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Неврологические и нейрохирургические условия, в первую очередь связанные с офтальмологическими клиническими характеристиками: серия примеров.

ЦЕЛЬ: Мы представляем доклады four Уникальные неврологические случаи, которые изначально вызывали офтальмологические проявления. В первом случае: 36-year-old человек пришел с левой головной болью и изолированным третьим нервым параличом. Подробные расследования привели к обнаружению надклиноидной внутренней сонной артериальной аневризмы, что потребовало быстрого нейрохирургического вмешательства. Второе дело касалось: 74-year-old Человек с полным сползанием правой веки. Диагностика третьего нервного паралича привела к дальнейшим тестам, которые выявили множественные миэломы. Третье дело касало

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… Still, posterior segment examination revealed temporal pallor in the right eye and blurring of the disc margins in the left eye, suggesting optic nerve involvement. These findings indicated significant visual impairment and raised concern for a more serious underlying condition. …

SEOM clinical guidelines for anaemia treatment in cancer patients (2020).

Anaemia is defined by the presence of haemoglobin (Hb) levels < 13 g/dL in men and 12 g/dL in women. Up to 39% of cancer patients present it at the time of diagnosis and up to 40% have iron deficiency. Anaemia causes fatigue, functional deterioration and a reduction in the quality of life; it has also been associated with a poorer response to anti-tumour treatment and lower survival. Basic diagnostic tests for anaemia are simple and should be a routine part of clinical practice. These guidelines review the available evidence on the use of different therapies for treating anaemia: erythropoiesi

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… Clinical signs include pallor, tachycardia, and worsening of performance status (PS-ECOG) [ 5 ]. …

Прогресс в патофизиологии и лечении анемии в множестве миеломы.

ЦЕЛЬ РАССМОТРЕНИЯ: Анемия является общим признаком во многих миеломах благодаря многофакторным механизмам. Помимо хорошо известных факторов, связанных с этим заболеванием, в последнее время использование ряда новых лекарственных средств в качестве иммунотерапевтических указывает на формирующуюся роль связанных с наркотиками механизмов в патофизиологии анемии у многих пациентов, страдающих миеломой. ПОСЛЕДНИЕ ФИННДИНЫ: Анемия, связанная с иммуномодулятивными препаратами, может быть вызвана как непосредственным воздействием на гематопоиетические клетки потомства, так и косвенным воздействием one

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… INTRODUCTION One of the main common features of multiple myeloma (MM) is anaemia characterized by signs and symptoms as fatigue, weakness, shortness of breath and pallor [ 1 ]. …

Bilateral Pathological Femoral Fractures Secondary to Long-Term Tenofovir Disoproxil Fumarate-Induced Osteomalacia in a Woman Living with HIV: A Case Report.

BACKGROUND: People living with HIV on long-term antiretroviral therapy (ART) face increased risks of bone loss and fragility fractures, partly due to tenofovir disoproxil fumarate (TDF), a commonly used nucleoside reverse transcriptase inhibitor. TDF is associated with proximal tubular dysfunction, renal phosphate wasting, osteomalacia, and pathological fractures. This case highlights severe, bilateral femoral fractures as a rare but debilitating manifestation of chronic TDF-induced osteomalacia in a postmenopausal woman. CASE PRESENTATION: A 43-year-old African woman with HIV (diagnosed >15

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… Her body mass index was 24 kg/m 2 (weight 60 kg, height 158 cm), with mild pallor of the conjunctivae and oral mucosa. General and Neurological Examination The patient was fully alert, oriented to time, place, and person, with no focal neurological deficits. …

Mandibular Radiographic Assessment in Sickle Cell Disease: A Systematic Review of Radiomorphometric Indices and Fractal Dimension.

AIM: This systematic review aimed to investigate the association between sickle cell disease (SCD) and reduced bone mineral density (BMD) using radiomorphometric indices (RMI) and fractal dimension analysis (FDA) on dental radiographic images. METHODS AND RESULTS: Observational studies evaluating BMD in individuals with SCD through RMI or FDA were included. A comprehensive search was conducted across six databases and grey literature in March 2025. Risk of bias was evaluated using the Joanna Briggs Institute Critical Appraisal Tool for cross-sectional studies, and certainty of the evidence wa

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… The disease also affects the oral and maxillofacial region, with reported findings such as mandibular osteomyelitis, aseptic pulp necrosis, atrophy of the lingual papillae, inferior alveolar nerve neuropathy, mucosal pallor, and delayed tooth eruption [ 1 , 10 ]. …

A Rare Case of Severe Pelvic Organ Prolapse with Massive Perineal Hernia in a Nulliparous Woman: A Case Report and Literature Review.

Background and Clinical Significance: Advanced pelvic organ prolapse (POP) associated with perineal herniation of pelvic and abdominal organs is a sporadic occurrence in gynaecological practice. Generally, POP affects up to 50% of multiparous women at some point during their lives. Advanced forms (grade III or IV) represent less than 10% of all cases, with severe grade IV prolapse occurring in fewer than 2% of patients. Case Presentation: We report the case of a 48-year-old nulliparous woman with no prior surgical history and no known medical conditions at presentation. The patient presented w

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… In August 2023, after six months, the patient was again admitted to the haematology department, complaining of fatigue and pallor, and was diagnosed with moderate normochromic macrocytic anaemia. …

Hematology

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… pica (ice, dirt), diet history, fever, night sweats, weight loss, past medical history (malignancy, chronic infections, rheumatologic disorders), medications (NSAIDs, ASA, anticoagulants), family history (thalassemia) PHYSICAL —vitals, koilonychia (spoon nails), alopecia, blue sclerae, conjunctival pallor … history, past medical history (malignancy, chronic infections, rheumatologic disorders, liver disease, renal disease, alcohol, hypothyroidism, myelodysplasia), medications (NSAIDs, ASA, chemotherapy, antibiotics, antiepileptics), family history (thalassemia) PHYSICAL —vitals, jaundice, conjunctival pallor …

A review of feline infectious peritonitis virus infection.

Feline infectious peritonitis (FIP) is an infectious disease characterized by non-specific laboratory changes and clinical signs. Clinical symptoms include anorexia, jaundice, fever, and weight loss. Moreover, some lesions are found in the digestive and respiratory systems. FIP, whose virulence varies, cannot be distinguished using several diagnostic methods. Moreover, feline coronaviruses (FCoVs) can be classified into two serotypes based on differences in their amino acid sequences, spike (S) protein sequences, and antibody (Ab) neutralization. There are two pathotypes, namely those caused b

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… Conversely, the physical examination revealed a thin body, abdominal distension, dehydration, and pallor. Neurological examination showed head tremors, head tilt, ambulatory tetraparesis, vestibular ataxia, and ambulatory paraparesis. … Notably, the lung parenchyma frequently exhibited a noticeable pallor and several sporadically scattered white nodules, each a few millimeters in diameter (Figures- 12e and f ) [ 28 ]. Figure-12 (a-f) Feline infectious peritonitis in the lungs of cats [ 28 ]. …

Синдром Сусака: история инвалидности из-за позднего признания.

Синдром Сусака является редкой провокационной микроангиопатией, характеризующейся триадой ретинопатии, энцефалопатии и потери слуха. Синдром вызывает повторяющиеся микроинфаркты в этих органах, которые, в свою очередь, проявляются в неоднократных атаках, связанных с потерей визуального поля, потерей слуха и слуха, а также различными синдромами мозга. Это часто приводит к значительному накоплению инвалидности с течением времени, особенно в случае задержек или неудач в диагностике. Повреждения мозга, связанные с этим заболеванием, могут быть похожи на повреждения, вызванные множественным склероз

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… Fundus photography, if done at the appropriate time, might also have shown retinal pallor, but this was omitted. The increased RNFL thickness reported in his OCT agrees with documented OCT findings in Susac's syndrome [ 5 ]. …

Histiocytoid giant cellulitis-like Sweet syndrome at the site of sternal aspiration: A case report and review of literature.

BackgroundGiant cellulitis-like Sweet syndrome (SS) is a rare subtype of SS, and reports of the combined histiocytoid type of pathology are scarce. Here, we report a case of SS with distinctive clinical presentations and which was difficult to distinguish from cellulitis. By sharing this case and a discussion of the related literature in detail, we aim to provide clinicians with new insights into the characteristics of histiocytoid giant cellulitis-like (HGC)-SS and the pathogenesis of SS.Case summaryA 52-year-old male was admitted after experiencing progressive fatigue for 1 mo and tongue swe

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… Physical examination Positive physical examination findings were pallor, swollen tongue, and splenomegaly (3 cm below the left costal margin). …

Oral health status of patients with multiple myeloma.

ObjectiveTo describe the oral health status of patients with multiple myeloma and compare to a control group.Materials and methodsThe medical history of the studied subjects was obtained from the medical records and through interviews. Trained examiners evaluated the oral mucosa, teeth, periodontium and imaging aspects. The dental status was evaluated by the decayed, missing and filled teeth index. The presence of bone lesions was investigated with cone beam computer tomography images of the jaws.ResultsThe most common oral mucosa features were paleness (31%) and coated tongue (14.3%) in the m

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… Accuracy of clinical pallor in the diagnosis of anaemia in children: a meta-analysis BMC Pediatr 5 2005 2 13 16336667 10.1186/1471-2431-5-46 PMC1325025 24 Sciubba J. Oral leukoplakia Crit Rev Oral Biol Med 6 1995 147 160 7548621 10.1177/10454411950060020401 25 Lynge Pedersen A.M. Nauntofte B. …

Knee bone tumors: findings on conventional radiology.

The knee is a common site for bone tumors, whether clinically painful or not. Conventional radiology has been established as the first line of investigation in patients with knee pain and can reveal lesions that often generate questions not only for the generalist physician but also for the radiologist or general orthopedist. History, image examination, and histopathological analysis compose the essential tripod of the diagnosis of bone tumors, and conventional radiology is an essential diagnostic tool in patients with knee pain. This pictorial essay proposes to depict the main conventional ra

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… Clinically, the initial complaint is bone pain, often generalized, together with pallor and alterations in kidney function in the more advanced stages. …

Challenges in the Diagnosis and Management of the Miller Fisher Variant of Guillain-Barré Syndrome: A Case Report.

Miller Fisher syndrome (MFS) is a rare variant of Guillain-Barré syndrome (GBS), characterized by the triad of ophthalmoplegia, ataxia, and areflexia, often following a bacterial or viral illness. This case report presents a 58-year-old Hispanic female patient with a preceding streptococcal pharyngitis who developed symptoms of bilateral facial nerve palsy and lower limb ataxia. Cerebrospinal fluid (CSF) analysis revealed albuminocytologic dissociation and, combined with her presentation of ophthalmoplegia, ataxia, and areflexia, supported the diagnosis of MFS. Magnetic resonance imaging (MRI)

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… Later that night, she had an episode of vaso-occlusion in her distal digits of the hands and feet with pallor, most likely Raynaud's phenomenon. She was started on gabapentin, after which these symptoms resolved. …

Выявление биомаркеров для ремилеляции и восстановления при многоразовом склерозе: показатель прогресса.

Фон: Множественная патология склероза (MS) характеризуется острым и хроническим воспалением, обезвоживанием, аксоновой травмой и нейродегенерацией. После десятилетий исследований по проблеме дегенерации, связанной с НР, недавние усилия сместились в направлении восстановления и предотвращения дальнейшего ущерба. Одним из ключевых направлений деятельности является процесс ремиэлизации, в рамках которого исследователи изучают воздействие фармакотерапии на механизмы ремонта миелина. Множественные соединения испытываются на предмет их способности содействовать воссоединению в различных клинических

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… Conventional histopathological methods, such as myelin pallor (luxol fast blue) or myelin thinning, may fail to capture the complete dynamics of repair, potentially overestimating or overlooking certain remyelinated areas—especially when remyelination is nearly complete and resembles normal myelin [ …

Toxicology and Carcinogenesis Studies of C.I. Acid Red 114 (CAS No. 6459-94-5) in F344/N Rats (Drinking Water Studies).

C.I. Acid Red 114 is one of five chemicals being evaluated in 2-year carcinogenicity and toxicity studies as part of the NTP's Benzidine Dye … lative liver weights and elevated liver enzyme levels were seen in males and females, centrilobular pallor in the liver was seen in all male dose groups. Because of these body weight differences, decreases in water consumption, and organ toxicity, the doses chosen for the 2-year studies were 70,150, and 300 ppm for males and 150, 300, and 600 for females …

Ангиография оптической согласованности — полезное средство для отличия первичного феномена Рейно от системного склероза и/или очень ранней болезни системного склероза.

Цель этого межсекторального исследования заключалась в сопоставлении результатов оптической ангиографии, полученной пациентами, с первичным явлением Рейно (PRP; n = 22), очень раннее заболевание системного склероза (VEDOS; n = 19), и системный склероз (SSc; 25 пациентов с ограниченным количеством SSc (lcSSc) и 13 - пациентов с диффузным резиновым SSc (dcSSc)). Целые, парафовиальные и перифовенные поверхностные капиллярные сплексы (ПХФ) плотность судна (ДГ), глубокие капиллярные сплетения VD и целые, внутренние и перипапольные VD были значительно выше в группе ПРП (p) < 0.001). В группе IcSSc п

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… RP was defined as self-reported or reported by a physician, with a 2-phase color change in fingers or toes consisting of pallor, cyanosis, and/or reactive hyperemia in response to cold exposure or emotion [ 27 ]. …

Mobilization and Exercise Intervention for Patients With Multiple Myeloma: Clinical Practice Guidelines Endorsed by the Canadian Physiotherapy Association.

ObjectiveIndividuals with multiple myeloma (MM) often have reduced functional performance due to the cancer itself or as a direct side effect of cancer treatments. Physical therapy is a part of cancer rehabilitation; however, no guidelines are available to provide information and direction for physical therapists managing patients with MM. The goal of this guideline is to provide recommendations based on a systematic review and consensus process that physical therapists can use to manage patients with MM.MethodsA systematic review of the literature published until August 2018 was performed in

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… Therefore, while providing care for patients with lower hemoglobin levels (<8 g/dL), physical therapists should monitor vital signs and signs of adverse events (ie, chest pain, pallor, leg cramps, dizziness, arrhythmias, shortness of breath, respiratory distress, SBP > 200 mmHg or DBP > 110 mmHg, drop …

Fulminant hepatitis and multi-organ failure following varicella zoster virus infection in an adult with G6PD deficiency: a case report.

BACKGROUND: Varicella zoster virus (VZV) infection in adults can lead to severe complications, particularly in those with underlying comorbidities. This case report presents a rare instance of VZV-associated fulminant hepatitis progressing to multi-organ failure in a 27-year-old female with glucose-6-phosphate dehydrogenase (G6PD) deficiency. CASE PRESENTATION: The patient presented with a generalized rash and rapidly developed acute liver failure, coagulopathy, and renal dysfunction. Despite aggressive management, including intravenous immunoglobulin therapy and supportive care, the patient'

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… Positive findings included generalized icterus, scleral icterus, conjunctival pallor, mild tenderness in the epigastric region and right upper quadrant, and a diffuse erythematous rash with papules and vesicles in various stages of evolution. …

Metastatic gallbladder cancer presenting as numb chin syndrome: A case report and literature review.

Gallbladder cancer (GBC) is an uncommon malignancy that is highly aggressive in the advanced stages. However, it rarely metastasizes to the mandible. Numb chin syndrome (NCS) is a rare neurological manifestation associated with various underlying causes, including occult primary cancers and distant metastases. It is often considered to be a significant indicator of malignancy, and thorough investigation is essential in the presence of unclear etiology. The current study reported on the case of a 69-year-old Japanese woman who presented with numbness and mild pain in the lower lip and chin area

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… Upon examination, the patient was indicated to be well-nourished and in good condition, and exhibited no signs of pallor, jaundice, cyanosis, clubbing or localized/generalized lymphadenopathy. …

Amyloidosis: a case series and review of the literature.

BackgroundSystemic amyloidosis is group of disorders characterized by the accumulation of insoluble proteins in tissues. The most common form of systemic amyloidosis is light chain amyloidosis, which results from the accumulation of misfolded immunoglobulins. The disease is progressive, with treatment targeted at the underlying plasma cell dyscrasia. Since essentially any organ system can be affected, the presentation is variable and delays in diagnosis are common. Given this diagnostic difficulty, we discuss four different manifestations of light chain amyloidosis.Case presentationsIn this ca

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… There was no icterus or lymphadenopathy but mild pallor. Cardiac and respiratory exams were unremarkable. Labs are reviewed below (Table 2 ). …