Diagnosis and treatment of IgE‐mediated insulin hypersensitivity: two case reports

2019 ◽  
Vol 17 (5) ◽  
pp. 543-545 ◽  
Author(s):  
Katharina I. Belge ◽  
Jörg Fischer ◽  
Gwendolyn Glatthaar ◽  
Katharina Pietschke ◽  
Amir S. Yazdi
Keyword(s):  
Case Reports ◽  
Diagnosis And Treatment ◽  
Ige Mediated ◽  
Insulin Hypersensitivity

scholarly journals Challenges in Evaluation and Management of Children with Myocardial Bridging

Cardiology ◽  
2021 ◽  
pp. 1-8
Author(s):  
Nurdan Erol
Keyword(s):  
Congenital Anomaly ◽  
Coronary Artery ◽  
Case Reports ◽  
Case Series ◽  
Diagnosis And Treatment ◽  
Myocardial Bridging ◽  
Small Case Series ◽  
Adults And Children ◽  
Artery Branch

Myocardial bridging (MB) is a congenital anomaly where a coronary artery branch or group of branches extends inside a tunnel consisting of myocardium. Although it is mostly considered “benign,” it is reported that MB may lead to significant cardiac problems and sudden cardiac deaths. While it is a congenital anomaly, its symptoms usually arise at further ages rather than childhood. The literature on MB in children is in the form of case reports or small case series. This is why pediatric cases are assessed in the light of information obtained from adults. This review compiled the literature on MB in adults and children and compared it, as well as discussing questions arising regarding the clinic, diagnosis, and treatment of MB.

Celiac Disease and Sensitization to Wheat, Rye, and Barley: Should We Be Concerned?

2020 ◽  
pp. 1-7
Author(s):  
Camila Marques de Valois Lanzarin ◽  
Natalia de Oliveira e Silva ◽  
Maissara Obara Venturieri ◽  
Dirceu Solé ◽  
Ricardo Palmero Oliveira ◽  
...  
Keyword(s):  
Celiac Disease ◽  
Small Bowel ◽  
Case Reports ◽  
Serum Levels ◽  
Specific Ige ◽  
Age At Diagnosis ◽  
Gluten Free ◽  
Small Bowel Biopsy ◽  
History Of ◽  
Ige Mediated

<b><i>Background:</i></b> Concomitance of celiac disease (CD) and IgE-mediated wheat allergy is described in some case reports. The objective was to evaluate the frequency of sensitization to wheat, rye, barley, and malt in children and adolescents with CD. <b><i>Methods:</i></b> Measurement of serum levels of specific IgE to wheat, rye, barley, and malt (ImmunoCAP; sensitization IgE ≥0.35 kUA/L) in CD patients followed in specialized clinics to verify allergy history, general characteristics, small bowel biopsy characteristics, compliance with gluten-free diet (GFD), and occurrence of symptoms in case of noncompliance. <b><i>Results:</i></b> We evaluated 74 patients; the median of age and age at diagnosis of CD were 8.6 years (5.0–12.8) and 3.6 years (1.6–7.0), respectively. Median time of GFD was 3.5 years (1.4–5.8). History of asthma occurred in 17.3% of subjects, allergic rhinitis in 13.5%, and AD in 5.4%. Frequency of sensitization was 4% for wheat, 10.8% for rye, 5.4% for barley, and 2.7% for malt. There was no association between wheat sensitization and age at diagnosis, time of GFD, small bowel biopsy characteristics, allergy history, and gluten consumption. There was no relationship between sensitization to wheat and occurrence of immediate symptoms when not complying with GFD. <b><i>Conclusion:</i></b> In conclusion, the frequency of sensitization to wheat, rye, barley, and malt in CD patients was 4, 10.8, 5.4, and 2.7%, respectively. Therefore, to ensure that cutaneous and respiratory contact with wheat is safe, we advise patients with CD to investigate their sensitivity to wheat, rye, and barley because not all patients with CD are allergic to these cereals.

Benzathine Penicillin G in the Treatment of Neurosyphilis

1982 ◽  
Vol 16 (3) ◽  
pp. 205-210 ◽  
Author(s):  
Paul G. Cuddy
Keyword(s):  
Case Reports ◽  
Diagnosis And Treatment ◽  
Recent Case ◽  
Penicillin G ◽  
Controlled Trials ◽  
Benzathine Penicillin ◽  
Benzathine Penicillin G

The definition, pathogenesis, incidence, diagnosis, and treatment of neurosyphilis are discussed. Controlled trials of benzathine penicillin in the treatment of neurosyphilis are reviewed, as are recent case reports of benzathine penicillin failures. Although few well-controlled studies exist to document conclusively the efficacy of benzathine penicillin in the treatment of neurosyphilis, its use is recommended in selected situations.

Problems Encountered in the Diagnosis and Treatment of Osteoid Osteoma of the Talus

Foot & Ankle ◽  
1981 ◽  
Vol 2 (3) ◽  
pp. 172-178 ◽  
Author(s):  
John E. Kenzora ◽  
Robert C. Abrams
Keyword(s):  
Cancellous Bone ◽  
Osteoid Osteoma ◽  
Clinical Case ◽  
Case Reports ◽  
Diagnosis And Treatment

Although osteoid osteomata of the talus are documented fairly often in the pathology literature, clinical case reports are rare. Two cases are detailed in this paper. The first lesion was located in the cancellous bone of the talar neck. The second lesion was a subperiosteal para-articular variant of osteoid osteoma. The problems encountered in the diagnosis and treatment are reviewed.

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