{"title":"Prevalence and Factors Associated with Low Bone Mass and Osteoporosis in Syrian Postmenopausal Women","authors":"Nermeen Hijazi, Z. Alourfi","doi":"10.30654/mjcr.10058","DOIUrl":"https://doi.org/10.30654/mjcr.10058","url":null,"abstract":"Results: Using world health organization criteria 24% had osteoporosis and 45.2% had low bone mass. Incidence of osteoporosis and low bone mass increased significantly with age and menopause duration. Femoral neck BMD decreased by 0.0055 g/cm2 and total lumbar BMD decreased by 0.0035 g/cm2 per year. However, increased BMI was associated with increasing in BMD in both femoral neck BMD and total lumbar BMD by 0.0056 g/cm2 and 0.0057 g/cm2 per 1 kg/m respectively.","PeriodicalId":92691,"journal":{"name":"Mathews journal of case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47781666","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}
Ranft Sd, Parkhutik, J. Röther, U. Kehler, C. Gaebel, B. Eckert, Valdueza Jm
{"title":"Posterior Reversible Encephalopathy Syndrome Possibly Related to Intracranial Hypotension: A Case Report","authors":"Ranft Sd, Parkhutik, J. Röther, U. Kehler, C. Gaebel, B. Eckert, Valdueza Jm","doi":"10.30654/mjcr.10057","DOIUrl":"https://doi.org/10.30654/mjcr.10057","url":null,"abstract":"Posterior reversible encephalopathy syndrome (PRES) is a multipathological entity with a common ending point-dysfunction of the blood-brain barrier and formation of vasogenic edema, defined by a unique brain magnetic resonance (MR) imaging pattern with white matter abnormalities. Among atypical underlying causes, intracranial hypotension has been reported in few cases. We present what we believe to be another case of PRES possibly associated with intracranial hypotension, in absence of other known contributing factors. A 68-year-old woman with a dural tear was treated with lumbar liquor drainage and judged to have been cured. Three weeks later she suddenly presented with somnolence, agitation and disorientation. Brain MR showed hyperdense cortico-subcortical FLAIR lesions predominately in both occipital lobes. None of the typical predisposing factors were present. During the following 4 weeks the symptoms regressed significantly without any treatment, with follow up MRI also showing a clear remission of the hyperintense lesions in the temporal and occipital lobes. Data from individual cases suggest that intracranial hypotension may lead to PRES-like radiological patterns. Further observations are necessary to confirm this hypothesis and establish a pathological theory that would bind the two entities. The working theory could be based on compensatory vein dilatation and stagnation of venous flow leading to cytotoxic edema.","PeriodicalId":92691,"journal":{"name":"Mathews journal of case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49047002","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. Sabbah, D. Trad, A. Ouakaa, N. Bellil, D. Gargouri
{"title":"Metachronic Cerebral Metastasis of Hepatocellular Carcinoma on Cirrhotic Liver Carcinoma on Cirrhotic Liver","authors":"M. Sabbah, D. Trad, A. Ouakaa, N. Bellil, D. Gargouri","doi":"10.30654/mjcr.10056","DOIUrl":"https://doi.org/10.30654/mjcr.10056","url":null,"abstract":"A 60 years old patient was initially hospitalized for digestive bleeding due to gastric variceal rupture successfully treated by biological glue injection. Diagnosis of cirrhosis was performed and etiological assessment found hepatitis B with positive HBsAg. Patient received antiviral therapy as well as prophylactic B blockers. The Child-Pugh score calculated was Class B (9 points). Abdominal ultrasound completed with hepatic CT angioscan showed a three centimeters mass of the hepatic dome with a typical vascular kinetic of hepatocellular carcinoma (Figure 1). Patient underwent chemoembolization with complete initial response. One year later, he was hospitalized for headache, dizziness, right hemiparesia and loss of hearing. Cerebral CT scan objectified a hypodense centimetric lesion in the frontal wall in contact with the posterior horn of the lateral ventricle raised after injection of contrast medium associated with perilesional edema (Figure 2). Neurosurgical approach was recused because of underlying cirrhosis with high risk anesthesia. Patient died due to cerebral engagement despite corticosteroids injections and mannitol infusions.","PeriodicalId":92691,"journal":{"name":"Mathews journal of case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48797404","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}
S. Botaitis, Dimitrios Charalampidis, S. Perente, A. Polychronidis
{"title":"Benign Subcutaneous Emphysema of the Upper Extremity after Unsuccessful Venous Catheterization: Report of a Case","authors":"S. Botaitis, Dimitrios Charalampidis, S. Perente, A. Polychronidis","doi":"10.30654/mjcr.10055","DOIUrl":"https://doi.org/10.30654/mjcr.10055","url":null,"abstract":"Subcutaneous emphysema in the upper extremity may be caused either by infectious, gas gangrene, or non-infectious, benign, causes. However, benign subcutaneous emphysema may imitate clinically gas gangrene. Differential diagnosis is not always obvious but should be achieved as soon as possible in order to select the proper management. We present a case of an 88-year-old male with benign subcutaneous emphysema of the upper extremity, during packed red blood cells transfusion, with findings imitating gas gangrene. Diagnosis was set with X-ray and US imaging. The patient responded well to conservative treatment with intravenous and oral antibiotics.","PeriodicalId":92691,"journal":{"name":"Mathews journal of case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41554348","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":"Atypical Fibroxanthoma in a 35-Year-Old Woman: A Case Study","authors":"Julianna Briglio","doi":"10.30654/MJCR.10053","DOIUrl":"https://doi.org/10.30654/MJCR.10053","url":null,"abstract":"","PeriodicalId":92691,"journal":{"name":"Mathews journal of case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49567684","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":"Late Bacterial Endocarditis after Amplatzer Atrial Septal Occluder Without Residual Shunt in a Pediatric Patient","authors":"G. Plante, C. Boutin, N. Dahdah","doi":"10.30654/mjcr.10054","DOIUrl":"https://doi.org/10.30654/mjcr.10054","url":null,"abstract":"In the pediatric population, the risk of developing an infectious endocarditis following the percutaneous closure of an atrial septal defect (ASD) is extremely rare. We report the case of a 10-year-old child who developed an infectious endocarditis nineteen months after closure with an Amplatzer septal occluder without residual shunt. The patient was treated with triple antibiotic regimen successfully, avoiding device removal. Trans-esophageal color Doppler suggested lack of endothelialization of the device, the most commonly described finding on extracted devices following an infective endocarditis. Proper assessment of the endothelialization process of septal occlusion devices is needed for individualized endocarditis prophylaxis.","PeriodicalId":92691,"journal":{"name":"Mathews journal of case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43199612","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":"IPRF and APRF Technology as a Biological Method of Treatment","authors":"Alina Tykhomyrova","doi":"10.30654/MJCR.10051","DOIUrl":"https://doi.org/10.30654/MJCR.10051","url":null,"abstract":"","PeriodicalId":92691,"journal":{"name":"Mathews journal of case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46259294","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":"Acute Intestinal Ischemia Due to Thrombosis of the Superior Mesenteric Artery in a Female Young Patient: A Clinical Case","authors":"S. Ibarra, P. Solano, G. Arredondo","doi":"10.30654/MJCR.10050","DOIUrl":"https://doi.org/10.30654/MJCR.10050","url":null,"abstract":"Introduction: Acute mesenteric ischemia is deadly from 50% to 90% of cases due to poor understanding of the clinical picture of abdominal pain and the differential diagnosis when it is not suspected and partly because of an unacceptable delay in making the diagnosis. Clinical case: A 31-year-old female with generalized abdominal pain without peritoneal irritation accompanied by vomiting and loose bowel movements. Vital signs: BP 90/70 mmHg, HR 100/min, BF 20/min, Temperature 96.8°F. Laboratory test: Bh: Hto. 39.4, 42.6/103 leukocytes/uL, 89% neutrophils, 10% lymphocytes; QS: glucose 226 mg/dL. It is surgically intervenes finding intestinal ischemia to 10 cm from the ligament of Treitz to 1 m from the ileocecal valve, the root of the mesentery is explored and superior mesenteric artery is explored obtain feeling weak pulse. Thrombectomy is performed with infusion of 1000 IU of heparin in saline solution return to viability of ischemic bowel loops in 50% viable resulting 50 cm from the ligament of Treitz to 2 m from the ileocecal valve; in nonviable bowel segment resection is performed. Discussion: The clinical diagnosis of mesenteric ischemia is difficult, and in most cases the abdominal pain is the cardinal symptom. The basis of the proper treatment of this entity is: early diagnosis, resection of the damaged intestine, restoration surgical blood flows or nonsurgical, second-look laparotomy and support of the ICU, as handled case described here.","PeriodicalId":92691,"journal":{"name":"Mathews journal of case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42487804","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":"Propranolol: A Therapeutic Alternative in Benign Hemangiomas in a General Hospital. Clinical Cases","authors":"Francisco José Granados Navas, G. Arredondo","doi":"10.30654/MJCR.10049","DOIUrl":"https://doi.org/10.30654/MJCR.10049","url":null,"abstract":"Introduction: Infantile hemangiomas are the most frequent benign tumors in the pediatric age; they are produced by the proliferation of endothelial cells of blood vessels. They run with two phases; a period of proliferation (in the first 4 and 6 months of age, although it can last up to 18 months) and then one of involution (over the course of the years, which is complete in 50% of childhood hemangiomas at the age of five years-old and 70% at the age of seven years-old). Clinical cases: Seven patients with a clinical diagnosis of benign hemangioma of childhood. The recommended treatment period was nine months. Two cases presented early improvement at the 5th month of treatment and the rest completed the proposed 9th month schedule, observing a clear improvement in the lesions. At the end of the treatment, one patient required cosmetic surgery of the lesion in the right hemithorax, a procedure that was carried out without complications. The other three cases corresponded to: male six month old back injury; female 1 year lesion in the neck and supraciliary region of the left eye; and 2-year-old female with neck injury 1 month of propranolol treatment 2 mg/kg/day. Discussion: The use of propranolol has been a priority for the treatment of childhood hemangiomas, its discovery to induce the regression of a facial infantile hemangioma, was while treating a patient with obstructive cardiomyopathy who was administered propranolol, discovery by the group of Leauté-Lebréze in 2008.","PeriodicalId":92691,"journal":{"name":"Mathews journal of case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48976747","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":"Synchronous Chromophobe Renal Cell Carcinoma and Non-Hodgkin Lymphoma, B-Cell type: A Case Report","authors":"M. Hussien","doi":"10.30654/MJCR.10047","DOIUrl":"https://doi.org/10.30654/MJCR.10047","url":null,"abstract":"Although clear renal cell carcinoma was still the most common renal cell cancer subtype in all genders and ages, in young females chromophobe renal cell carcinoma was the most predominant non-clear subtype type of renal cell cancer. It account for approximately 62.3% of non-clear cell renal cell cancer [1]. Primary renal lymphoma is very rare [2]. It estimated for 0.7% of all extra nodal lymphomas in North America [3] and 0.1% of all malignant lymphomas in Japan [4].","PeriodicalId":92691,"journal":{"name":"Mathews journal of case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42428168","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}