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Thirty years of surveillance of depleted uranium-exposed Gulf War veterans demonstrate continued effects to bone health.
J Toxicol Environ Health A
March 2025
Department of Veterans Affairs Medical Center Baltimore, MD, USA.
During the spring of 2024, 33 members of a group of Gulf War I veterans wounded in depleted uranium (DU) friendly-fire incidents were seen at the Baltimore VA Medical Center for surveillance related to their combat exposure. The cohort was assessed with a protocol which includes exposure monitoring for total and isotopic uranium (U) concentrations in urine and a comprehensive assessment of health outcomes including measures of bone metabolism and bone mineral density (BMD). An audiometry examination of the cohort was added to assess for acoustic trauma and toxic metal effects in this surveillance episode marking over 30 years since this exposure event.
View Article and Find Full Text PDFMalignant Epithelioid Neoplasm versus Dedifferentiated Malignant Melanoma: A Case Report.
Diseases
August 2024
Department of Medicine, Northwell Health-Staten Island University Hospital, Staten Island, NY 10305, USA.
Article Synopsis
- The case discusses a rare occurrence of poorly differentiated epithelioid carcinoma metastasizing to the axillary node in a 75-year-old war veteran, highlighting diagnostic difficulties due to the tumor's heterogeneous expression.
- The patient's symptoms included an axillary mass, incontinence, leg weakness, fever, night sweats, and significant weight loss, leading to high levels of leukocytosis, anemia, and thrombophilia upon admission.
- The excisional biopsy revealed complex immunohistochemical staining patterns, complicating the diagnosis, but ultimately underscored the importance of considering poorly differentiated epithelial carcinoma in patients with axillary masses and related symptoms for timely treatment.
Catheter-Directed Retrieval of an Infected Fragment in a Vietnam War Veteran.
Fed Pract
September 2022
Mountain Home Veterans Affairs Medical Center, Johnson City, Tennessee.
Background: Shrapnel injuries are commonly encountered in war zones. The severity of these injuries depends on the initial damage and both the anatomical and immune response at the time of injury or at more remote times in the case of reactivation.
Case Presentation: A veteran sustained a shrapnel injury to his left lower abdomen while serving in the Vietnam War.
Serum Indicators of Oxidative Damage from Embedded Metal Fragments in a Rat Model.
Oxid Med Cell Longev
March 2022
Internal Contamination and Metal Toxicity Program, Armed Forces Radiobiology Research Institute, Uniformed Services University, Bethesda, Maryland 20889-5648, USA.
Injuries suffered in armed conflicts often result in embedded metal fragments. Standard surgical guidance recommends leaving embedded fragments in place except under certain circumstances in an attempt to avoid the potential morbidity that extensive surgery often brings. However, technological advances in weapon systems and insurgent use of improvised explosive devices now mean that practically any metal can be found in these types of wounds.
View Article and Find Full Text PDFA rare case of iliopsoas abscess caused by a retained shrapnel from a blast injury.
BMJ Case Rep
November 2021
Department of General Surgery, Monash Health, Clayton, Victoria, Australia.
Iliopsoas abscesses (IPA) are uncommon, with an associated mortality rate of up to 20%. We describe the case of a 55-year-old man war veteran who presented with an unusual cause of IPA secondary to retained foreign body (FB). His initial trauma 30 years before was a result of a blast injury with shrapnel penetration suffered after inadvertently driving over a landmine as an ambulance driver in a conflict region.
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