Publications by authors named "Zekarias S Ayalew"

Article Synopsis
  • Acute appendicitis is often easy to diagnose, but chronic appendicitis is rare and can complicate diagnosis due to its unusual symptoms.
  • A case study showed a 30-year-old male with nine months of chronic abdominal pain who had appendectomy, and chronic appendicitis was confirmed through histopathology.
  • The findings emphasize the need for careful assessment using imaging techniques like ultrasound and CT scans, as chronic appendicitis should be considered in patients with unexplained right lower quadrant pain.
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Background: Liver cirrhosis is the end stage of progressive liver fibrosis as a consequence of chronic liver inflammation, wherein the standard hepatic architecture is replaced by regenerative hepatic nodules, which eventually lead to liver failure. Cirrhosis without any symptoms is referred to as compensated cirrhosis. Complications such as ascites, variceal bleeding, and hepatic encephalopathy indicate the onset of decompensated cirrhosis.

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Background: Gastroesophageal reflux disease (GERD) is a common disease worldwide with varying clinical presentations and risk factors. Prevalence data for Africa is lacking, but an increasing trend is expected due to demographic and epidemiological transitions. Although endoscopic studies for general gastrointestinal disorders have shown some patients with erosive esophagitis (EE), no studies in Ethiopia have investigated the clinical characteristics, risk factors, and severity of GERD using esophagogastroduodenoscopy (EGD).

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Primary central nervous system lymphoma is a rare form of central nervous system malignancy. It predominantly affects immunocompromised individuals and the elderly population. Diffuse large B-cell lymphoma is the most common type.

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Introduction And Importance: Mucinous Tubular and Spindle Cell Carcinoma (MTSCC) of the kidney is a rare variant, first classified by WHO in 2004 classification of RCC. MSCC has distinct morphology and immunohistochemistry unlike challenging previous renal tumor classifications. Despite its rarity, MTSCC diagnosis is important due to its unique characteristics.

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Introduction: The efficacy of BCR-ABL tyrosine kinase inhibitors (TKIs) in treating chronic myelogenous leukemia and other malignancies is well-documented. However, concerns about potential nephrotoxicity have raised questions. This study, conducted at Tikur Anbesa Specialized Hospital (TASH) in Addis Ababa, Ethiopia, aimed to investigate the association between TKIs and renal toxicities.

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Article Synopsis
  • * A study conducted at two hospitals identified that younger patients (under 25 years), those with initial renal manifestations, and those on low-dose prednisolone are more likely to experience flare-ups.
  • * The research highlighted a strong gender bias, with 95% of the SLE patients being female, and most of the clinical symptoms included musculoskeletal, dermatologic, and constitutional issues.
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Key Clinical Message: This case report highlights the challenges of diagnosing MSA-C in resource-limited settings. MRI findings like the "hot cross bun" sign can be supportive, but the unavailability of advanced tools like seed amplification assay may delay diagnosis. Early diagnosis is crucial for proper symptom management.

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