Pub Date : 2024-06-06DOI: 10.46998/ijcmcr.2024.37.000914
El Boukili Hafsa
{"title":"Asymptomatic Dark Grey Papule: What Dermoscopy had Revealed","authors":"El Boukili Hafsa","doi":"10.46998/ijcmcr.2024.37.000914","DOIUrl":"https://doi.org/10.46998/ijcmcr.2024.37.000914","url":null,"abstract":"","PeriodicalId":13855,"journal":{"name":"International Journal of Clinical Studies and Medical Case Reports","volume":"30 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141265133","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}
Pub Date : 2024-03-22DOI: 10.46998/ijcmcr.2023.35.000860
Bouamoud Asmaa
Rheumatoid Arthritis (RA) is a chronic autoimmune joint disease characterized by persistent systemic inflammation. In rheumatoid arthritis, cardiac involvement is not uncommon and may involve all three tunics of the heart. We report an ex - ceptional case of RA associated with complete Atrioventricular Block (AVB) and intracardiac mobile mass. This is a patient with RA initially put on chloroquine, complicated by a complete BAV implanted with a double chamber pace, then put on corticosteroid therapy and methotrexate for four years. Faced with the worsening of his osteoporosis and the prob - able increase in the threshold of pacemaker stimulation, it was decided to replace methotrexate with leflunomide. As part of the patient's cardiac evaluation, an ETT was performed, inadvertently objectifying a mass in the right atrium attached to the atrial tube and the tricuspid valve without obstruction. Full BAV is very rare. It can be seen especially in old polyarthritis. Several mechanisms can explain this, including rheumatoid nodules; Chloroquine poisoning; amyloid infiltration and rheumatoid vasculitis. The association of RA and intracardiac mass is rare. By analyzing the few cases described in the literature, five main causes are summarized: rheumatoid nodules, cancers, granulomatosis of valves, intracavitary thrombus and infective endocarditis. We discuss through our case, the epidemiological and etiological particularity of the association of RA with a major conductive disorder, as well as the difficulty of the etiological diagnosis of an intracardiac mass in the context of RA.
类风湿性关节炎（RA）是一种慢性自身免疫性关节疾病，以持续性全身炎症为特征。在类风湿性关节炎中，心脏受累并不少见，可累及心脏的所有三个外膜。我们报告了一例伴有完全性房室传导阻滞（AVB）和心脏内移动性肿块的类风湿关节炎病例。这是一名最初服用氯喹的 RA 患者，并发完全性房室传导阻滞，植入了双腔起搏器，随后服用皮质类固醇和甲氨蝶呤长达四年。面对骨质疏松症的恶化和起搏器刺激阈值的升高，医生决定用来氟米特取代甲氨蝶呤。在对患者进行心脏评估时，进行了 ETT 检查，无意中发现右心房内有一个肿块，与心房管和三尖瓣相连，但没有阻塞。完全性 BAV 非常罕见。它尤其可见于老年多关节炎。有几种机制可以解释这种情况，包括类风湿结节、氯喹中毒、淀粉样蛋白浸润和类风湿血管炎。类风湿关节炎与心内肿块的关联非常罕见。通过分析文献中描述的少数病例，总结出五种主要病因：类风湿结节、癌症、瓣膜肉芽肿病、腔内血栓和感染性心内膜炎。我们通过自己的病例讨论了类风湿关节炎与主要传导性疾病相关的流行病学和病因学特殊性，以及在类风湿关节炎的背景下对心内肿块进行病因学诊断的难度。
{"title":"Complicated Atrioventricular Block Rheumatoid Arthritis Complete and Intracardiac Mass","authors":"Bouamoud Asmaa","doi":"10.46998/ijcmcr.2023.35.000860","DOIUrl":"https://doi.org/10.46998/ijcmcr.2023.35.000860","url":null,"abstract":"Rheumatoid Arthritis (RA) is a chronic autoimmune joint disease characterized by persistent systemic inflammation. In rheumatoid arthritis, cardiac involvement is not uncommon and may involve all three tunics of the heart. We report an ex - ceptional case of RA associated with complete Atrioventricular Block (AVB) and intracardiac mobile mass. This is a patient with RA initially put on chloroquine, complicated by a complete BAV implanted with a double chamber pace, then put on corticosteroid therapy and methotrexate for four years. Faced with the worsening of his osteoporosis and the prob - able increase in the threshold of pacemaker stimulation, it was decided to replace methotrexate with leflunomide. As part of the patient's cardiac evaluation, an ETT was performed, inadvertently objectifying a mass in the right atrium attached to the atrial tube and the tricuspid valve without obstruction. Full BAV is very rare. It can be seen especially in old polyarthritis. Several mechanisms can explain this, including rheumatoid nodules; Chloroquine poisoning; amyloid infiltration and rheumatoid vasculitis. The association of RA and intracardiac mass is rare. By analyzing the few cases described in the literature, five main causes are summarized: rheumatoid nodules, cancers, granulomatosis of valves, intracavitary thrombus and infective endocarditis. We discuss through our case, the epidemiological and etiological particularity of the association of RA with a major conductive disorder, as well as the difficulty of the etiological diagnosis of an intracardiac mass in the context of RA.","PeriodicalId":13855,"journal":{"name":"International Journal of Clinical Studies and Medical Case Reports","volume":" 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140213052","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}
Pub Date : 2024-03-21DOI: 10.46998/ijcmcr.2023.35.000859
Jim E Banta
,
,
{"title":"Diabetes and Mental Health in California Emergency Department Visit","authors":"Jim E Banta","doi":"10.46998/ijcmcr.2023.35.000859","DOIUrl":"https://doi.org/10.46998/ijcmcr.2023.35.000859","url":null,"abstract":",","PeriodicalId":13855,"journal":{"name":"International Journal of Clinical Studies and Medical Case Reports","volume":"118 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140223738","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}
Pub Date : 2024-03-20DOI: 10.46998/ijcmcr.2023.35.000858
Jim E Banta
,
,
{"title":"Stress, Conscientiousness, Neuroticism and Depression among Dental Students","authors":"Jim E Banta","doi":"10.46998/ijcmcr.2023.35.000858","DOIUrl":"https://doi.org/10.46998/ijcmcr.2023.35.000858","url":null,"abstract":",","PeriodicalId":13855,"journal":{"name":"International Journal of Clinical Studies and Medical Case Reports","volume":"65 s297","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140224038","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}
Pub Date : 2024-03-08DOI: 10.46998/ijcmcr.2023.34.000850
Kadiri Sara
Primary aldosteronism as a cause of coronary ectasia has been reported only once in the literature and was associated with an aortic aneurysm. Here, we report a second presentation in our cardiology department - a 60-year-old female patient who was admitted for unstable angina. Coronary angiography revealed an ectasia of two major coronary arteries. An etiological assessment revealed an idiopathic primary aldosteronism.
{"title":"Unusual Occurrence: Primary Aldosteronism Leading to Unique Coronary Ectasia","authors":"Kadiri Sara","doi":"10.46998/ijcmcr.2023.34.000850","DOIUrl":"https://doi.org/10.46998/ijcmcr.2023.34.000850","url":null,"abstract":"Primary aldosteronism as a cause of coronary ectasia has been reported only once in the literature and was associated with an aortic aneurysm. Here, we report a second presentation in our cardiology department - a 60-year-old female patient who was admitted for unstable angina. Coronary angiography revealed an ectasia of two major coronary arteries. An etiological assessment revealed an idiopathic primary aldosteronism.","PeriodicalId":13855,"journal":{"name":"International Journal of Clinical Studies and Medical Case Reports","volume":"28 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140396742","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}
Pub Date : 2024-02-29DOI: 10.46998/ijcmcr.2023.34.000844
Anochie Philip Ifesinachi
This is a case study of microbiology testing performed in a pharmaceutical company microbiology laboratory in Lagos, Nigeria which consists of the following ; routine laboratory safety and cleanliness, operation and care of laboratory instruments, preparation of glassware-ready for use, sterilization and sterilization techniques, proper methods of collection of samples for microbiological testing, inoculation and incubation of samples, detection of contaminants, pollution monitoring of the air and environment of the factory and many more. This laboratory experience provides a broad insight and knowledge of microbiological control techniques as applied to the Nigerian Pharmaceutical industry which will facilitate the ability of microbiologists to be able to control the air, environment and samples in pharmaceutical companies in the locality.
{"title":"Microbiological Testing in a Nigerian Pharmaceutical Company Microbiology Laboratory","authors":"Anochie Philip Ifesinachi","doi":"10.46998/ijcmcr.2023.34.000844","DOIUrl":"https://doi.org/10.46998/ijcmcr.2023.34.000844","url":null,"abstract":"This is a case study of microbiology testing performed in a pharmaceutical company microbiology laboratory in Lagos, Nigeria which consists of the following ; routine laboratory safety and cleanliness, operation and care of laboratory instruments, preparation of glassware-ready for use, sterilization and sterilization techniques, proper methods of collection of samples for microbiological testing, inoculation and incubation of samples, detection of contaminants, pollution monitoring of the air and environment of the factory and many more. This laboratory experience provides a broad insight and knowledge of microbiological control techniques as applied to the Nigerian Pharmaceutical industry which will facilitate the ability of microbiologists to be able to control the air, environment and samples in pharmaceutical companies in the locality.","PeriodicalId":13855,"journal":{"name":"International Journal of Clinical Studies and Medical Case Reports","volume":"26 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140409127","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}
Pub Date : 2024-02-28DOI: 10.46998/ijcmcr.2023.34.000843
Anochie Philip Ifesinachi
{"title":"Clinical Diagnostic Immunolog1cal Tests in A TB/HIV/AIDS Hospital Laboratory","authors":"Anochie Philip Ifesinachi","doi":"10.46998/ijcmcr.2023.34.000843","DOIUrl":"https://doi.org/10.46998/ijcmcr.2023.34.000843","url":null,"abstract":"","PeriodicalId":13855,"journal":{"name":"International Journal of Clinical Studies and Medical Case Reports","volume":"53 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140418353","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}
Pub Date : 2024-01-12DOI: 10.46998/ijcmcr.2023.33.000810
Soukaina Khafif
{"title":"Intestinal Non-Hodgkinien Lymphoma Revealed by Abdominal Mass","authors":"Soukaina Khafif","doi":"10.46998/ijcmcr.2023.33.000810","DOIUrl":"https://doi.org/10.46998/ijcmcr.2023.33.000810","url":null,"abstract":"","PeriodicalId":13855,"journal":{"name":"International Journal of Clinical Studies and Medical Case Reports","volume":"13 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139437873","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}
Pub Date : 2024-01-11DOI: 10.46998/ijcmcr.2023.33.000809
El Wassi Anas
{"title":"Small Bowel Leiomyosarcoma Receiving Complied with Intestinal Occlusion","authors":"El Wassi Anas","doi":"10.46998/ijcmcr.2023.33.000809","DOIUrl":"https://doi.org/10.46998/ijcmcr.2023.33.000809","url":null,"abstract":"","PeriodicalId":13855,"journal":{"name":"International Journal of Clinical Studies and Medical Case Reports","volume":"1 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139438533","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}
Pub Date : 2024-01-10DOI: 10.46998/ijcmcr.2023.33.000808
Fatine Amine
{"title":"Epidermoid Carcinoma of the Pancreatic Head: An Unusual Observation","authors":"Fatine Amine","doi":"10.46998/ijcmcr.2023.33.000808","DOIUrl":"https://doi.org/10.46998/ijcmcr.2023.33.000808","url":null,"abstract":"","PeriodicalId":13855,"journal":{"name":"International Journal of Clinical Studies and Medical Case Reports","volume":"84 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139440752","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}
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