Annals of case reportsPub Date : 2026-01-01Epub Date: 2026-02-06DOI: 10.29011/2574-7754.102521
Bhargavram Channagiri Srinivas, Sai Sri Hari Paruchuri, Wei Zhang, Prasad Dandawate, Subhrajit Saha, Ravi Paluri, Ashish Manne, Anup Kasi
{"title":"Metastatic Pancreatic Adenocarcinoma with Germline BLM and Somatic ATM Mutations: A Case Report and Review of DNA Damage Response.","authors":"Bhargavram Channagiri Srinivas, Sai Sri Hari Paruchuri, Wei Zhang, Prasad Dandawate, Subhrajit Saha, Ravi Paluri, Ashish Manne, Anup Kasi","doi":"10.29011/2574-7754.102521","DOIUrl":"10.29011/2574-7754.102521","url":null,"abstract":"<p><strong>Introduction: </strong>Pancreatic adenocarcinoma (PDAC) is an aggressive malignancy with a poor prognosis. While germline mutations in BRCA1/2 are well-established risk factors, mutations in the BLM gene (associated with Bloom Syndrome) are rare in this context.</p><p><strong>Case presentation: </strong>We present a 73-year-old female with a recent history of small cell lung cancer (SCLC) who presented with metastatic pancreatic adenocarcinoma. Genetic profiling revealed a pathogenic germline BLM mutation and a somatic ATM mutation. The patient was treated with an oxaliplatin-based regimen (mFOLFOX6), modified due to comorbidities, achieving disease stabilization.</p><p><strong>Discussion: </strong>This case highlights the complexity of managing metachronous malignancies and the utility of comprehensive genomic profiling. The presence of pathogenic variants in DNA damage response (DDR) genes (BLM and ATM) suggests a defect in homologous recombination, providing a rationale for platinum-based therapy. We discuss the implications of BLM mutations on therapeutic selection, potential immune checkpoint interactions, and the role of synthetic lethality in management.</p>","PeriodicalId":72213,"journal":{"name":"Annals of case reports","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12974267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438078","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}
Annals of case reportsPub Date : 2025-01-01Epub Date: 2025-06-09DOI: 10.29011/2574-7754.102316
Pascal J Goldschmidt-Clermont, Robert Montenegro, Kate Rojas, Alexander J P Goldschmidt, Ian A White
{"title":"First Applications of Purified and Sterile Human Amniotic Fluid for the Successful Healing of Abrasion and Acne Lesions of the Face.","authors":"Pascal J Goldschmidt-Clermont, Robert Montenegro, Kate Rojas, Alexander J P Goldschmidt, Ian A White","doi":"10.29011/2574-7754.102316","DOIUrl":"10.29011/2574-7754.102316","url":null,"abstract":"<p><p>The face and hands are among the most exposed areas of the human body. Maintaining healthy facial skin is particularly challenging due to its continuous exposure to environmental stressors. Factors such as ultraviolet (UV) radiation, air pollution, and adverse weather conditions, including humidity, wind, cold, and heat can all negatively impact the skin. UV radiation contributes to skin aging by inducing dermal thinning and hyperpigmentation, while pollution can lead to pore obstruction and the formation of comedones. Hormonal fluctuations, particularly in estrogen, testosterone, and cortisol play a significant role in modulating sebum production, comedogenesis, and cutaneous inflammation, all of which can contribute to the development of acne. Consequently, physiological stages such as puberty, menstruation, pregnancy, and menopause can markedly influence skin tone, texture, and overall clarity. Genetic predisposition plays a significant role in the susceptibility to dermatological conditions such as comedonal acne, inflammatory acne, rosacea, and hyperpigmentation. While topical and systemic acne therapies can be effective, their efficacy is often contingent upon appropriate selection based on individual skin type and acne phenotype. In some cases, treatments may be ineffective or associated with adverse effects, including irritation, scarring, or post-inflammatory hyperpigmentation. Additionally, mechanical trauma or incidental abrasions to the facial skin pose further challenges to maintaining cutaneous integrity and appearance. Here we provide evidence that a new therapeutic countermeasure, ViX001, can heal recalcitrant acne and sizeable abrasions.</p>","PeriodicalId":72213,"journal":{"name":"Annals of case reports","volume":"10 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12290875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735811","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}
{"title":"The Danger of Diagnostic Overshadowing in Primary Care: A Case Report of Delayed Diagnosis of Inflammatory Bowel Disease","authors":"","doi":"10.29011/2574-7754.101904","DOIUrl":"https://doi.org/10.29011/2574-7754.101904","url":null,"abstract":"","PeriodicalId":72213,"journal":{"name":"Annals of case reports","volume":"16 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141801468","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":"Retrospective Review of Patients Presenting for Daytime, Evening, Weekday, and Weekend Breast Cancer Screening and Diagnostic Imaging Appointments","authors":"","doi":"10.29011/2574-7754.101900","DOIUrl":"https://doi.org/10.29011/2574-7754.101900","url":null,"abstract":"","PeriodicalId":72213,"journal":{"name":"Annals of case reports","volume":"63 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141809155","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":"Outcome of Patients with Delayed Brain Metastases Following Initial Ipilimumab plus Nivolumab Treatment of Disseminated Melanoma","authors":"","doi":"10.29011/2574-7754.101891","DOIUrl":"https://doi.org/10.29011/2574-7754.101891","url":null,"abstract":"","PeriodicalId":72213,"journal":{"name":"Annals of case reports","volume":" 75","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141833608","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}
Daniele Speciale, Alberto Pagnamenta, Filippo Tami, Paolo Maino, Sabrina Bettoni
{"title":"Intubation of a Patient in Prone Position with the Videolaryngoscope in a Street Trauma","authors":"Daniele Speciale, Alberto Pagnamenta, Filippo Tami, Paolo Maino, Sabrina Bettoni","doi":"10.29011/2574-7754.101893","DOIUrl":"https://doi.org/10.29011/2574-7754.101893","url":null,"abstract":"Major road trauma in the prone position, when the victim cannot be released or retrieved due to intense pain, is a rare event. We present a case of a young patient who was incarcerated with his right lower limb in the prone position in a bulldozer. The impossibility of being able to extract him in a short time and the very intense pain, not responsive to high doses of analgesics, led us to perform an induction and intubation in the prone position with video laryngoscope. The success of the maneuver allowed us to release the patient in a short time with excellent outcome in terms of recovery of the lower limb","PeriodicalId":72213,"journal":{"name":"Annals of case reports","volume":" 43","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141832759","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":"Case Report: Pulmonary Aplasia in Pregnant Women","authors":"","doi":"10.29011/2574-7754.101882","DOIUrl":"https://doi.org/10.29011/2574-7754.101882","url":null,"abstract":"","PeriodicalId":72213,"journal":{"name":"Annals of case reports","volume":"78 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141834607","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}
Ivan Rektor, M. Fňašková, Sofia Berezka, M. Gajdoš, Pavel Říha, Tetyana Evmenova, Marek Preiss
{"title":"Acute War Stress in Ukrainian Refugees: Neurobiological and Psychological Impact","authors":"Ivan Rektor, M. Fňašková, Sofia Berezka, M. Gajdoš, Pavel Říha, Tetyana Evmenova, Marek Preiss","doi":"10.29011/2574-7754.101881","DOIUrl":"https://doi.org/10.29011/2574-7754.101881","url":null,"abstract":"Purpose: We raised the question whether the neurobiological and psychological impact of war stress could be observed in Ukrainian refugees during an ongoing war. Ukrainian refugee women (UG, n=43) from the war-torn regions were investigated and were compared to Czech women control group without stress (CG, n=21). Men were not allowed to leave Ukraine due to the war conditions. Method: Psychological testing was performed using tests available in Ukrainian language: Posttraumatic stress disorder Check List; Zung Self-Rating Depression Scale; The State-Trait Anxiety Inventory; Test of Intellectual Potential and Digit Span - WAIS III. Magnetic Resonance Imaging included voxel-based morphometry, functional MR, seed-based connectivity. Finding: UG scored significantly higher than CG in stress (p<0.001), depression (p=0.019) and anxiety (p=0.001) and lower than CG in an abstract reasoning task (p<0.030). The groups did not differ significantly in memory and intellectual tasks. MRI showed an enlargement of the posterior and central parts of the thalamus that were related to the frontal orbital gyrus and insula indicating a connectivity with limbic system regions. Conclusion: The data show the impact of acute and ongoing war-related stress on psychological features as well as on the thalamus and connectivity of stress-related cortical areas. Acute and ongoing war stress had a significant neurobiological impact on refugees from war-torn Ukraine.","PeriodicalId":72213,"journal":{"name":"Annals of case reports","volume":"138 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141655888","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":"An Emerging Problem: Multidisciplinary Treatment of Liver Transplant-Associated Biliary Complica- tions in Patients with Roux-En-Y Gastric Bypass","authors":"","doi":"10.29011/2574-7754.101875","DOIUrl":"https://doi.org/10.29011/2574-7754.101875","url":null,"abstract":"","PeriodicalId":72213,"journal":{"name":"Annals of case reports","volume":"24 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141836410","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. Chuansumrit, S. Jaovisidha, N. Sirachainan, Tachit Jiravichitchai, P. Kadegasem, Ketsuda Kempka, Monratta Pitakcharoen, Wannaphorn Rotchanpanya
{"title":"Effectiveness of Monthly Low Dose Emicizumab, and Sequential Monthly Low Dose Emicizumab and Factor VIII Concentrate Prophylaxis among Patients with Hemophilia A: A Case Series Report of 3-Year Follow-Up","authors":"A. Chuansumrit, S. Jaovisidha, N. Sirachainan, Tachit Jiravichitchai, P. Kadegasem, Ketsuda Kempka, Monratta Pitakcharoen, Wannaphorn Rotchanpanya","doi":"10.29011/2574-7754.101872","DOIUrl":"https://doi.org/10.29011/2574-7754.101872","url":null,"abstract":"Dose Emicizumab, and Sequential Monthly Low Dose Emicizumab and Factor VIII Concentrate Prophylaxis among Patients with Hemophilia A: A Case Series Report of 3-Year Follow-Up.","PeriodicalId":72213,"journal":{"name":"Annals of case reports","volume":"103 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141667186","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}