN.2019.01.009","url":null,"abstract":"There is currently no emergency congress without a table and/or ultrasonography workshop at the bedside and recently the new guidance on the management of syncope has been published (ESC Guide 2018 on the diagnosis and treatment of syncope [1]). Together with the possibility of cushioning the problem of the excess of requests for complementary tests in the emergency departments, we believe that this article combines both aspects and provides an interesting point of reflection.\u0000\u0000Keywords: Syncope, Pulmonary embolism, Ultrasound at the bedside, Supplementary tests.","PeriodicalId":163094,"journal":{"name":"OA Journal of Clinical Case Reports","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134240173","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":"Unusual Distal Tibia BCOR Sarcoma: A Case Report and Review of Imaging Features","authors":"P. Bharucha","doi":"10.33118/OAJ.CLIN.2019.01.008","DOIUrl":"https://doi.org/10.33118/OAJ.CLIN.2019.01.008","url":null,"abstract":"Ewing’s sarcoma is a common pediatric sarcoma. There is a subset of tumors similar to Ewing’s sarcoma in several aspects, but negative for all known translocations. The BCOR sarcoma is one example. There are limited descriptions of the radiologic imaging findings. Previous reports describe the radiologic features as “aggressive” and “similar” to Ewing’s sarcoma. This implies a permeative lesion centered in the diaphysis. Our case was geographic with a well-defined border and sharp zone of transition.\u0000\u0000Keywords: Ewing’s sarcoma, BCOR sarcoma, Imaging","PeriodicalId":163094,"journal":{"name":"OA Journal of Clinical Case Reports","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131610822","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":"Dance screening practices in dance companies, dance schools and university dance programmes: An international survey of current practices","authors":"Ross Armstrong","doi":"10.33118/OAJ.CLIN.2019.01.007","DOIUrl":"https://doi.org/10.33118/OAJ.CLIN.2019.01.007","url":null,"abstract":"Background: Dance performance requires the combination of both athletic and artistic demands. The health and well-being of dancers is of paramount importance, and one intervention that has been used to manage their health and performance is screening. There is a need to determine current screening practices to aid the management of dancers. Methods: The Bristol online survey was used to determine screening practices in dance companies/schools and university dance programmes. The survey was available online between April 2018 and September 2018 and consisted of 39 questions which were divided into the following sections: (1) screening details, (2) physical fitness and joint screening, (3) injury screening, (4) dance specific movement screening, (5) health screening. Respondents included those individuals involved in dance screening. Results: A total of 32 individuals participated in the study with physiotherapists and dance teachers most prevalent. Injury prevention (62.5%) and self-management (62.5%) were the most common aims of screening. Dancer screening occurred in a non-fatigued state in 90.63% of dancers. Flexibility (95.75%) was the most commonly assessed physical fitness component and the feet the most assessed joint (87.5%). Passive turnout (62.5%) and demi-plié (62.5%) were the most commonly assessed dance specific movements. Previous injury (87.5%) had the highest prevalence of general health questioning. Cardiovascular screening was performed by 21.88% of respondents and the Star Excursion Balance Test (34.38%) was the most commonly used movement screening tool. Hypermobility was screened by 75% of respondents and 28.13% of respondents used psychometric tests. Conclusion: Physiotherapists and dance teachers were most frequently involved in screening, and the main aims were to improve the dancers health and well-being. There may be a need to consider the potential influence of acute fatigue on screening and a greater assessment of the strength, aerobic fitness and speed is required. Passive and active turnout were frequently screened and may be important in identifying potential injury risk. Cardiac and psychometric screening was limited and may require greater consideration. Keywords: Dance screening, Injury prevention, Career longevity, Flexibility, Passive turnout, Cardiovascular screening, Star Excursion Balance Test, Hypermobility","PeriodicalId":163094,"journal":{"name":"OA Journal of Clinical Case Reports","volume":"144 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123263514","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":"A young woman presenting a kikuchi-fujimoto’s disease associated with induced lupus","authors":"Galith Kalmi","doi":"10.33118/OAJ.CLIN.2019.01.006","DOIUrl":"https://doi.org/10.33118/OAJ.CLIN.2019.01.006","url":null,"abstract":"Introduction: Kikuchi-Fujimoto’s disease (KFD) or histiocytic necrotizing lymphadenitis is a benign and self-limited disease of unknown etiology mainly affecting young women. Although the association with systemic lupus erythematosus (SLE) is well described, no case of drug-induced lupus erythematosus (DILE) associated KFD has not been reported so far.\u0000\u0000Case report: We herein report a 25-year old Caucasian woman, with no medical history and no medication except for oral estrogen-progestin contraception (levonorgestrel-ethinylestradiol), who presented with cervical lymphadenopathy, fever and arthralgia without weight loss, night sweats or skin involvement. An exhaustive infectious disease screening was negative and lymph node biopsy revealed histiocytic necrotizing lymphadenitis suggesting KFD. Autoimmune screening tests evidenced high titers of anti-histone antibodies suggesting DILE induced by estrogen-progestin medication. The patient received a short course of non-steroidal anti-inflammatory treatment for painful lymphadenitis and arthralgia. Oral levonorgestrel-ethinylestradiol contraceptive medication was stopped and KFD and DILE completely recovered with a long-term disappearance of anti-histone antibodies.\u0000\u0000Conclusion: We report the first case of KFD associated-DILE following oral levonorgestrel-ethinylestradiol medication. Even though levonorgestrel-ethinylestradiol induced lupus is well known, the association with KFD has never been reported and the physiopathology remained unknown.\u0000\u0000Keywords: Kikuchi-Fujimoto disease, Lupus, Levonorgestrel-ethinylestradiol","PeriodicalId":163094,"journal":{"name":"OA Journal of Clinical Case Reports","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127719259","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":"Pregnancy-triggered triple autoimmunity (Hashimoto’s thyroiditis, antiphospholipid syndrome and systemic lupus erythematosus)","authors":"S. Junejo","doi":"10.33118/OAJ.CLIN.2019.01.004","DOIUrl":"https://doi.org/10.33118/OAJ.CLIN.2019.01.004","url":null,"abstract":"Introduction: We describe a case of 22 year old female with her first pregnancy triggered Hashimoto’s thyroiditis (HT), Antiphospholipid Syndrome (APS) and Systemic Lupus Erythematosus (SLE).\u0000\u0000Case Report: A 22 year old female was diagnosed with HT on levothyroxine during the early first trimester. During 21 weeks of gestation patient has intrauterine fetal demise and underwent medical abortion. SLE work up including antinuclear antibody and anti-double stranded DNA were positive. She underwent kidney biopsy, which revealed membranous and mesangial proliferative lupus nephritis. Diagnosis of SLE and APS was made. Treatment with anticoagulation therapy was started. SLE therapy was initiated with prednisone, mycophenolate mofetil and hydroxychloroquine with complete resolution of symptoms.We report a 23-year-old gravida in her first pregnancy, suffering from MGN and severe nephrotic syndrome, complicated by APLA syndrome. The patient was treated with enoxaparin, aspirin azathioprine, and Prednisone for a short time, in addition to furosemide and albumin intravenously. She was delivered at 30 weeks due to deteriorating maternal and foetal conditions.\u0000\u0000Discussion: APS is a prothrombotic disorder with various manifestations, most commonly venous and arterial thromboembolism and recurrent pregnancy loss. Pregnancy may trigger an underlying APS, which may well be the causative for the miscarriage. New onset SLE during pregnancy is rare. However, in our case, the anemia, thrombocytopenia, and proteinuria led us to the correct diagnosis of SLE. HT is associated with higher rates of infertility and early miscarriages, due to the associated hormonal changes and instability. However, the association of APS and HT is not well recognized in pregnant women.\u0000\u0000Conclusion: We present here a challenging case of new-onset triple autoimmune disorders trigged by pregnancy. Clinicians should be aware of this association and initiate early autoimmune work up for SLE and APS in patients with new onset of HT during pregnancy.\u0000A successful neonatal and maternal outcome was achieved in this case. The patient's history revealed thrombocytopenia and APLA syndrome and continues to be treated chronically with enoxaparin. Kidney biopsy performed after delivery showed membranous MGN stage II-III. Herein, we present a case of successful pregnancy and foetal outcome in a young woman with APLA syndrome and MN.\u0000\u0000Keywords: Pregnancy triggered Hashimoto’s thyroiditis, Antiphospholipid Syndrome and Systemic Lupus Erythematosus","PeriodicalId":163094,"journal":{"name":"OA Journal of Clinical Case Reports","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131234675","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}