International Journal of Medical and Dental Case Reports最新文献

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A suspected denture stomatitis induced by coronavirus disease 2019 virus: A case report 疑似冠状病毒引起的假牙口炎1例报告

International Journal of Medical and Dental Case Reports Pub Date : 1900-01-01 DOI: 10.15713/ins.ijmdcr.170

Imed Ouni, E. Moussaoui, L. Mansour

引用次数: 0

Page kidney – A rare case of secondary hypertension caused by perinephric hematoma 肾周血肿引起继发性高血压的罕见病例

International Journal of Medical and Dental Case Reports Pub Date : 1900-01-01 DOI: 10.15713/ins.ijmdcr.126

K. Shivaraj, S. Shettigar

{"title":"Page kidney – A rare case of secondary hypertension caused by perinephric hematoma","authors":"K. Shivaraj, S. Shettigar","doi":"10.15713/ins.ijmdcr.126","DOIUrl":"https://doi.org/10.15713/ins.ijmdcr.126","url":null,"abstract":"About 5–10% of the cases of hypertension are caused due to a reversible secondary cause, especially in the younger population. A rare cause of secondary hypertension called page kidney, which is the external pressure on the kidneys causing the activation of reninangiotensin-aldosterone system mechanism. We present a case of a 56 year old female, with a history of uncontrolled hypertension in spite of being on 4 antihypertensive medications. She presented to the Emergency Room with hypertensive emergency and acute left middle cerebral artery ischemic stroke, for which thrombolysis was done with alteplase, after her BP was controlled. An emergent computed tomography abdomen was done for flank pain showed an acute left perinephric hematoma secondary to angiomyolipoma with possible mass effect on the left kidney, raising the possibility of page kidney. She was managed conservatively with angiotensin-converting enzyme (ACE) inhibitors. She was managed conservatively with angiotensin-converting enzyme(ACE) inhibitors and a further workup was done to assess the possibility of secondary hypertension. Page kidney is caused by external compression of the kidney by any cause including retroperitoneal or subcapsular hematoma, tumor, and cyst. This is a unique case, in which the patient most likely was having perinephric bleed secondary to renal angiomyolipoma causing long-standing secondary hypertension but was incidentally detected when the patient developed further bleeding when she was given alteplase for stroke. As per literature, nephrectomy has been advised, but with the advent of ACE inhibitors, patients have been conservatively without any intervention.","PeriodicalId":335352,"journal":{"name":"International Journal of Medical and Dental Case Reports","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128947328","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}

引用次数: 0

Incidental finding: Ossification of the anterior longitudinal ligament of the spine depicted on a panoramic radiograph – A case report with narrative review of the literature 偶然发现:脊柱前纵韧带骨化描绘的全景x线片-一个病例报告与叙事回顾的文献

International Journal of Medical and Dental Case Reports Pub Date : 1900-01-01 DOI: 10.15713/INS.IJMDCR.165

J. Aps, I. Koneski

{"title":"Incidental finding: Ossification of the anterior longitudinal ligament of the spine depicted on a panoramic radiograph – A case report with narrative review of the literature","authors":"J. Aps, I. Koneski","doi":"10.15713/INS.IJMDCR.165","DOIUrl":"https://doi.org/10.15713/INS.IJMDCR.165","url":null,"abstract":"A 55-year-old male had a panoramic radiograph taken at the University of Western Australia Dental Radiographic assessment depicted periapical lesions, caries, fractured teeth, horizontal periodontal bone loss, and a distinct ossification anterior to the cervical spine stretching from C2 to C4: (partial) Ossification of the anterior longitudinal ligament (OALL). Differential diagnosis: Osteophytes and segmental OALL. Relevant patient’s history: Motor vehicle accident with facial and dentoalveolar trauma. Subsequently, a narrative literature review was conducted to verify the prevalence and etiology of OALL. A PubMed ® search was conducted for ossified anterior longitudinal ligament, Forestier disease, and diffuse idiopathic skeletal hyperostosis (DISH). Radiology handbooks were also consulted. It was found that this ossification, first identified as senile ankylosing hyperostosis (Forestier disease), was renamed later: DISH. Its prevalence varies between 2.9 and 25%. The spinal form of DISH is characterized by OALL with involvement of the cervical spine in 76% of patients (typical C4-C5 level). Cervical spine OALL can be associated with dysphagia, obstructive sleep apnea, and pain. Segmental OALL and anterior vertebral osteophytes can be confused with DISH. Its etiology is unknown, but associations have been suggested with advanced age, obesity, and type 2 diabetes mellitus. This case emphasizes the importance to include the assessment of the cervical spine, if visible, on dental and maxillofacial radiographs, as it may prompt more targeted questions toward patients, referral to medical specialists and help diagnose conditions that have been unnoticed or misdiagnosed. of the anterior longitudinal ligament of the depicted","PeriodicalId":335352,"journal":{"name":"International Journal of Medical and Dental Case Reports","volume":"34 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113984387","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}

引用次数: 0

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