Publications by authors named "Bal A"

Pulmonary sclerosing pneumocytoma is a rare benign neoplasm typically seen in middle-aged women. The exact preoperative diagnosis is quite challenging considering its nonspecific clinical and radiologic features along with complex histology. Moreover, obtaining an exact histopathological diagnosis can be difficult especially with the small biopsy specimens.

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Primitive myxoid mesenchymal tumor of infancy (PMMTI) is a low to intermediate-grade, poorly differentiated myofibroblastic tumor and is characterized by its tendency to recur locally. It commonly occurs in the 1 year of life and is predominantly seen in the axial skeleton and rarely in the retroperitoneum. We report one such case of PMMTI, which is the second case reported in English literature.

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Mucinous carcinomas are a rare type of invasive breast carcinoma characterized by large quantities of extracellular mucin on histopathological examination. These tumors can be easily missed or misdiagnosed. Due to large quantities of mucin, these tumors are presumed to be "soft" masses.

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In recent years, 68Ga-FAP inhibitor has emerged as a possible substitute radiotracer to FDG for imaging of most of the tumors. Here, we report a 7-year-old girl diagnosed with recurrent papillary tumor of the pineal gland, presenting with complaints of headache and vomiting. 18F-FDG PET/CT revealed an FDG-avid enhancing lesion in the posterior part of the third ventricle.

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Foreign body (FB) ingestion is one of the most common and challenging scenarios encountered in an Emergency Department. The incidence varies in different centers. They may be blunt objects, sharp-pointed objects, magnets, food boluses, and disk batteries.

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We describe a rare case of cutaneous phaeohyphomycosis by Veronaea botryosa in a renal transplant recipient from India. The patient presented with a nodule on the dorsum of right hand which resolved completely after 6 months of voriconazole therapy. The identity of the fungus was confirmed by sequencing internal transcribed spacer (ITS) region of rDNA.

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Background: This study aimed to demonstrate the utility of the nasal Type I interferon (IFN-I) response as a marker for respiratory viral infections (RVIs) and its potential to enhance diagnosis when combined with first-line PCR tests for Influenza A/B, RSV, and SARS-CoV-2.

Methods: Nasopharyngeal swabs (NPS) from patients at Hospices Civils de Lyon (November 2022-April 2024) suspected of viral infections (n = 788) and from healthy controls (n = 53) were analysed. The IFN-I score was measured using the FILMARRAY® IFN-I pouch prototype, which detects four interferon-stimulated genes.

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Objectives: The study aimed to investigate and compare clinical features, disease activity, and the overall disease burden among psoriatic arthritis (PsA) patients across seven distinct geographic regions in Türkiye.

Patients And Methods: A multicenter cross-sectional study involving 1,134 PsA patients from 25 referral centers across seven regions was conducted. Demographic and clinical characteristics, comorbidities, joint involvement, extra-articular manifestations, and disease activity measures were evaluated across regions.

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BRCA1/2 are tumor suppressor genes which regulate the DNA repair mechanism. Mutations in BRCA1/2 may increase the risk of breast cancer in patients. In the present study frequency of BRCA1/2 mutations in triple negative breast cancer (TNBC) patients was assessed and correlated with molecular subtypes of TNBC.

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Article Synopsis
  • - A 35-year-old woman experienced recurrent hypoglycemia, leading to a diagnosis of insulinoma after several imaging tests failed to locate the tumor.
  • - A specialized imaging technique, Ga-Exendin-4 PET/CT scan, was used during her travels and successfully identified a tumor in the pancreas, confirmed by surgery.
  • - Following the removal of the tumor, the patient's blood sugar levels normalized, demonstrating the effectiveness of the imaging method and the need for access to advanced diagnostic facilities.
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Identifying parameters influencing SARS-CoV-2 antibody dynamics post infection or vaccination is crucial for refining vaccination strategies. In a longitudinal analysis of 1340 samples from 375 healthcare workers, we characterized peak serological response and IgG half-life. Peak antibody titers post 2 vaccine doses were ∼ 20 times higher than natural infection; conversely, infected individuals had extended antibody half-life.

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Article Synopsis
  • Idiopathic pulmonary fibrosis is a serious lung disease characterized by lung scarring and the usual interstitial pneumonia pattern, leading to high mortality and frequent hospital visits.
  • This study reviewed CT scans from 65 patients with suspected usual interstitial pneumonia to assess complications like emphysema, pneumothorax, and infections.
  • The findings highlight the need for regular high-resolution CT scans to monitor patient conditions due to the severe complications associated with this disease.
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Background: Several genetic variants are associated with the risk of idiopathic pulmonary fibrosis (IPF). These have not been systematically reviewed.

Methods: We searched the PubMed, Embase and GWAS Catalog databases for studies indexed between inception and 15 January 2024 describing genetic variants associated with IPF susceptibility.

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Purpose: PET/CT-based Deauville scoring (DS) is routinely used for lymphoma response assessment. However, pathological correlation of DS is not yet precisely documented. In the present study we aimed to pathological confirm the PET/CT-based Deauville scoring (DS) in lymphoma after first-line chemotherapy.

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In implant-supported prosthetic treatments, the jaw bones may not always have enough bone to accommodate implants. Allogeneic grafts can also be preferred as an alternative to autogenous grafts in cases of vertical and horizontal bone deficiencies. The aim of this study is to evaluate the osseointegration levels of lathe-faced titanium implants placed together with allogeneic bone tissue transplants obtained from tibia, femur, and mandible bones using a biomechanical method.

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Article Synopsis
  • - The study investigates the link between altered sense of smell and protein-energy wasting (PEW) in patients with chronic kidney disease (CKD), particularly focusing on those with moderate-to-advanced stages and those undergoing maintenance hemodialysis (MHD).
  • - Researchers tested the smell abilities of 139 individuals using an odor identification test and assessed their nutritional status with a malnutrition inflammation score (MIS); results showed CKD patients had poorer odor scores and higher inflammation indicators compared to healthy controls.
  • - Although advanced CKD patients had significantly impaired olfactory function, the study found no strong statistical connection between their smell abilities and the severity of PEW, indicating that while both issues are prevalent, they may not directly impact each other
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  • The study aimed to assess the status of point-of-care ultrasound (POCUS) usage, perceptions, and educational barriers in pediatric emergency departments (PEDs) and pediatric intensive care units (PICUs) in Turkey.
  • The survey revealed that a significant majority of PEDs (84.2%) and all PICUs (100%) utilize POCUS, mainly for thoracic and cardiovascular assessments, but face challenges like lack of equipment, manpower, and training.
  • Participants emphasized the importance of mandatory POCUS training during fellowship programs to enhance usage and improve patient outcomes in pediatric care.
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Article Synopsis
  • Opportunistic fungal pathogens, like certain species, are gaining recognition in medical cases.
  • A rare case of co-infection was observed in a 63-year-old heart transplant patient who had nodular skin lesions, successfully treated with voriconazole.
  • The report emphasizes the need for awareness of co-infections with moulds to make better choices in antifungal treatments.
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Background: Three techniques have been described for aspirating the bronchoalveolar lavage (BAL) fluid, namely the wall mount suction (WMS), manual suction (MS), and manual suction with tubing (MST). However, there is no direct comparison among the 3 methods.

Methods: We randomized patients undergoing flexible bronchoscopy and BAL in a 1:1:1 ratio to one of the 3 arms.

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Introduction: Multisystemic inflammatory syndrome (MIS-C) is a newly described disease manifestation in children associated with the novel coronavirus SARS-CoV-2 infection and can be easily confused with Kawasaki disease with its clinical and laboratory findings. In this study, the clinical findings, organ involvements, similarities, and differences in laboratory and imaging of the children with MIS-C and KD at the time of admission will be revealed in detail, and the treatment methods and follow-up results will be revealed.

Material And Method: Our study was a single-center study and included pediatric patients who were treated with a diagnosis of MIS-C between March 2020 and July 2023 in the pediatric cardiology, pediatric emergency, pediatric infection, and pediatric intensive care clinics at Celal Bayar University and who were treated with a diagnosis of KD (complete/incomplete) between January 2015 and July 2023.

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Background: Claudin-low breast cancers (BCs) exhibit more aggressive behaviour compared to claudin-high types. Claudin-low BCs are often characterized by features such as a higher grade, enrichment of stemness characteristics, and a propensity for metastasis. Tumour microenvironment (TME) defined as the intricate network of surrounding cells, blood vessels, and extracellular matrix components influences the behaviour of cancer cells within the breast tissue.

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Introduction: Pulmonary Langerhans cell histiocytosis (PLCH) is a rare interstitial lung disease characterized by the accumulation of Langerhans cells within the lung tissue. The diagnosis of PLCH traditionally involves clinical, radiological, and lung biopsy histopathological evaluations.

Case Presentation: We present 2 cases where the diagnosis of PLCH was confirmed through the analysis of bronchoalveolar lavage (BAL) fluid cytology using immunoperoxidase technique, highlighting the significance of this minimally invasive technique in the diagnostic process.

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