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  • * All patients were initially treated with antiviral medication, but two needed additional surgical intervention due to complications. After the infections were controlled, they developed resistant macular edema, which was treated with a sustained-release dexamethasone implant.
  • * The treatment led to significant improvement in both retinal edema and visual acuity, with no reactivation of the virus or major side effects over a two-year period, suggesting that this implant could be a viable option for similar cases.
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Article Synopsis
  • The study aimed to evaluate the effectiveness and tolerance of amenamevir (AMNV) in treating recalcitrant herpes simplex keratitis (HSK) caused by acyclovir-resistant herpes simplex virus 1 strains.
  • Six patients were analyzed retrospectively after failing traditional antiviral treatments, focusing on recurrence rates and visual acuity during AMNV therapy.
  • Results showed that 66% of patients did not have any recurrences on AMNV, leading to a significant reduction in HSK episodes and some improvement in vision, although the latter was not statistically significant likely due to the small sample size.
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Introduction: Pain management becomes important in the treatment of oral mucosal diseases since it can impair the quality of life. Photobiomodulation (PBM) as an alternative therapy, has potency in reducing pain through several mechanisms targeting peripheral nerves in the target tissue.

Purpose: To discuss the effectiveness of PBM in the management of four cases of oral mucosal diseases.

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Atypical Cutaneous Viral Infections Reveal an Inborn Error of Immunity in 8 Patients.

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May 2023

Laboratory of Clinical Immunology-Inflammation and Allergy LICIA, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca 20250, Morocco.

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  • A study conducted at Ibn Rochd University Hospital-Casablanca from 2017 to 2021 found that unusual viral skin infections were often the first signs of inborn errors of immunity in children, affecting 1.3% of patients with suspected IEI.
  • The research involved 591 newly diagnosed patients, identifying specific genetic deficiencies like GATA2, STK4, and COPA in some, linked to chronic or resistant viral skin infections.
  • The study emphasizes the importance of recognizing these skin infections as potential indicators of underlying immunological issues, which could improve diagnosis and treatment for affected children and their families.
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The aim of this study was to report a severe case of mixed fungal and bacterial microbial keratitis following implantation of a self-retained cryopreserved amniotic membrane, PROKERA® SLIM (Bio-Tissue, Inc) in a patient with history of neurotrophic ulcer secondary to herpetic epithelial keratitis. Despite maximally tolerated topical and systemic therapy, the patient's eye continued to deteriorate and eventually required evisceration. PROKERA implantation might be associated with severe recalcitrant microbial keratitis.

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