V. Chemes, O. Abrahamovych, U. Abrahamovych, L. Tsyhanyk, S. Guta
{"title":"Peculiarities of Calcium-Phosphorus Metabolism and Bone State in Patients with Rheumatoid Arthritis: Pathogenesis, Diagnosis and Principles of Differential Treatment (Literature Review and Clinical Case Description)","authors":"V. Chemes, O. Abrahamovych, U. Abrahamovych, L. Tsyhanyk, S. Guta","doi":"10.25040/LKV2019.01.051","DOIUrl":"https://doi.org/10.25040/LKV2019.01.051","url":null,"abstract":"","PeriodicalId":279640,"journal":{"name":"Lviv clinical bulletin","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123999187","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}
Results . Clear cell acanthoma is a rare benign epithelial tumor with unclear etiology. It is believed that the basis of its development is an impaired keratinocyte maturation. Some authors do not refer it to tumors, but consider that this is a local hyperplastic process. Clear cell acanthoma often develops in the elderly as a single node up to 2 cm in diameter, usually found on the lower extremities, most commonly on the legs. Differential diagnosis should be carried out with dermatofibroma, lichenoid keratosis, basalioma, pyogenic granuloma. Differential diagnosis with irritated seborrheic keratosis and nonpigmented melanoma is difficult. Dermatoscopic examination can be insufficient, the pathomorphological conclusion is necessary for the final diagnosis. The pseudolymphoma of the skin is a reactive dermatosis, resembling lymphoma both clinically and histologically, but has a benign course and a tendency to spon taneous regression, therefore, for a differential diagnosis, dermatoscopy and pathological examination are necessary. Two cases from own practice were presented in the work; clearly distinguished pink hemispherical nodes were observed in both patients. During the dermatoscopic examination, two different tumors were diagnosed clear cell acanthomas and pseudolymphomas, in both cases the dermatoscopic indicators corresponded to the pathological conclusion. Conclusions. An overview of modern literature and clinical cases from our own practice suggests that clinically similar single infiltrative skin lesions can be identified by previous dermatological studies. Careful clinical and dermatological monitoring provides additional benefits for better recognition of skin tumors, although unclear cases require a pathomorphological
{"title":"Clear Cell Acanthoma/Pseudolymphoma: ClinicalDermatoscopic and Histological Correlation","authors":"T. Shulaia, N. Kiladze, A. Miriamidze","doi":"10.25040/LKV2019.01.021","DOIUrl":"https://doi.org/10.25040/LKV2019.01.021","url":null,"abstract":"Results . Clear cell acanthoma is a rare benign epithelial tumor with unclear etiology. It is believed that the basis of its development is an impaired keratinocyte maturation. Some authors do not refer it to tumors, but consider that this is a local hyperplastic process. Clear cell acanthoma often develops in the elderly as a single node up to 2 cm in diameter, usually found on the lower extremities, most commonly on the legs. Differential diagnosis should be carried out with dermatofibroma, lichenoid keratosis, basalioma, pyogenic granuloma. Differential diagnosis with irritated seborrheic keratosis and nonpigmented melanoma is difficult. Dermatoscopic examination can be insufficient, the pathomorphological conclusion is necessary for the final diagnosis. The pseudolymphoma of the skin is a reactive dermatosis, resembling lymphoma both clinically and histologically, but has a benign course and a tendency to spon taneous regression, therefore, for a differential diagnosis, dermatoscopy and pathological examination are necessary. Two cases from own practice were presented in the work; clearly distinguished pink hemispherical nodes were observed in both patients. During the dermatoscopic examination, two different tumors were diagnosed clear cell acanthomas and pseudolymphomas, in both cases the dermatoscopic indicators corresponded to the pathological conclusion. Conclusions. An overview of modern literature and clinical cases from our own practice suggests that clinically similar single infiltrative skin lesions can be identified by previous dermatological studies. Careful clinical and dermatological monitoring provides additional benefits for better recognition of skin tumors, although unclear cases require a pathomorphological","PeriodicalId":279640,"journal":{"name":"Lviv clinical bulletin","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116423539","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}
V. Andryushchenko, D. Andryushchenko, V. Kunovsky, V. Mahlovany
surgical sanitations relaparotomy (RLT) showed that in case of EE N , an earlier «purification» of purulent necrotic areas from deviated tissues, inflammatory exudate and pus with the start of the reparative processes occured. Instead of this, in the comparative group, the same terms of such a positive dynamics were not observed. Conclusions. The implementation of original techniques, in particular antisecretory therapy, leveling of edema exudative lesions of parapancreatic retroperitoneal fluid, correction of metabolic disorders, multimodal analgesia, and improved method of early enteral nutrition, contributed to the improvement of treatment efficacy in comparison with traditional medication therapy, were proposed. The shown positive clinical outcome and the availability of the proposed techniques are advised to use in the work
{"title":"Efficiency of the Original Methods of Using Medicines and Early Enteral Nutrition in the Complex Treat Ment of Patients with Acute Pancreatitis","authors":"V. Andryushchenko, D. Andryushchenko, V. Kunovsky, V. Mahlovany","doi":"10.25040/LKV2019.01.014","DOIUrl":"https://doi.org/10.25040/LKV2019.01.014","url":null,"abstract":"surgical sanitations relaparotomy (RLT) showed that in case of EE N , an earlier «purification» of purulent necrotic areas from deviated tissues, inflammatory exudate and pus with the start of the reparative processes occured. Instead of this, in the comparative group, the same terms of such a positive dynamics were not observed. Conclusions. The implementation of original techniques, in particular antisecretory therapy, leveling of edema exudative lesions of parapancreatic retroperitoneal fluid, correction of metabolic disorders, multimodal analgesia, and improved method of early enteral nutrition, contributed to the improvement of treatment efficacy in comparison with traditional medication therapy, were proposed. The shown positive clinical outcome and the availability of the proposed techniques are advised to use in the work","PeriodicalId":279640,"journal":{"name":"Lviv clinical bulletin","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134245925","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}
this processes in not less important than of respiratory tract, especially since this risk is exacerbated by the exposure to ultraviolet light. The risk of non-melanoma skin cancers in this group requires careful clinical and dermatoscopy monitoring and in the case of suspicious lesions special tests like histology from of the skin biopsy, immunohistochemical stains and/or electron microscopy. The future study of statistical data on skin cancers from similar regions is of no less interest.
{"title":"Non-melanoma Skin Cancers in Uranium Miners - Clinical Cases","authors":"C. Rosendahl, N. Kiladze, T. Shulaia","doi":"10.25040/LKV2018.03.052","DOIUrl":"https://doi.org/10.25040/LKV2018.03.052","url":null,"abstract":"this processes in not less important than of respiratory tract, especially since this risk is exacerbated by the exposure to ultraviolet light. The risk of non-melanoma skin cancers in this group requires careful clinical and dermatoscopy monitoring and in the case of suspicious lesions special tests like histology from of the skin biopsy, immunohistochemical stains and/or electron microscopy. The future study of statistical data on skin cancers from similar regions is of no less interest.","PeriodicalId":279640,"journal":{"name":"Lviv clinical bulletin","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127811675","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":"The Analysis of the Effect of Systemic Lupus Erythematosus Selected Indicators and Its Treatment on Bone Mineral Density","authors":"L. Tsyhanyk, U. Abrahamovych, O. Romaniuk","doi":"10.25040/LKV2018.03.024","DOIUrl":"https://doi.org/10.25040/LKV2018.03.024","url":null,"abstract":"","PeriodicalId":279640,"journal":{"name":"Lviv clinical bulletin","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125671088","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":"Pathogenetic Mechanisms of the Occurrence of Rheumatoid Arthritis and Ankylosing Spondylitis with the Activation-Enzymatic and Phenotypic Features of Lymphocytes","authors":"N. Lychkovska, V. Chopyak, Z. Vorobets","doi":"10.25040/LKV2018.03.034","DOIUrl":"https://doi.org/10.25040/LKV2018.03.034","url":null,"abstract":"","PeriodicalId":279640,"journal":{"name":"Lviv clinical bulletin","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129714765","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. Abrahamovych, M. Farmaha, O. Abrahamovych, O. Fayura, N. Drobinska
{"title":"Severity Degrees of Syntropic Stable Arterial Hypotension in the Cirrhotic Patients and Their Dependence on the Daily Blood Pressure Monitoring and Liver Damage Class by C.G Child - R.N. Pugh","authors":"M. Abrahamovych, M. Farmaha, O. Abrahamovych, O. Fayura, N. Drobinska","doi":"10.25040/LKV2018.03.043","DOIUrl":"https://doi.org/10.25040/LKV2018.03.043","url":null,"abstract":"","PeriodicalId":279640,"journal":{"name":"Lviv clinical bulletin","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129160729","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":"Clinical-pathagenetic, Age, Gender, Genetic Aspects of Non-alcoholic Fatty Liver Disease and Nonviral Chronic Hepatitis Without, and also with Comorbid Hypothyroidism; Improving of Their Treatment","authors":"V. Prysyazhnyuk","doi":"10.25040/LKV2018.03.008","DOIUrl":"https://doi.org/10.25040/LKV2018.03.008","url":null,"abstract":"","PeriodicalId":279640,"journal":{"name":"Lviv clinical bulletin","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121378464","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. Shved, S. Lypovetska, V. T. Gurskyi, N. M. Kovbasa, M. Pelo
{"title":"Takotsubo Syndrome (Takotsubo) (Clinical Case with the Analysis of Modern Diagnostic and Therapeutic Algorithms for the Management of Patients)","authors":"M. Shved, S. Lypovetska, V. T. Gurskyi, N. M. Kovbasa, M. Pelo","doi":"10.25040/LKV2018.03.058","DOIUrl":"https://doi.org/10.25040/LKV2018.03.058","url":null,"abstract":"","PeriodicalId":279640,"journal":{"name":"Lviv clinical bulletin","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125824521","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}
N. Drobinska, O. Abrahamovych, U. Abrahamovych, M. Farmaha
{"title":"Peculiarities of Calcium-Phosphorus Metabolism and Bone State in Patients with Liver Cirrhosis: Diagnosis and Principles of Differential Treatment (Literature Rewiev and Clinical Case Description)","authors":"N. Drobinska, O. Abrahamovych, U. Abrahamovych, M. Farmaha","doi":"10.25040/LKV2018.01.046","DOIUrl":"https://doi.org/10.25040/LKV2018.01.046","url":null,"abstract":"","PeriodicalId":279640,"journal":{"name":"Lviv clinical bulletin","volume":"194 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126048891","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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