Issue 3 Articles
Living longer and Living better
Letter to Editor
It was with great enthusiasm that we have seen the results published by Francis et al. concerning the adjuvant hormone therapy. In the SOFT study, the 8 year disease-free survival rate was 78.9% in patients who did only tamoxifen, 83.2% with tamoxifen and ovarian suppression, and 85.9% with exemestane and...
A New Diagnosis of Myasthenia Gravis in Frailty Patient Affected by Chronic Obstructive Pulmonary Disease Treated with Steroids
Case Report
In July 2017 we observed, in our Internal Medicine Department, the patient F.A. recently affected by recurrent Chronic Obstructive Pulmonary disease (COPD). Anamnesis' data have underlined the presence of Permanent Atria Fibrillation (FAP) and severe carotid stenosis, treated with carotid endarterectomises (2012). During the hospitalization period the patient used to...
Multiple Submandibular Duct Calculi: A Case Report
Case Report
Salivary gland calculi account for the most common disease of the salivary glands. The majority of sialoliths occur in the submandibular gland or its duct and are a common cause of acute and chronic infections. Sialolith can be unilateral, bilateral, single or multiple. Depending on the gland affected and stone...
Parallel Lives: A Case Series of Three Boys with Persistent Reactive Attachment Disorder
Case Report
Reactive Attachment Disorder (RAD), only diagnosed in the context of early abuse and neglect, is characterised by failure to seek and accept comfort. It involves lack of activation of the - developmentally essential - attachment system, hence has profound developmental disadvantages. RAD usually resolves quickly in the context of adequate...
Contralateral Extremity Paresis and Numbness Caused by Pos-tero Lateral Disc Herniation at C3-C4 in a Teenager
Case Report
We report a rare case of a teenager presenting with progressive contralateral extremity paresis and numbness caused by posterolateral disc herniation at C3-C4. Intervertebral decompression and artificial disc replacement was performed. Follow-up at 2 months showed complete neuro-logic recovery. The increasing tensile stresses from the dentate ligament during flexion of...
Toddler’s Fracture; False Positive Radiologic Considerations
Case Report
1. Abstract Toddler’s fracture is an undisplaced or minimally displaced fracture, typically seen in toddlers, usually in the tibia. It is known as a difficult diagnosis to establish, considering both the clinical symptoms and radiologic findings may be subtle. In this case we represent a case which was suspected of...
Primary Retroperitoneal Extraskeletal Mesenchymal Chondrosarcoma Involving the Colon: A Case Report and Literature Review
Case Report
1. Abstract Extraskeletal mesenchymal chondrosarcoma (EMCS) is an extremely rare malignant tumor arising from soft tissues. It commonly occurs in the lower limbs, orbital cavity, and the central nervous system. Moreover, it is extremely rare for it to develop from a retroperitoneal location. In fact, there is no case about...
Dermatomyositis Revealing Poorly Differentiated Neuroendocrine Carcinoma of the Gallbladder: A Case Report and Review of the Literature
Case Report
1. Abstract 1.1. Objective: To contribute to the increased understanding of the clinical features of neuroendocrine carcinoma of the gallbladder revealed by a dermatomyositis.
A Case Report of Fever in Returned Traveller
Case Report
1. Abstract We report a rare case of severe falciparum malaria in a healthy 28-year-old gentleman in the UK. Malaria is one of the common fatal diseases in tropical countries where doctors are remarkably familiar with handling different types of malaria. In contrast, in the UK, malaria cases are not...
Cyclosporine Attenuates Covid-19: Ensnare or Victory
Case Series
1. Abstract Coronavirus disease 2019 (Covid-19) is a recent worldwide pandemic caused by a novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). In critical cases it causes acute lung injury (ALI) due to severe acute respiratory distress syndrome (ARDS). It has been proposed that initial immunological activation in SARSCoV- 2...