Effects of canary seed on two patients with disseminated granuloma annulare.

Treatment of disseminated granuloma annulare (GA) can be challenging and there is no gold standard for treatment. We observed two cases of generalized GA that were treated successfully with canary seed milk despite being resistant to other treatments. Canary seed milk has antioxidant (contains vitamin E), anti-diabetic (DPP-4 inhibition), and anti-hypertensive (ACE inhibition) properties.

[Current views on the treatment and prevention of recurrent acute otitis media in children (review of clinical recommendations)].

Recurrent acute otitis media (RAOM) represents at least 3 or more separate episodes of acute otitis media within 6 months or four or more episodes over a 12-month period. The incidence of recurrent otitis media varies from 5 to 30% and does not tend to decrease. Until now, the questions of conservative and surgical treatment of patients remain unsolved.

Isotretinoin Associated Rhabdomyolysis: Monitoring Creatine Kinase and Educating Patients.

Monitoring specific values at baseline and throughout treatment is standard of care for isotretinoin therapy; however, creatine kinase (CK) blood monitoring is often excluded. Herein, we describe the importance of CK monitoring during isotretinoin therapy to assess the risk of rhabdomyolysis and potential renal damage, regardless of muscle-related symptom presentation. We present 2 patients with hyperCKemia: a 16-year-old male on isotretinoin whose CK levels were elevated (7,325 U/L) when rhabdomyolysis symptoms were present, and an asymptomatic 18-year-old male with elevated CK levels (35,000 U/L) before starting isotretinoin.

[Basis of endoscopic dissection of the ear with analysis of endoscopic anatomy. Part 2.].

Nowadays, endoscopic transcanal otosurgery with confident steps is becoming a practice. Obviously, any new method of intervention needs to be repeatedly tested by the surgeon before it is used on the patient. This is why dissection work is so important and popular.