Introduction

A surgical site cellulitis caused by an ant bite on foot 7 years after mastectomy: A Case ReportZhihan Liu1*Shuying Ye1*Zhihao Wei1*Shicheng Su1Yiwen Lu11Breast Tumor Center, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China*These authors contributed equally to this workCorrespondence: Dr Yiwen Lu,Breast Tumor Center, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, ChinaTel: +86-20-87332022Fax: +86-20-81332853Email : [email protected]

A case report of IgA-κ type multiple myeloma complicated with hyperlipidemiaJie Li†1, Jiashan Zhao†2, Songyun Wang1, Rundong Wu1, Shuyi Duan1, Huirui Wang1*1The Second Affiliated Hospital of Henan University of Science and Technology.2Luoyang Central Hospital Affiliated to Zhengzhou University.†These authors have the equally contributions in this paper.* Corresponding author: Huirui Wang, the Second Affiliated Hospital of Henan University of Science and Technology, No. 80, Jinguyuan Road, Xigong District, Luoyang City, Henan Province.E-mail:[email protected],

Title: Bedside intubation with the maintenance of mechanical ventilation via Ambu bag saved the life of a severe neurotoxic venomous snake bite patient in a remote district hospital in BangladeshMd. Abdul Matin¹*, Sarwar Alam Sobuj¹, Prity Saha¹, Chowdhury Adnan Sami²General Hospital, NilphamariEvercare Hospital, Dhaka

A document by LiMing Wen. Click on the document to view its contents.

Pilomatricoma in the Infraorbital Region

Title pageCase ReportProlong embedded Earring at earlobe with erosive oral lichen planusKeywords: oral lichen planus,erosive lichen planus, embedded earringWord count :1151Figures: 3Author: Sutthinun Wichyanrat, MDInstitute: Division of dermatology, Department of medicine, Ramathibodi hospital, Mahidol University, Bangkok, ThailandCorresponding author: Sutthinun WichyanratEmail: [email protected] reportProlong embedded earring at earlobe with erosive oral lichen planusKey clinical message Embedded earring in adults is reported to be the causative of erosive lichen planus.Abstract Erosive lichen planus is rare and mostly cannot find the cause of this condition. Embedded earring at earlobe in adults also very rare. We accidentally remove the earring from earlobe and the condition of erosive oral lichen planus seem to improve gradually. Then we hypothesized that the embedded earring may be the factor inducing the erosive lichen planus in this case.Keywords : oral lichen planus, erosive lichen planus, embedded earringIntroduction : The causative of erosive lichen planus is usually unknown, although possible causes of oral lichen planus is immune-related, another factor such as stress and contact allergen have been report in the literatures. The most common contact allergen is metal in amalgam which may be irritate the buccal mucosa and cause oral lichenoid reaction. The distant metal outside the oral area may be the trigger of oral lichen planus, but have never been reported in the literature. We believe this case report may be the first case that the erosive lichen planus is improved after we found the foreign body material inside the earlobe and remove it.Case History and examinations : A 38-years-old Thai female have painful ulcer in upper, lower lip and lateral side of her tongue for 3 years. The physical examination was shown erythematous ulcerative ulcer at upper and lower lip mucosa, and erosive gingiva, and erythematous ulcer at lateral side of tongue.

Under-expansion of the coronary stent is associated with increased rates of in-stent restenosis and thrombosis. Stentablation with rotational atherectomy is used for the management of undilatable, under-expanded coronary stents; however, its effect on coronary microcirculatory function remains unclear. This novel report compares microcirculation indices before and after stentablation.

A document by Michael Robert Filoramo. Click on the document to view its contents.

IntroductionObesity is a complex disease defined as abnormal or excessive fat tissue accumulation that presents a risk to health. 1According to the World Health Organization (WHO), obesity is a latent disease declared as a non-infectious and noncommunicable pandemic.1,2 Indeed, obesity is linked to more deaths worldwide than being underweight, being a risk factor for cardiovascular diseases, diabetes, musculoskeletal disorders, and some cancers.1,2 In particular, obesity is associated with 13 different cancers, among them: breast, endometrial, ovarian, prostate, liver, gallbladder, kidney, and colon and rectum3,4Most frequently, obesity is a primary condition, while differential diagnosis of secondary obesity includes: Hypothyroidism, Hypercortisolism, Hyperinsulinism (type 2 diabetes), Polycystic Ovary Syndrome, and drugs.Obesity stigma refers to social devaluation and denigration due to excess body weight. 5 Several large-scale studies across various countries showed that a high percentage of patients suffered from obesity stigma also from healthcare professionals.6,7 In particular, primary care physicians spend less time during office visits with patients with obesity as they consider them as noncompliant patients. 8 Therefore, experiences of and expectations for poor treatment may cause avoidance of care, mistrust of doctors, and poor adherence among patients with obesity. 8,9 Obesity stigma can reduce the patient’s quality of care, including preventive and screening care, despite the best intentions of healthcare professionals to provide high-quality care. 8–10The patient was sent to a referral center by the primary care provider for surgical evaluation for long-standing severe obesity (BMI 59). This case report is unique because of its clinical relevance to obesity differential diagnosis.

Clinical Case Reports

A document by Yasmine Elsherif. Click on the document to view its contents.

A large proportion of ischemic strokes have an undetermined cause and are considered “cryptogenic.” A left atrial septal pouch (LASP) develops due to incomplete fusion of the septa primum and secundum, forming a pocket at the interatrial septum. It can be a potential site of blood stasis with resultant thrombus formation.

A document by Patrícia Bernardo. Click on the document to view its contents.

Extraction of an ectopic supernumerary tooth through nasal cavity with piezosurgery under local anesthesia: a case reportConsent statement: Written informed consent was obtained from the patient to publish this report in accordance with the journal’s patient consent policyAilimaierdan Ainiwaer，Bumairemu Yiminjiang ,Wang Ling**Correspondence: Wang Ling Email: [email protected][Abstract] The ectopic supernumerary teeth (ST) commonly occur in the oral cavity. We are reporting a case of a 23-year-old female patient with one ectopic ST in the anterior region of the maxilla. We extracted the ectopic ST under local tissue anesthesia through the nasal cavity using piezosurgery and minimally invasive extraction tools. During the operation, the adjacent structures remained intact, and the patient experienced mild pain. This case indicates that ectopic ST in the maxilla can be extracted not only through an intraoral approach but also through a nasal approach.[Key words ] Nasal cavity; Ectopic Supernumerary Teeth；Nasal Approach; Piezosurgery；Local anesthesia；Fund program :This research was funded by Youth Research Launch Project of the First Affiliated Hospital of Xinjiang Medical University (Grant No .2022YFY-QKQN-33)

INTRODUCTIONDental implant is a highly anticipated therapy with widespread use. He has become embedded within a large number of dental practices around the world and has grown and evolved rapidly, driven by consumer demand for immediate fixed tooth replacements (1).However, various cases of implant complications have been reported, in particular peri-implantitis. It is featured by progressive bone loss that results from the inflammation evoked by the colonization of the peri-implant sulcus by pathogenic bacteria (2). The diagnosisis based on composite criteria, including radiographic and clinical features such as progressive bone loss (plus/minus 0.5 mm), increased probing pocket depth, erythema, and bleeding on gentle probing with or without suppuration (3).Various surgical and nonsurgical modalities have been proposed in order to resolve soft tissue inflammation and to halt progressive bone loss. It was noted that when implants with ≥50% of bone loss, the most reasonable therapy to eradicate the disease is to remove the implant.

Title: Trichodysplasia Spinulosa Post Renal TransplantKey Clinical Message: Trichodysplasia spinulosa is a rare dermatological condition caused by a virus that predominantly affects immunosuppressed individuals. In this patient population, including organ transplant recipients, it is essential to maintain a high index of suspicion for possible infectious causes of persistent dermatologic conditions. Early diagnosis can facilitate treatment and help avoid disease progression and complications.

Pericapsular nerve group block followed by regional anesthesia for pathological fracture fixation in a multiple myeloma patient