58 results match your criteria: "School of Medicine Iran University of Medical Sciences Tehran Iran.[Affiliation]"

Mucosa-associated lymphoid tissue lymphoma or MALToma occurs in 8% of B-cell non-Hodgkin lymphoma according to the latest WHO classification. The most involved site of MALToma is stomach. We describe a rare case of concurrent gastric and orbital mucosa-associated lymphoid tissue lymphoma (MALToma) of a female who presented with progressive proptosis and abdominal pain.

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Pure gallbladder squamous cell carcinoma is rare. Adenocarcinoma is the foremost malignant pathology of gallbladder cancer. Simultaneously, squamous cell carcinoma accounts for only 1% of malignant gallbladder tumors.

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Primary intimal sarcoma of the pulmonary artery is a rare and aggressive malignancy that presents significant diagnostic and therapeutic challenges due to its nonspecific symptoms and propensity for late detection. This case report aimed to elucidate the diagnostic journey, surgical intervention, and multidisciplinary management of this rare entity. In September 2023, a 42-year-old male presented with dyspnea on exertion and retrosternal chest pain, classified as NYHA FC II.

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Article Synopsis
  • This study compares cryotherapy and electrosurgery methods for removing bothersome skin conditions like sebaceous hyperplasia and cherry angioma.
  • Conducted as an assessor-blind trial with 32 lesions in each treatment group, it assessed patient and physician satisfaction over several follow-up visits.
  • Results indicated that while electrosurgery showed higher satisfaction for most conditions, cryotherapy was more effective for treating seborrheic keratosis; some side effects like hypopigmentation were observed in both methods.
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Background And Aims: In recent years, the application of various light and laser devices in the treatment of different types of alopecia has been established. This systematic review aims to assess the efficacy and safety of laser therapy and phototherapy in cicatricial and non-cicatricial alopecia.

Methods: A comprehensive search was conducted on PubMed, Scopus, Science Direct, and Google Scholar.

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  • - The study explores the connection between microRNA miR-141, Sirtuin 1 (SIRT1), and non-alcoholic fatty liver disease (NAFLD) in adults, finding significant changes in these factors related to obesity and metabolic health.
  • - In a group of 100 adults, it was revealed that miR-141 levels were higher and SIRT1 expression was lower in those with obesity compared to normal-weight individuals, indicating a negative relationship between the two.
  • - The findings suggest that increased miR-141 could inhibit SIRT1, leading to obesity-related issues like NAFLD, highlighting the potential of miR-141 as a target for diagnosis and treatment in these conditions.
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  • * A 64-year-old woman was treated for CAP after presenting with abdominal pain and gastrointestinal bleeding, with imaging confirming the diagnosis.
  • * Successful management involved angioembolization followed by cholecystectomy, highlighting the need for early detection and intervention in cases of CAP associated with acute cholecystitis.
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We report a case of a 21-year-old male with stage IIIB sigmoid colon adenocarcinoma who experienced atypical chest pain post-adjuvant chemotherapy with Capecitabine (5-FU prodrug). Evaluation revealed an unexpectedly detected interventricular septum hemangioma. Due to the vasospasm effect of chemotherapy presenting with semi-ischemia, conservative management was chosen for atypical presentation.

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Key Clinical Message: This case highlights the challenges in diagnosing Bethlem myopathy, the need for a high index of suspicion, and the importance of recognizing the diverse clinical presentations of this rare condition. Enhanced understanding can aid in early diagnosis and tailored management.

Abstract: Bethlem myopathy (BM), a rare collagen VI-related myopathy, is characterized by progressive muscle weakness and contractures, typically affecting the proximal muscles and joints.

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Key Clinical Message: Creutzfeldt-Jakob disease (CJD) is a rapidly progressive, fatal neurodegenerative disorder. This case highlights parkinsonism as a rare initial manifestation of sporadic CJD (sCJD), emphasizing the need for heightened clinical awareness to prevent misdiagnosis. Early and accurate diagnosis of sCJD is crucial for preventing potential iatrogenic transmission and optimizing patient management.

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Antiphospholipid syndrome is an immunopathologic disorder that should be considered in all patients with recurrent and/or unexplained thromboembolic events. Antiphospholipid antibodies are diagnostic markers, and anticoagulation therapy is the therapeutic and preventive strategy. Long-term anticoagulation therapy is necessary, with careful attention to potential bleeding complications.

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Unlabelled: Homozygous variants of Calcium Voltage-Gated Channel Subunit Alpha1 S (CACNA1S) gene mutation were previously identified as causes of periodic paralysis and congenital early-onset myopathy, while it could be manifested as a late-onset congenital core myopathy.

Abstract: Calcium Voltage-Gated Channel Subunit Alpha1 S (CACNA1S) gene mutation has been linked to various neuromuscular conditions in recent years. Congenital myopathy with core-like features is one of the cardinal associations reported previously, causing severe respiratory insufficiency and death in neonates.

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Purpose: The discoid meniscus (DM) is distinguished by its thickened, disc-shaped formation, which extends over the tibial plateau. The likelihood of developing osteoarthritis escalates if a DM tear remains undiagnosed and untreated. While DM tears can be diagnosed through arthroscopy, the high cost, invasive nature and limited availability of this procedure highlight the need for a better diagnostic modality.

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Background And Aim: The hepatitis B virus (HBV) is one of the most common causes of liver cancer in the world. This study aims to provide a better understanding of the mechanisms involved in the development and progression of HBV-associated hepatocellular carcinoma (HCC) by identifying hub genes and the pathways related to their functions.

Methods: GSE83148 and GSE94660 were selected from the Gene Expression Omnibus (GEO) database, differentially expressed genes (DEGs) with an adjusted -value < 0.

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Article Synopsis
  • Phototherapy, particularly UVB treatment, is effective for various skin diseases, including psoriasis, but can lead to vesiculobullous lesions that may indicate Bullous Systemic Lupus Erythematosus (BSLE).
  • BSLE is a rare form of lupus that presents as blisters and can be diagnosed through specific immunofluorescence findings.
  • The study discusses a case of a 70-year-old man with vesicular lesions after UVB therapy, confirming BSLE and noting improvement with dapsone treatment, emphasizing the need to consider BSLE in similar cases.
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Key Clinical Message: Because of the complex embryonic origin of the abdominal venous structures, IVC and azygous systems can show numerous and even previously unreported anatomical variations and anomalies. Also, evaluating major vascular structures should not be dismissed in non-contrast-enhanced CT as it can provide valuable information about these structures.

Abstract: Double IVC is a rare occurrence of IVC anatomical variations and congenital anomalies.

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Background And Aims: Osteoarthritis (OA) is one of the most common debilitating diseases among the aging population. is one potential treatment for OA. Here, we sought to evaluate the efficacy and safety of for treating patients with OA.

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A life lost to anorexia nervosa: A case report of rapid progressive disease and its psychological aspects.

Clin Case Rep

April 2024

Fellowship of Psychosomatic Medicine, Mental Health Research Center, Psychosocial Health Research Institute, Department of Psychiatry, School of Medicine Iran University of Medical Sciences Tehran Iran.

The prevalence of anorexia nervosa has been on the rise. Exploring key factors in treating this condition as well as psychological factors influencing the onset and maintenance of the disorder can increase the chance of treatment success.

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Background And Aims: Second to COVID-19 pandemic, other viral respiratory infections are still important causes of human diseases or co-infections. Hence, the present study was carried out to investigate the common respiratory viruses in patients with respiratory illness diagnosed negative for severe acute respiratory syndrome coronavirus-2 in primary screening.

Methods: In a cross-sectional study, a real-time PCR was carried out using HiTeq.

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Key Clinical Message: OHVIRA syndrome can be misdiagnosed due to its rarity, resulting in the need for more invasive interventions than vaginoscopy. Also, delayed diagnosis of OHVIRA syndrome can affect patient's quality of life by leading to chronic gynecological diseases such as endometriosis and pelvic inflammatory disease.

Abstract: Obstructive hemivagina and ipsilateral renal agenesis (OHVIRA) syndrome is one of the infrequent congenital Mullerian duct anomalies characterized by obstructed hemivagina and ipsilateral renal agenesis.

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Key Clinical Message: A 32-year-old male with painful scrotal swelling who underwent radical orchiectomy and was diagnosed with a testicular neuroendocrine tumor. Determining whether testicular neuroendocrine tumor is primary or metastasis from another origin is crucial.

Abstract: Testicular neuroendocrine tumors (TNET) are one of the rarest human neoplasms, with about 132 identified cases until 2015.

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Article Synopsis
  • Adipose triglyceride lipase (ATGL) is a key enzyme involved in breaking down fats and is influenced by insulin; it also plays a role in inflammation and insulin resistance related to obesity and metabolic syndrome.
  • The study involved 100 participants, comparing 50 with obesity to 50 healthy individuals, measuring lipid profiles, insulin levels, and gene expression of ATGL in immune cells.
  • Results showed ATGL expression was higher in participants with obesity and metabolic syndrome, linked to inflammation and insulin resistance, indicating ATGL could be crucial in developing metabolic issues associated with obesity.
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Endometrial Carcinoma Arising from Adenomyosis (EC-AIA) is an unusual condition, primarily occurring in postmenopausal women. We present a rare case of a 34-year-old woman with EC-AIA, highlighting the diagnostic challenges in distinguishing this malignancy from adenomyosis preoperatively. Conventional imaging methods exhibited limitations, necessitating post-surgery confirmation through comprehensive examinations.

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Key Clinical Message: Clinicians should be aware of rare manifestations of AS, while considering a low threshold for screening vascular involvement in an axial SpA/nrxSpA/AS presenting with unexplained fevers and significant constitutional symptoms and elevated markers.

Abstract: Ankylosing spondylitis (AS) is a chronic inflammatory disease from the spondyloarthritis complex, which usually affects young men and primarily involves sacroiliac joints and the spine. It can also present with non-joint involvement, such as cardiovascular manifestations.

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Key Clinical Message: This paper highlights that diagnosis and treatment of one ectopic pregnancy does not rule out the happening of a second ectopic pregnancy in the same patient concurrently, especially if the patient has rising β-hCG and persistent symptoms.

Abstract: Bilateral tubal pregnancy (BTP) is the most uncommon form of tubal ectopic pregnancy. Complications can lead to maternal morbidity and mortality.

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