LaeknabladidPub Date : 2024-11-01DOI: 10.17992/lbl.2024.11.813
Katrin Holmgrimsdottir, Saemundur Rognvaldsson, Telma Huld Ragnarsdottir, Erna Milunka Kojic
{"title":"[Anyone can contract HIV but no one should get AIDS].","authors":"Katrin Holmgrimsdottir, Saemundur Rognvaldsson, Telma Huld Ragnarsdottir, Erna Milunka Kojic","doi":"10.17992/lbl.2024.11.813","DOIUrl":"10.17992/lbl.2024.11.813","url":null,"abstract":"<p><p>HIV can have various clinical manifestations and without treatment it can progress to AIDS and have severe complications. We have effective treatments against the infection and want to treat everyone with HIV before it progresses to AIDS. The premise for that is HIV testing. HIV infection should be on the differential when patients present with signs and symptoms not otherwise explained. We describe here two recent cases of AIDS in Icelandic women that did not have perceived risk factors resulting in a significant delay in HIV diagnosis leading to AIDS.</p>","PeriodicalId":49924,"journal":{"name":"Laeknabladid","volume":"110 11","pages":"512-515"},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
LaeknabladidPub Date : 2024-11-01DOI: 10.17992/lbl.2024.11.814
Gudrun Margret Vidarsdottir, Hulda Maria Einarsdottir, Jon Gunnlaugur Jonasson, Pall Helgi Moller
{"title":"[Meckel's diverticulitis with perforation - a case report and discussion of the disorder].","authors":"Gudrun Margret Vidarsdottir, Hulda Maria Einarsdottir, Jon Gunnlaugur Jonasson, Pall Helgi Moller","doi":"10.17992/lbl.2024.11.814","DOIUrl":"10.17992/lbl.2024.11.814","url":null,"abstract":"<p><p>Meckel's diverticulum is a common congenital anomaly in embryonic development of the ileum. Meckel's diverticulum is most often asymptomatic, but complications can arise, such as gastrointestinal bleeding and diverticulitis. We present a case report of a 42-year-old man who was diagnosed with Meckel's diverticulitis with perforation and had a previous history of gastrointestinal bleeding.</p>","PeriodicalId":49924,"journal":{"name":"Laeknabladid","volume":"110 11","pages":"516-519"},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Cervical artery dissection in Iceland: epidemiology, treatment and prognosis].","authors":"Idunn Andradottir, Brynhildur Thors, Olafur Sveinsson","doi":"10.17992/lbl.2024.11.812","DOIUrl":"10.17992/lbl.2024.11.812","url":null,"abstract":"<p><strong>Background: </strong>Cervical artery dissection is a common cause of ischemic stroke in young adults and middle-aged individuals. Due to advances in imaging techniques and increased knowledge, dissections are now diagnosed much more frequently than before. This study aimed to investigate the incidence of cervical artery dissection in Iceland from 2005 to 2023.</p><p><strong>Methods: </strong>A retrospective study was conducted using medical records of individuals diagnosed with cervical artery dissection in Iceland between January 1, 2005, and December 31, 2023. The factors examined included gender, year of diagnosis, age at diagnosis, symptoms, risk factors, treatment, and prognosis. Data processing was performed using Excel® and Rstudio.</p><p><strong>Results: </strong>The study sample consisted of 107 individuals, including 37 women and 70 men. The average incidence was 1.62 per 100,000 people per year. The incidence increased over the period, being 2.7 times higher in the latter half compared to the former. The average age of diagnosis was 50 years (range 18-101 years). The most common symptom was pain (72%), followed by sensory disturbances (67%), motor disturbances (49%), and Horner's syndrome (36%). Half of the patients experienced an ischemic stroke (51%). Five individuals (4.6%) had a recurrent dissection during the follow-up period. Dissections occurred in the internal carotid artery in 56% of cases and the vertebral artery in 44% of cases. All patients received antiplatelet and/or anticoagulant therapy. After 3-6 months, 77% had no or mild disability (0-2 on the modified Rankin scale).</p><p><strong>Discussion: </strong>The incidence of cervical artery dissection in Iceland is consistent with findings from other studies. Diagnoses have increased in recent years, and the average incidence has risen. The majority of patients achieved good recovery, indicating effective diagnosis and treatment of cervical artery dissection in Iceland.</p>","PeriodicalId":49924,"journal":{"name":"Laeknabladid","volume":"110 11","pages":"506-511"},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
LaeknabladidPub Date : 2024-11-01DOI: 10.17992/lbl.2024.11.811
Gudrun Aspelund
{"title":"[Early HIV Detection: Key to Preventing AIDS].","authors":"Gudrun Aspelund","doi":"10.17992/lbl.2024.11.811","DOIUrl":"10.17992/lbl.2024.11.811","url":null,"abstract":"","PeriodicalId":49924,"journal":{"name":"Laeknabladid","volume":"110 11","pages":"505"},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
LaeknabladidPub Date : 2024-10-01DOI: 10.17992/lbl.2024.09.807
Ragnar Freyr Ingvarsson
{"title":"[Independent medical services are one of the cornerstones of icelandic healthcare].","authors":"Ragnar Freyr Ingvarsson","doi":"10.17992/lbl.2024.09.807","DOIUrl":"https://doi.org/10.17992/lbl.2024.09.807","url":null,"abstract":"","PeriodicalId":49924,"journal":{"name":"Laeknabladid","volume":"110 10","pages":"457"},"PeriodicalIF":0.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
LaeknabladidPub Date : 2024-10-01DOI: 10.17992/lbl.2024.09.808
Helgi Kr Sigmundsson, Einar S Bjornsson
{"title":"[Eosinophilic esophagitis (EoE) in adults in Icelandic and international context].","authors":"Helgi Kr Sigmundsson, Einar S Bjornsson","doi":"10.17992/lbl.2024.09.808","DOIUrl":"https://doi.org/10.17992/lbl.2024.09.808","url":null,"abstract":"<p><p>Eosinophilic esophagitis (EoE) is a common cause of swallowing difficulties in both children and adults. The incidence of EoE has been increasing over the past decades, which cannot be solely attributed to improved diagnostic techniques. EoE is more common in adults than in children. The diagnosis is confirmed by a biopsy from the esophageal mucosa showing a significant infiltration of eosinophils. Many patients respond to treatment with proton pump inhibitors, but those with severe EoE may require dietary modifications, topical steroids, and/or dilation of esophageal strictures. This review covers the incidence, risk factors, natural course, diagnosis, and treatment options for EoE, both within the Icelandic healthcare system andi n a broader context.</p>","PeriodicalId":49924,"journal":{"name":"Laeknabladid","volume":"110 10","pages":"458-463"},"PeriodicalIF":0.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Licorice consumption can be life-threatening].","authors":"Olafur Orri Sturluson, Birgir Johannsson, Helga Agusta Sigurjonsdottir","doi":"10.17992/lbl.2024.09.809","DOIUrl":"https://doi.org/10.17992/lbl.2024.09.809","url":null,"abstract":"<p><p>A 71-year-old man came to the emergency department (ED) at Landspitali University Hospital after collapsing at his home. He had a severely decreased serum potassium concentration of 2.1 mmol/L (ref. 3,5-4,8 mmol/L), along with an influenza A infection and thigh muscle weakness. Further investigations revealed atrial fibrillation, new-onset hypertension and increased urinary excretion of potassium. Serum values of aldosterone and renin were under the limit of detection. The patient had consumed a significant amount of liquorice with marzipan, over 250g per day, in the days preceding his visit to the ED. He was subsequently diagnosed with liquorice-induced hypertension and syndome of apparent mineralocordicoid excess (pseudohyperaldosteronism). This case emphasizes the need for clinicians to be aware of the dangers of liquorice consumption.</p>","PeriodicalId":49924,"journal":{"name":"Laeknabladid","volume":"110 10","pages":"464-468"},"PeriodicalIF":0.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
LaeknabladidPub Date : 2024-09-01DOI: 10.17992/lbl.2024.09.803
Anna Sigridur Olafsdottir
{"title":"[On autopilot: is it unevitable that our fast paced living drives us to ultra-processed foods?]","authors":"Anna Sigridur Olafsdottir","doi":"10.17992/lbl.2024.09.803","DOIUrl":"10.17992/lbl.2024.09.803","url":null,"abstract":"","PeriodicalId":49924,"journal":{"name":"Laeknabladid","volume":"110 9","pages":"401"},"PeriodicalIF":0.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}