Demographic, Clinical, and Allergic Characteristics of Children with Eosinophilic Esophagitis in Isfahan, Iran.
Demographic, Clinical, and Allergic Characteristics of Children with Eosinophilic Esophagitis in Isfahan, Iran. Iran J Allergy Asthma Immunol. 2018 Dec 03;17(6):533-539 Authors: Momen T, Saneian H, Amini N Abstract Eosinophilic esophagitis (EoE) is a chronic immune-mediated disease isolated to the esophagus Food allergy is thought to play an important role in the pathophysiology of EOE. The aim of this study is to evaluate demographic features and sensitivity of patients with reference to common food allergens. Children with documented EoE were enlisted for this study. Skin prick test and patch test were done for all participants. Each test contained common food allergens. Other tests, such as evaluation of total IgE and eosinophil count, were also done. A total of 30 patients (the mean age of participants was 3±6 years) with 6 months to 15 years documented EoE participated in this study. The mean duration of symptoms was 2 years. Association with other allergic disorders was seen in 16 (32%) patients [Asthma in 8 (26.7%), allergic rhinitis in 5 (16.7%) and eczema in 3 (10%)]. The mean level of total IgE was 413.5±505.5 (IU/ML): total IgE level was above normal range for age in 17 children. The mean level of eosinophil was 372.2±305.2, and eosinophilia was seen in 11 patients (36.7%). The skin prick test and patch test findings showed that 28 patients (93%) and 17 of 30 patients (56.6%) tested positive to foods respectively. The most...
ConclusionsPhysical and psychological functioning, pain, fatigue and appetite loss had prognostic significance above and beyond clinical predictors in CRC. Routine monitoring of these PROs may allow earlier detection and amelioration of problems, which may improve quality of life and perhaps extend survival. More research is needed to determine prognostic value of PROs in early-stage CRC, and prognostic significance of changes in PRO scores.
Research has shown that the experience of Childhood Sexual Abuse (CSA) can increase the rates of physical and emotional sequela, including depression, anxiety, PTSD, and physical pain. However, little is known about the healing journeys for those women who...
Patients with critical limb ischemia are exposed to qualitative and quantitative malnutrition as a result of anorexia caused by chronic pain, insomnia, overuse of analgesics, and limitation of mobility. Furthermore, malnutrition is a well-known factor that causes coagulation disorders and immunosuppression, and it directly adversely affects the wound healing process. The aim of this study was to assess the influence of qualitative and quantitative malnutrition on the results of revascularization procedures as frequency of large amputations in patients with critical lower limb ischemia.
True anterior tibial artery aneurysms attributed to nontraumatic causes are rare, and only a few cases have been published since 1967. A 28-year-old man was referred to the emergency department with a history of swelling, pain, and footdrop of the left lower limb for the past 7 days. The patient did not report any history of trauma. Examination revealed compartment syndrome, and imaging studies showed an aneurysm of the left anterior tibial artery with dilated veins on the overlying skin as well as mild erythema (Figs 1 and 2).
Chronic low back pain (CLBP) is highly prevalent, associated with substantial socioeconomic impact, and commonly attributed to neurologic and musculoskeletal causes. We observed an unexpected prevalence of CLBP preoperatively among our patients with proximal venous outflow obstruction (PVOO) of the iliac veins undergoing stent placement. We undertook this study to better characterize these patients.
Venous thromboembolism represents one of the most common diseases and is a significant source of morbidity and mortality. Effective management requires early detection and treatment. Venous ultrasound is the most widely used imaging study for the diagnosis of deep venous thrombosis (DVT). Evidence-based practice suggests that specific management depends on the anatomic location of the thrombus. For this reason, early identification of anatomic location of the thrombus (iliofemoral [IF], femoropopliteal [FP], or calf) can expedite appropriate investigation and treatment.
We describe our initial experience using TRA for endovascular intervention with SDD at a community hospital.
I’m in Italy for a vacation and went to Lurisia in Piemonte for a spa Terme . Was reading about it when I read about the hot springs had High amounts of Radon in the water. Learned that Marie Curie has visited in 1906 and was excited about the radiation. There are several places in Germany, Austria that also have high radon. I canceled my massage and was surprised this still is allowed. To my surprise discovered there are old mines in Montana that are high in radon where people go for pain... Radon spas and Montana mines
Hey peeps, Need some advice. Doing my pain fellowship. Having some occasional issues pushing meds into joints during procedures - particularly SI joints ugh. I have small hands, attending jokingly (or not so jokingly? ) asked me if I was using weights. Any suggestions? Becoming frustrating.
hello all. I had a new situation in clinic today which I previously didn’t encounter.Long story short. Patient with a known history of meth abuse Who admits to smoking the night before leaves work, is an unrestrained driver in a singe car accident. shows up in my office with severe right sided Neck pain. States that he continues to use meth with last use yesterday. He can’t turn his neck more than 10° rotation, and is actively using meth. Has anyone ever taking someone’s drivers license... Revoking a drivers license?