scholarly journals Ross Syndrome: A Patient with a 23-Year History

2020 ◽  
Vol 12 (1) ◽  
pp. 132-135
Author(s):  
Zuhal Filikci ◽  
Hans-Henrik Horsten ◽  
Mette Lindelof
Keyword(s):  
Careful Examination ◽  
Sweat Glands ◽  
Term Outcome ◽  
Lower Quadrant ◽  
Compensatory Hyperhidrosis ◽  
Long Term Outcome ◽  
Sudomotor Function ◽  
Sympathetic Function ◽  
Autonomic Testing ◽  
A Minor

We present a 60-year-old female with a 23-year history of anhidrosis with concomitant heat intolerance. At examination, we found a right-sided tonic pupil, absent tendon reflexes, and a segmental patch of compensatory hyperhidrosis in the left lower quadrant of her trunk. To further confirm this finding, a minor test (a starch-iodine test, which is used to evaluate the sudomotor function, sweating) was performed. Nerve conduction studies revealed evidence of a mild distal sensory polyneuropathy of the axonal type. Tilt-table testing showed signs of orthostatic hypotension with evidence of reduced sympathetic function. Skin biopsy excluded pathology in the sweat glands. Our patient met the criteria for a diagnosis of Ross syndrome. This case describes the long-term outcome of this rare entity and highlights how careful examination and bedside autonomic testing can confirm the diagnosis of autonomic neurological disorders.

scholarly journals The Modified Skate Flap: A New Technique for Nipple-Areola Complex Reconstruction in Implant-Based Breast Reconstruction

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Lee L Q Pu ◽  
Ping Song
Keyword(s):  
Breast Reconstruction ◽  
Senior Author ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Nipple Areola Complex ◽  
Fat Grafts ◽  
Areola Complex ◽  
A Minor

Abstract Nipple-areola complex (NAC) reconstruction is an important part of breast reconstruction. Although several techniques for NAC reconstruction have been described in the literature, the long-term outcomes after NAC reconstruction remain less satisfactory, especially following implant-based breast reconstruction. The authors reported their newly developed technique for NAC reconstruction in implant-based breast reconstruction. The authors describe their modified skate flap, by preserving more dermal tissues from the skate flap, for NAC reconstruction, following implant-based breast reconstruction. Additional derma-fat grafts, harvested from the full-thickness skin graft site, are also added to the reconstructed nipple to ensure long-term shape, size, and projection of the reconstructed nipple. A total of 30 patients underwent such a NAC reconstruction after successful implant-based breast reconstruction by the senior author. The minimum follow-up time was 1 year. No significant surgical complications have been observed in their series of 30 patients, and only a minor office procedure was performed subsequently in 6 patients (4 unilateral and 2 bilateral) to improve the shape of the reconstructed nipple. During a minimum of a 1-year follow-up period, outcomes with the authors’ technique in 30 patients are satisfactory; good size, shape, and projection of the reconstructed nipple are maintained. The long-term outcome of NAC reconstruction after implant-based breast reconstruction can be optimized with their modified skate flap by using all available flap tissue and with the addition of derma-fat grafts. The authors’ technique can be used safely for NAC reconstruction after implant-based breast reconstruction with good outcome and high patient satisfaction.

Temporary Rectal Stenting for Management of Severe Perineal Wounds in Two Dogs

2016 ◽  
Vol 52 (6) ◽  
pp. 385-391 ◽  
Author(s):  
Owen T. Skinner ◽  
Laura C. Cuddy ◽  
James G. Coisman ◽  
Jennifer L. Covey ◽  
Gary W. Ellison
Keyword(s):  
Endotracheal Tube ◽  
Perineal Wound ◽  
Rectal Stricture ◽  
Internal Diameter ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Perineal Wounds ◽  
A Minor ◽  
Perineal Injuries

ABSTRACT Perineal wounds in dogs present a challenge due to limited local availability of skin for closure and constant exposure to fecal contaminants. This report describes temporary rectal stenting in two dogs following severe perineal wounds. Dog 1 presented with a 4 × 4 cm full-thickness perineal slough secondary to multiple rectal perforations. A 12 mm internal diameter endotracheal tube was placed per-rectum as a temporary stent to minimize fecal contamination. The stent was removed 18 days after placement, and the perineal wound had healed at 32 days post-stent placement, when a minor rectal stricture associated with mild, intermittent tenesmus was detected. Long-term outcome was deemed good. Dog 2 presented with multiple necrotic wounds with myiasis, circumferentially surrounding the anus and extending along the tail. A 14 mm internal diameter endotracheal tube was placed per-rectum. The perineal and tail wounds were managed with surgical debridement and wet-to-dry and honey dressings prior to caudectomy and negative pressure wound therapy (NPWT). Delayed secondary wound closure and stent removal were performed on day six without complication. Long-term outcome was deemed excellent. Temporary rectal stenting may be a useful technique for fecal diversion to facilitate resolution of complex perineal injuries, including rectal perforation.

scholarly journals Insights into the pathogenesis and treatment of split/hand foot malformation (cleft hand/foot)

2018 ◽  
Vol 44 (1) ◽  
pp. 80-87
Author(s):  
Stéphane Guero ◽  
Muriel Holder-Espinasse
Keyword(s):  
De Novo ◽  
Autosomal Recessive Inheritance ◽  
De Novo Mutation ◽  
Incomplete Penetrance ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Sporadic Cases ◽  
Cleft Hand ◽  
Hands And Feet ◽  
A Minor

Cleft hand or split hand foot malformation is a sequence of phenotypes, from a minor shortening of the central digit to a complete absence of the third ray and in the most severe cases, absence of two, three or four rays. It is a rare but spectacular presentation usually involving both hands and feet. Inheritance is mostly autosomal dominant but sporadic cases without family history are also reported, resulting from a de novo mutation/deletion/duplication. Intra-familial clinical variability is the rule, with incomplete penetrance. X-linked or autosomal recessive inheritance has also been described. To date, seven subgroups of split hand foot malformation have been identified and seven loci are currently known. Anatomical records have enhanced our knowledge of this group of disorders of the hands and feet and allowed us to improve surgical procedures and long-term outcome.

Long-term outcome of treatment with cyclosporine IV for patients with intractable ulcerative colitis

2001 ◽  
Vol 120 (5) ◽  
pp. A624-A624 ◽  
Author(s):  
J ARTS ◽  
M ZEEGERS ◽  
G DHAENS ◽  
G VANASSCHE ◽  
M HIELE ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Term Outcome ◽  
Long Term Outcome

1519: Long Term Outcome of Interstitial Laser Coagulation for Benign Prostatic Hyperplasia

2006 ◽  
Vol 175 (4S) ◽  
pp. 490-490
Author(s):  
Stefan Zastrow ◽  
Sven Oehlschläger ◽  
Oliver W. Hakenberg ◽  
Steffen Leike ◽  
Manfred P. Wirth
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Prostatic Hyperplasia ◽  
Laser Coagulation ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Interstitial Laser
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