1,878 results match your criteria: "Eosinophilic Ulcer"

Introduction: Cutaneous leishmaniasis (CL) is a common protozoan disease in Iraq characterized by localized ulcers, primarily on exposed skin. This study aimed to investigate the hematological parameters of infected patients using a complete blood count (CBC) in the endemic area of Diyala Governorate, northeast of Baghdad. This has been studied in newly diagnosed, untreated individuals and patients receiving sodium antimony gluconate.

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Background: We aimed to characterize the histologic gut phenotype of pediatric primary sclerosing cholangitis (PSC)-associated inflammatory bowel disease (IBD) against non-PSC colitis, and to assess Nancy Index (NI) performance in pediatric PSC-IBD.

Methods: Single-center retrospective cohort study including children diagnosed with PSC-IBD or non-PSC colitis (ulcerative colitis [UC] or IBD-unclassified) from 2000 to 2018, with diagnostic intestinal biopsies. Biopsies were re-reviewed by two independent pathologists who assessed microscopic disease distribution, NI scores, and specific histological features in the right and left colons, overall and stratified by endoscopic severity (moderate-severe vs.

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Article Synopsis
  • Etrasimod is a selective oral drug that has been linked to a potential increased risk of macular edema, a condition affecting the eye.
  • In a clinical study focusing on patients with conditions like ulcerative colitis and Crohn's disease, the rate of macular edema associated with etrasimod was similar to that of a placebo, with very few cases reported.
  • Overall, macular edema and other eye-related issues were rare among patients taking etrasimod, and most related side effects were not serious.
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Traumatic Ulcerative Granuloma With Stromal Eosinophilia (TUGSE): A Case Report.

Cureus

October 2024

Oral and Maxillofacial Surgery, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.

Traumatic ulcerative granuloma with stromal eosinophilia (TUGSE) is a rare, benign lesion often misdiagnosed due to its clinical and histological similarities with malignant conditions. It typically presents as a persistent, non-healing ulcer in the oral cavity. This case report describes a 64-year-old female patient who presented with a solitary ulcer caused by chronic trauma from a supra-erupted tooth.

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[Lupus Cheilitis: a clinical case report].

Rev Med Inst Mex Seguro Soc

July 2024

Secretaría de Salud, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Departamento de Dermatología. Ciudad de México, México.

Background: Generalized lupus erythematosus (LEG) is an autoimmune disease with cutaneous and mucosal manifestations, with lupus cheilitis (LC) being a rare associated oral presentation. The difficulty in early diagnosis of QL lies in its various clinical forms. Although successful treatments have been described, information on specific management is limited, highlighting the importance of early recognition to improve the prognosis and quality of life of patients.

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  • The text discusses a specific fungus that survives in the acidic environment of the human stomach, potentially causing conditions like ulcers and gastritis.
  • In research on mice, it was found that this fungus can induce localized gastritis without affecting the intestine, highlighting the stomach's vulnerability to fungal infections.
  • The study identified immune responses and gene expressions linked to fungal infection in a specific stomach region, suggesting the importance of further research on how this infection interacts with the host's immune system and microbiota.
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We present the case of a 27-year-old man, with no previous diseases, who was referred to the Department of Otorhinolaryngology in May 2023 for a 2-cm right submandibular lymphadenopathy of two month's evolution. He did not report fever or night sweats, and no oral or genital ulcers were observed. He presented eosinophilia in the analysis performed and a maculopapular exanthema on the left leg and malleolus areas, which was initially treated with topical antibiotic and corticosteroids.

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The MicroRNA miR-223 Constrains Colitis-associated Tumorigenesis by Limiting Myeloid Cell Infiltration and Chemokine Expression.

J Immunol

December 2024

Mucosal Immunology Research Laboratory, Kathleen Lonsdale Institute for Human Health Research, Department of Biology, Maynooth University, Maynooth, Ireland.

Aberrant intestinal inflammation plays a critical role in the development of colitis-associated colorectal cancer (CAC), yet the mechanisms controlling tumor development by the myeloid immune compartment are not fully understood. Although altered microRNA expression is observed in CAC, it is also unclear how myeloid-specific microRNAs impact the inflammatory process that underpins the continuum from ulcerative colitis to tumorigenesis. In this study, we report that miR-223 acts to limit myeloid-driven inflammation in the azoxymethane (AOM)-dextran sodium sulfate (DSS) model of CAC in mice.

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The aim of this study was to describe the clinical, histopathological, and immunohistochemical characteristics of MPX and offer meaningful insights into the clinicopathology of MPX. We recruited eight men who had sex with men diagnosed with MPX based on positive results from MPX Virus (MPXV)-specific polymerase chain reaction. Skin biopsies were obtained from four selected lesions, including typical and atypical lesions.

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The Versatile Role of Peroxisome Proliferator-Activated Receptors in Immune-Mediated Intestinal Diseases.

Cells

October 2024

GI Unit, Department of Infectology, Faculty of Medicine, University of Debrecen, Bartok Bela Street 2-26, 4031 Debrecen, Hungary.

Peroxisome proliferator-activated receptors (PPARs) are nuclear receptors that sense lipophilic molecules and act as transcription factors to regulate target genes. PPARs have been implicated in the regulation of innate immunity, glucose and lipid metabolism, cell proliferation, wound healing, and fibrotic processes. Some synthetic PPAR ligands are promising molecules for the treatment of inflammatory and fibrotic processes in immune-mediated intestinal diseases.

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We applied the 2022 American College of Rheumatology/ European Alliance of Association for Rheumatology (ACR/EULAR) criteria for antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) to patients histologically diagnosed with lupus nephritis (LN) to investigate the overall rate of and initial contributing factors to the reclassification of overlap syndrome of LN with AAV (OS-LN-AAV). We retrospectively reviewed the medical records of 1292 patients with systemic lupus erythematosus (SLE) and included 164 patients with LN in this study. Patient demographics, SLE manifestations, LN classes, and laboratory data, including ANCA levels, were recorded.

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Article Synopsis
  • Primary atopic disorders (PAD) are rare genetic conditions caused by specific gene variants that affect skin and immune function, making diagnosis challenging among common allergic disease cases.
  • Identifying PAD requires recognizing clinical red flags like family history and unusual infections, as conventional lab tests are inadequate for definitive diagnosis.
  • Whole-genome sequencing (WGS) enhances diagnostic efficiency and accuracy, but requires careful interpretation and collaboration among specialists to effectively manage PAD cases.
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Management Strategies for Patients with Non-Infectious Cystitis: A Review of the Literature.

Curr Urol Rep

September 2024

Department of Urology, Division of Neurourology and Pelvic Reconstructive Surgery, University of Michigan, Ann Arbor, MI, USA.

Article Synopsis
  • The review focuses on the evolving management strategies for noninfectious cystitis, categorizing it into different types like non-ulcerative and ulcerative cystitis, as well as specific causes such as eosinophilic and ketamine-induced cystitis.
  • Recent treatments showing potential include combination antihistamine therapy, phosphodiesterase 5 inhibitors, alpha lipoic acid, and onabotulinumtoxin A, while the adverse effects of pentosan polysulfate sodium are also highlighted.
  • Treatment plans should be personalized, starting with conservative measures and possibly moving to more invasive procedures based on the patient’s specific symptoms and underlying causes.
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Sublingual Traumatic Ulceration in a Nine-Year-Old Child: A Case Report.

Cureus

August 2024

Oral Medicine and Radiology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Article Synopsis
  • * Treatment options usually include smoothing or removing the offending teeth; however, in this case, a nine-year-old was treated with instructions to prevent further trauma and used topical corticosteroids along with multivitamin supplements.
  • * The treatment proved successful, leading to complete healing of the ulceration without the need for any extractions.
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  • This systematic review focused on the characteristics and treatment of ligneous gingivitis (LG) and periodontitis (LP) in patients with plasminogen deficiency (PD), analyzing 17 case reports related to these oral conditions.
  • The findings revealed that 56% of patients had type I PD, with common symptoms including ulceration and bone loss, and the most frequent treatment was conventional periodontal scaling.
  • Limitations in current research create challenges in diagnosing and treating LG/LP, highlighting the need for more comprehensive future studies with detailed treatment descriptions and longer follow-up periods.
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  • Sulfasalazine is an anti-inflammatory medication commonly used for autoimmune disorders, but its real-world safety hasn't been thoroughly studied, prompting an analysis of adverse reactions from the FDA's database.
  • A study analyzed 7,156 adverse event reports related to sulfasalazine and found 101 significant adverse reactions, including some already known and new signals not previously listed in drug labeling, like aseptic meningitis.
  • The research reinforces existing knowledge about sulfasalazine's safety while also highlighting new potential adverse effects, contributing to better clinical decision-making and risk management.
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  • * He was initially treated with corticosteroids but developed refractory pneumothorax, which made managing the air leakage challenging.
  • * The treatment was successfully modified to include mepolizumab, an anti-interleukin-5 therapy, and an endobronchial Watanabe spigot, resulting in the resolution of the pneumothorax and no recurrence of EP post-treatment.
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Mesenchymal stem cell therapy in eosinophilic granulomatosis with polyangiitis-related lower limb gangrene: a case report.

Stem Cell Res Ther

September 2024

Department of Vascular Surgery, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Beijing, 100053, China.

Article Synopsis
  • Eosinophilic granulomatosis with polyangiitis (EGPA) is a serious systemic vasculitis characterized by high eosinophil levels and various symptoms, requiring high-dose glucocorticoid treatment, though this isn't always effective.
  • A case study of an 11-year-old patient at risk of amputation due to severe necrotizing vasculitis utilized mesenchymal stem cell therapy, which included umbilical cord and placenta-derived cells.
  • After four months of treatment, the patient experienced improved eosinophil levels, restored blood flow, and significant healing of foot ulcerations, suggesting stem cell therapy could be a valuable alternative for treatment-resistant EGPA.
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  • Hypereosinophilic syndrome (HES) leads to high levels of eosinophils in the blood and tissues, causing organ damage, with gastrointestinal issues being a common manifestation.
  • A 28-year-old female patient suffered from severe gastrointestinal symptoms and was diagnosed with idiopathic HES and eosinophilic esophagitis, resistant to multiple treatments.
  • After starting dupilumab, a recently FDA-approved treatment, the patient achieved remission, resolving her gastrointestinal issues and allowing her to return to a normal diet without needing total parenteral nutrition.
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  • The study aimed to investigate how Helicobacter pylori infection affects gastric lesions in patients with non-eosinophilic gastrointestinal diseases (non-EoE EGIDs).
  • A review of 75 patients found that common gastric findings included erythema, erosions, ulcers, and edema, with no significant differences based on gastric mucosal atrophy, which indicates H. pylori infection.
  • The researchers concluded that gastric ulcers in non-EoE EGIDs should be considered when diagnosing idiopathic peptic ulcers, as there was no specific pattern in lesion frequency related to atrophic gastritis.
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  • - The study analyzed treatment decisions for H. pylori infection in children using data from the EuroPedHp Registry, focusing on various factors influencing whether or not therapy was administered, especially regarding gastrointestinal (GI) comorbidities.
  • - Out of 1165 pediatric patients, those with GI comorbidities were significantly less likely to receive eradication treatment (only 57%) compared to those with no comorbidities (89%) despite having similar symptoms and conditions.
  • - The findings suggest that H. pylori-infected children with GI issues had a much lower chance (75% reduced) of receiving treatment, indicating no rationale for different management approaches based on GI comorbidities in pediatric patients with confirmed infections.
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  • Abnormalities in blood clotting and breakdown processes are important in inflammatory bowel disease, but their specific genetic roles in ulcerative colitis (UC) haven't been systematically studied.
  • Researchers analyzed datasets from the Gene Expression Omnibus database, using machine learning to identify key biomarkers related to coagulation and fibrinolysis.
  • They found four significant biomarkers (MAP2K1, CREBBP, TAF1, and HP) that are linked to immune pathways and specific immune cells, particularly eosinophils, which could aid in future clinical research on UC.
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  • Basidiobolomycosis is a rare fungal infection typically presenting as a chronic skin infection, but gastrointestinal cases, like the one reported in a 31-year-old woman, can occur and are harder to diagnose.
  • The patient's symptoms developed after bariatric surgery, leading to a misdiagnosis of ulcerative colitis; extensive surgical intervention revealed granulomatous inflammation indicative of basidiobolomycosis.
  • The case emphasizes the need for healthcare providers to be vigilant for basidiobolomycosis in patients with ulcerative lesions, especially if accompanied by eosinophilia and abdominal masses.
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