Pub Date : 2016-01-01DOI: 10.5604/14270994.1206757
T. Tóth, E. Mák, N. Gallo, I. Szabolcs
{"title":"Research on the quality of life of adult patients with cystic fibrosis in Hungary","authors":"T. Tóth, E. Mák, N. Gallo, I. Szabolcs","doi":"10.5604/14270994.1206757","DOIUrl":"https://doi.org/10.5604/14270994.1206757","url":null,"abstract":"","PeriodicalId":55698,"journal":{"name":"New Medicine","volume":"9 1","pages":"53-58"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70679431","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 : 2015-11-30DOI: 10.5604/14270994.1191783
L. Zawadzka-Głos, Agnieszka Obarska
{"title":"EFFECT OF DURATION OF INTUBATION ON POST INTUBATION LARYNGEAL CHANGES IN CHILDREN","authors":"L. Zawadzka-Głos, Agnieszka Obarska","doi":"10.5604/14270994.1191783","DOIUrl":"https://doi.org/10.5604/14270994.1191783","url":null,"abstract":"","PeriodicalId":55698,"journal":{"name":"New Medicine","volume":"19 1","pages":"122-124"},"PeriodicalIF":0.0,"publicationDate":"2015-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70679114","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 : 2015-11-30DOI: 10.5604/14270994.1191780
Monika Jabłońska-Jesionowska, L. Zawadzka-Głos
Introduction. The respiratory stridor is a clinical symptom of airway obstruction; depending on the location of the pathology we distinguish between inspiratory, expiratory and mixed stridor. Due to the coexistence of congenital airway pathology, stridor is frequently mixed. The most common cause of congenital stenosis of the airways is laryngomalacia, followed by paralysis of the vocal cords and congenital stenosis of the cricoid cartilage. A rare but important causes of the airways narrowing in children are anomalies of the great vessels compressing the trachea and bronchi from the outside. Aim. Aim of this study is to analyze the symptoms in children with respiratory stridor due to anomalies of the great vessels causing pressure on the respiratory tract from the outside. Material and methods. Retrospective study involved a group of 110 children hospitalized in the Pediatric Otolaryngology Department Medical University of Warsaw in 2011-2014 years due to congenital respiratory stridor. During the diagnostics procedures following tests were made: chest X-ray, US of the larynx, US of the brain, X-ray of the esophagus with contrast, echocardiogram and laryngotracheoscopy under general anastesia, chest angio-CT, neurological and cardiac consultation. Results. After analyzing of the cases, there has been found: laryngomalacia in 54, congenital paralysis of the vocal folds in 6, congenital stenosis of the cricoid cartilage in 5, hemangioma of the larynx in 5, laryngeal papilloma in 1, larynx cyst in 5, vascular ring in 31 cases. Identified as vascular rings include: double aortic arch – 5 cases, right aortic arch – 6 cases, anomalies of brachiocephalic trunk – 5 cases, left aortic arch with right lusorian artery – 14 cases, pulmonary sling – 1 case. The clinical symptoms presented by children with rings: respiratory stridor, exercise stridor, silent cry, sleep apnea, cyanosis, dysphagia, recurrent infections of the inferior respiratory tract. The age of children diagnosed with vascular ring ranged from 1 week to 11 years. Conclusions. 1. Congenital respiratory stridor always requires clinical interdisciplinary investigation. 2. Vascular anomalies are a major cause of congenital non-laryngeal respiratory stridor in children of all ages. 3. As a standard the endoscopy of the lower airways, not only the larynx but also trachea should be performed. 4. Lack of lower airways endoscopy in the diagnostic of congenital respiratory stridor can cause lack of recognition of vascular rings. 5. Deleted proper diagnosis of vascular anomalies can caused chronic changes in lower respiratory tract, weight and growth deficiency.
{"title":"Respiratory stridor in children due to congenital abnormalities of the great vessels","authors":"Monika Jabłońska-Jesionowska, L. Zawadzka-Głos","doi":"10.5604/14270994.1191780","DOIUrl":"https://doi.org/10.5604/14270994.1191780","url":null,"abstract":"Introduction. The respiratory stridor is a clinical symptom of airway obstruction; depending on the location of the pathology we distinguish between inspiratory, expiratory and mixed stridor. Due to the coexistence of congenital airway pathology, stridor is frequently mixed. The most common cause of congenital stenosis of the airways is laryngomalacia, followed by paralysis of the vocal cords and congenital stenosis of the cricoid cartilage. A rare but important causes of the airways narrowing in children are anomalies of the great vessels compressing the trachea and bronchi from the outside. Aim. Aim of this study is to analyze the symptoms in children with respiratory stridor due to anomalies of the great vessels causing pressure on the respiratory tract from the outside. Material and methods. Retrospective study involved a group of 110 children hospitalized in the Pediatric Otolaryngology Department Medical University of Warsaw in 2011-2014 years due to congenital respiratory stridor. During the diagnostics procedures following tests were made: chest X-ray, US of the larynx, US of the brain, X-ray of the esophagus with contrast, echocardiogram and laryngotracheoscopy under general anastesia, chest angio-CT, neurological and cardiac consultation. Results. After analyzing of the cases, there has been found: laryngomalacia in 54, congenital paralysis of the vocal folds in 6, congenital stenosis of the cricoid cartilage in 5, hemangioma of the larynx in 5, laryngeal papilloma in 1, larynx cyst in 5, vascular ring in 31 cases. Identified as vascular rings include: double aortic arch – 5 cases, right aortic arch – 6 cases, anomalies of brachiocephalic trunk – 5 cases, left aortic arch with right lusorian artery – 14 cases, pulmonary sling – 1 case. The clinical symptoms presented by children with rings: respiratory stridor, exercise stridor, silent cry, sleep apnea, cyanosis, dysphagia, recurrent infections of the inferior respiratory tract. The age of children diagnosed with vascular ring ranged from 1 week to 11 years. Conclusions. 1. Congenital respiratory stridor always requires clinical interdisciplinary investigation. 2. Vascular anomalies are a major cause of congenital non-laryngeal respiratory stridor in children of all ages. 3. As a standard the endoscopy of the lower airways, not only the larynx but also trachea should be performed. 4. Lack of lower airways endoscopy in the diagnostic of congenital respiratory stridor can cause lack of recognition of vascular rings. 5. Deleted proper diagnosis of vascular anomalies can caused chronic changes in lower respiratory tract, weight and growth deficiency.","PeriodicalId":55698,"journal":{"name":"New Medicine","volume":"19 1","pages":"119-121"},"PeriodicalIF":0.0,"publicationDate":"2015-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70679101","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 : 2015-11-23DOI: 10.5604/14270994.1191792
Karolina Raczkowska-Bałuda, L. Zawadzka-Głos
characteristics of the syndrome. Underlining the diagnostic and therapeutic difficulties. Pcd symptoms include ards at the age of early – infancy, recurrent lower respiratory tract infections, chronic rhinosinusitis and otitis media, or impaired fertility. Pcd requires differentiation with atypical asthma, bronchiectasis and cystic fibrosis. diagnostic algorithm consist of cascade of tests (brush cytology/bronchoscopic samples, cilia motility evaluation, function and structure assesment with electron microscopy, immunochemical testing, genetic testing) preceded by screening tests (saccharin, measurement nno). 1. the primary ciliary dyskinesia is rarely taking under consideration in the differential diagnosis of chronic/recurrent upper respiratory tract infections. 2. available screening tests do not include target group of patients (< 12 y.o.). 3. no recommendations for the type and methods of obtaining material for testing and methods of its transportation. 4. the basic diagnostic limitation is high cost of a conclusive tests. 5. there is necessity to differentiate primary and secondary ciliary dyskinesia. 6. no general algorithm running patients diagnosed with Pcd – the mandatory introduction of standard therapy.
{"title":"Primary ciliary dyskinesia: how to diagnose, how to treat","authors":"Karolina Raczkowska-Bałuda, L. Zawadzka-Głos","doi":"10.5604/14270994.1191792","DOIUrl":"https://doi.org/10.5604/14270994.1191792","url":null,"abstract":"characteristics of the syndrome. Underlining the diagnostic and therapeutic difficulties. Pcd symptoms include ards at the age of early – infancy, recurrent lower respiratory tract infections, chronic rhinosinusitis and otitis media, or impaired fertility. Pcd requires differentiation with atypical asthma, bronchiectasis and cystic fibrosis. diagnostic algorithm consist of cascade of tests (brush cytology/bronchoscopic samples, cilia motility evaluation, function and structure assesment with electron microscopy, immunochemical testing, genetic testing) preceded by screening tests (saccharin, measurement nno). 1. the primary ciliary dyskinesia is rarely taking under consideration in the differential diagnosis of chronic/recurrent upper respiratory tract infections. 2. available screening tests do not include target group of patients (< 12 y.o.). 3. no recommendations for the type and methods of obtaining material for testing and methods of its transportation. 4. the basic diagnostic limitation is high cost of a conclusive tests. 5. there is necessity to differentiate primary and secondary ciliary dyskinesia. 6. no general algorithm running patients diagnosed with Pcd – the mandatory introduction of standard therapy.","PeriodicalId":55698,"journal":{"name":"New Medicine","volume":"19 1","pages":"133-136"},"PeriodicalIF":0.0,"publicationDate":"2015-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70678784","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 : 2015-11-23DOI: 10.5604/14270994.1191787
T. Ryczer, L. Zawadzka-Głos, Paulina Czarnecka, K. Sobczyk
Introduction. adenoidectomy and adenotonsillotomy are one of the most common surgeries performed in children due to adenoid and tonsils hypertrophy. although the complications after the surgery are quite rare, one of the most common complication is bleeding. Aim. the aim of the study was to analyze the rate of bleeding as the most common early complication (within 24 hours) after adenoidectomy and adenotonsillotomy. the assessed factors were: age, sex, type of surgery, frequency of bleeding and applied surgical treatment, as well as coexisting coagulation disorders. Material and methods. the retrospective analysis of clinical data of 1312 patients hospitalized in the department of pediatric otolaryngology of medical University of Warsaw between January 2011 and december 2012 who underwent adenoidectomy or adenotonsillotomy was done. the objective of the study was to analyze the rate of bleeding as the most common early complication (within 24 hours) after adenoidectomy and adenotonsillotomy. the assessed factors were: age, sex, type of surgery, frequency of bleeding and applied surgical treatment, coexisting coagulation disorders. Results. intense bleeding (p < 0.01) and complications requiring surgical treatment (p < 0.05) occured more often after adenotonsillotomy than after adenotomy. in patients with coexisting coagulation disorders early complications were observed more often (p < 0.01). patients from specific age groups did not demonstrate statisticaly relevant higher complication rate, nor did male versus female group (p > 0.05). Conclusions. the study showed that intense bleeding and complications requiring surgical treatment occured more often after adenotonsillotomy than after adenotomy. patients with coagulation disorders were more likely to have intense intraor postoperatively bleeding. the age and the sex of the patient did not correlate with the higher bleeding rate.
{"title":"BLEEDING AS THE MAIN COMPLICATION AFTER ADENOIDECTOMY AND ADENOTONSILLOTOMY","authors":"T. Ryczer, L. Zawadzka-Głos, Paulina Czarnecka, K. Sobczyk","doi":"10.5604/14270994.1191787","DOIUrl":"https://doi.org/10.5604/14270994.1191787","url":null,"abstract":"Introduction. adenoidectomy and adenotonsillotomy are one of the most common surgeries performed in children due to adenoid and tonsils hypertrophy. although the complications after the surgery are quite rare, one of the most common complication is bleeding. Aim. the aim of the study was to analyze the rate of bleeding as the most common early complication (within 24 hours) after adenoidectomy and adenotonsillotomy. the assessed factors were: age, sex, type of surgery, frequency of bleeding and applied surgical treatment, as well as coexisting coagulation disorders. Material and methods. the retrospective analysis of clinical data of 1312 patients hospitalized in the department of pediatric otolaryngology of medical University of Warsaw between January 2011 and december 2012 who underwent adenoidectomy or adenotonsillotomy was done. the objective of the study was to analyze the rate of bleeding as the most common early complication (within 24 hours) after adenoidectomy and adenotonsillotomy. the assessed factors were: age, sex, type of surgery, frequency of bleeding and applied surgical treatment, coexisting coagulation disorders. Results. intense bleeding (p < 0.01) and complications requiring surgical treatment (p < 0.05) occured more often after adenotonsillotomy than after adenotomy. in patients with coexisting coagulation disorders early complications were observed more often (p < 0.01). patients from specific age groups did not demonstrate statisticaly relevant higher complication rate, nor did male versus female group (p > 0.05). Conclusions. the study showed that intense bleeding and complications requiring surgical treatment occured more often after adenotonsillotomy than after adenotomy. patients with coagulation disorders were more likely to have intense intraor postoperatively bleeding. the age and the sex of the patient did not correlate with the higher bleeding rate.","PeriodicalId":55698,"journal":{"name":"New Medicine","volume":"19 1","pages":"125-129"},"PeriodicalIF":0.0,"publicationDate":"2015-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70678762","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 : 2015-11-23DOI: 10.5604/14270994.1191789
Małgorzata Badełek-Izdebska, M. Dębska, L. Zawadzka-Głos
the hypertrophy of the lingual tonsil (Lth) could be the cause of obstructive sleep apnea in children. this disorder may cause obstructive sleep apnea (osa) and also may lead to a life-threatening obstruction of the upper airway. Lingual tonsil hypertrophy is more frequently described in adults. Lth often occurs in children with prior palatine tonsillectomies or adenoidectomies. diagnosis of lingual tonsil hypertrophy in patients with osa requires a careful ent examination by advanced technologic methods. the sleep apnea is successfully treated by lingual tonsillectomy, with or without tracheotomy. tracheostomy allows the obstructive airway with postoperative oedema to be bypassed. in this study we present the case of a child with persistent syndroms of a sleep apnea. patient underwent six adenotonsillectomies in the past. ent examination and ct scans showed that symptoms of osa were caused by lingual tonsil hypertrophy. patient was treated with a lingual tonsillectomy with tracheotomy and it was an effective treatment for this case.
{"title":"Lingual tonsil hypertrophy as a cause of obstructive sleep apnea syndrome – case report","authors":"Małgorzata Badełek-Izdebska, M. Dębska, L. Zawadzka-Głos","doi":"10.5604/14270994.1191789","DOIUrl":"https://doi.org/10.5604/14270994.1191789","url":null,"abstract":"the hypertrophy of the lingual tonsil (Lth) could be the cause of obstructive sleep apnea in children. this disorder may cause obstructive sleep apnea (osa) and also may lead to a life-threatening obstruction of the upper airway. Lingual tonsil hypertrophy is more frequently described in adults. Lth often occurs in children with prior palatine tonsillectomies or adenoidectomies. diagnosis of lingual tonsil hypertrophy in patients with osa requires a careful ent examination by advanced technologic methods. the sleep apnea is successfully treated by lingual tonsillectomy, with or without tracheotomy. tracheostomy allows the obstructive airway with postoperative oedema to be bypassed. in this study we present the case of a child with persistent syndroms of a sleep apnea. patient underwent six adenotonsillectomies in the past. ent examination and ct scans showed that symptoms of osa were caused by lingual tonsil hypertrophy. patient was treated with a lingual tonsillectomy with tracheotomy and it was an effective treatment for this case.","PeriodicalId":55698,"journal":{"name":"New Medicine","volume":"19 1","pages":"130-132"},"PeriodicalIF":0.0,"publicationDate":"2015-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70678773","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 : 2015-11-23DOI: 10.5604/14270994.1191795
N. Gallo, M. Varga, A. Molnár, Róbertné Csajbók, Katalin Tátrai-Németh, E. Pálfi
1Department of Dietetics and Nutrition Sciences, Faculty of Health Sciences, Semmelweis University, Budapest, Hungary Head of Department: prof. Katalin Tátrai-Németh, PhD 2Department of Dietetics, Szent Imre Teaching Hospital, Budapest, Hungary Head of Department: Kyri Herscoviciné Vass, Dietitian 3Health Sciences Research, Doctoral School of Pathological Sciences, School of PhD Studies, Semmelweis University, Budapest, Hungary Head of Health Sciences Research: prof. Gyula Domján, MD, PhD
{"title":"Difficulties and opportunities related to the nutrition of cancer patients","authors":"N. Gallo, M. Varga, A. Molnár, Róbertné Csajbók, Katalin Tátrai-Németh, E. Pálfi","doi":"10.5604/14270994.1191795","DOIUrl":"https://doi.org/10.5604/14270994.1191795","url":null,"abstract":"1Department of Dietetics and Nutrition Sciences, Faculty of Health Sciences, Semmelweis University, Budapest, Hungary Head of Department: prof. Katalin Tátrai-Németh, PhD 2Department of Dietetics, Szent Imre Teaching Hospital, Budapest, Hungary Head of Department: Kyri Herscoviciné Vass, Dietitian 3Health Sciences Research, Doctoral School of Pathological Sciences, School of PhD Studies, Semmelweis University, Budapest, Hungary Head of Health Sciences Research: prof. Gyula Domján, MD, PhD","PeriodicalId":55698,"journal":{"name":"New Medicine","volume":"19 1","pages":"142-146"},"PeriodicalIF":0.0,"publicationDate":"2015-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70679453","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 : 2015-11-23DOI: 10.5604/14270994.1191796
M. Rózsa, I. Jankovics, I. Visontai, I. Barcs
{"title":"DETECTION OF NEURAMINIDASE-INHIBITING ANTIBODIES FOR MEASUREMENT OF INFLUENZA VACCINE IMMUNOGENICITY","authors":"M. Rózsa, I. Jankovics, I. Visontai, I. Barcs","doi":"10.5604/14270994.1191796","DOIUrl":"https://doi.org/10.5604/14270994.1191796","url":null,"abstract":"","PeriodicalId":55698,"journal":{"name":"New Medicine","volume":"19 1","pages":"147-155"},"PeriodicalIF":0.0,"publicationDate":"2015-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70679624","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 : 2015-11-23DOI: 10.5604/14270994.1191794
M. Pénzes, P. Balázs, K. Foley
{"title":"Changes in smoking-related health knowledge and smoking status of Hungarian adolescents","authors":"M. Pénzes, P. Balázs, K. Foley","doi":"10.5604/14270994.1191794","DOIUrl":"https://doi.org/10.5604/14270994.1191794","url":null,"abstract":"","PeriodicalId":55698,"journal":{"name":"New Medicine","volume":"19 1","pages":"137-141"},"PeriodicalIF":0.0,"publicationDate":"2015-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70679553","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 : 2015-07-20DOI: 10.5604/14270994.1179837
K. Wroński, Z. Masłowski, L. Frąckowiak, P. Stefaniak
subungual melanoma is rare disease and has worse prognosis than cutaneous melanoma in other places. This type of melanoma is observed accounting for 1 to 3% of all cutaneous melanoma in caucasians. it is estimated that 1 of every 39 people in the western countries will be diagnosed melanoma of the skin during lifetime. The number of patients with skin melanoma is increasing and cause a growing economic problem for health care. Dermoscopy or videos dermoscopy is the basis for the initial diagnosis of melanoma of the skin. sensitivity dermoscopy is up to 96.3% and the specificity up to 94.2%. The literature on dermoscopic examination of the nails is limited to very few published observations. large number of information is available on dermoscopy of pigmented lesions elsewhere on the body skin. Dermoscopy can help clinicians accurately decide if a biopsy of the nail apparatus is necessary in cases of melanoma suspicious. surgical biopsy of the lesion is the gold standard for diagnosis subungual melanoma. The “gold standard” of treatment is surgical amputation and sentinel lymph node biopsy. in this article the authors presented a case of a woman who was admitted to the hospital because of subungual melanoma in foot. The patient underwent amputation of toe with sentinel lymph node biopsy and in the second day after surgery was discharged home.
{"title":"Treatment subungual melanoma in foot – case report","authors":"K. Wroński, Z. Masłowski, L. Frąckowiak, P. Stefaniak","doi":"10.5604/14270994.1179837","DOIUrl":"https://doi.org/10.5604/14270994.1179837","url":null,"abstract":"subungual melanoma is rare disease and has worse prognosis than cutaneous melanoma in other places. This type of melanoma is observed accounting for 1 to 3% of all cutaneous melanoma in caucasians. it is estimated that 1 of every 39 people in the western countries will be diagnosed melanoma of the skin during lifetime. The number of patients with skin melanoma is increasing and cause a growing economic problem for health care. Dermoscopy or videos dermoscopy is the basis for the initial diagnosis of melanoma of the skin. sensitivity dermoscopy is up to 96.3% and the specificity up to 94.2%. The literature on dermoscopic examination of the nails is limited to very few published observations. large number of information is available on dermoscopy of pigmented lesions elsewhere on the body skin. Dermoscopy can help clinicians accurately decide if a biopsy of the nail apparatus is necessary in cases of melanoma suspicious. surgical biopsy of the lesion is the gold standard for diagnosis subungual melanoma. The “gold standard” of treatment is surgical amputation and sentinel lymph node biopsy. in this article the authors presented a case of a woman who was admitted to the hospital because of subungual melanoma in foot. The patient underwent amputation of toe with sentinel lymph node biopsy and in the second day after surgery was discharged home.","PeriodicalId":55698,"journal":{"name":"New Medicine","volume":"19 1","pages":"90-91"},"PeriodicalIF":0.0,"publicationDate":"2015-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70679150","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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