74 results match your criteria: "Zhejiang Chinese Medicine and Western Medicine Integrated Hospital[Affiliation]"

Alzheimer's disease (AD) is recognized as the leading cause of dementia, imposing a significant economic toll on society. Despite the emergence of novel therapeutic approaches for AD, their efficacy and safety mandates further validation through rigorous clinical trials. In this context, hypertension (HTN) has garnered considerable attention as an amendable risk factor for AD.

View Article and Find Full Text PDF

Herpes simplex virus-2 encephalitis (HSV2E) in immunocompetent adults is exceptionally rare, and the subsequent onset of autoimmune encephalitis after HSV2E is even less common. This report presents the inaugural Chinese case of anti-N-methyl-D-aspartate receptor encephalitis (NMDARE) induced by HSV2E, confirmed via metagenomic next-generation sequencing (mNGS). The patient demonstrated a favorable response to intravenous immunoglobulin (IVIG) monotherapy.

View Article and Find Full Text PDF

Introduction: Baló's concentric sclerosis (BCS) is a rare type of central nervous system demyelinating disorder. Most patients with BCS are treated with corticosteroids, and spontaneous remission has seldom been described.

Case Presentation: A 46-year-old man presented with a subacute-onset headache and memory loss.

View Article and Find Full Text PDF

Using ultrasound findings and clinical characteristics, we constructed and validated a new nomogram for distinguishing epididymal tuberculosis from nontuberculous epididymitis, both of which share similar symptoms. We retrospectively examined data of patients with epididymal tuberculosis and nontuberculous epididymitis hospitalized between January 1, 2013, and March 31, 2023. Eligible patients were randomly assigned to derivation and validation cohorts (ratio, 7:3).

View Article and Find Full Text PDF
Article Synopsis
  • - The study aimed to assess how the length of preoperative antituberculosis treatment impacts the risk of complications during and after epididymectomy in patients with epididymal tuberculosis.
  • - Researchers examined data from 155 patients and categorized them based on whether they had received 2, 4, or 8 weeks of antituberculosis chemotherapy before the surgery, using specific grading systems for complications.
  • - Results showed no significant differences in complication rates among the different groups, concluding that the duration of preoperative treatment does not notably influence the risk of perioperative issues in these patients.
View Article and Find Full Text PDF
Article Synopsis
  • CLIPPERS is an inflammatory syndrome often seen in middle-aged patients, characterized by specific symptoms and MRI features, and can be treated effectively with corticosteroids.
  • The exact cause of CLIPPERS is unknown, and there are no specific diagnostic biomarkers, so it's important to rule out similar conditions like CNS lymphoma and certain autoimmune diseases.
  • Long-term management plans often include low-dose corticosteroids to prevent flare-ups, and follow-up is crucial due to potential links with lymphoma in some cases.
View Article and Find Full Text PDF

Meta-analysis of diagnostic accuracy of nucleic acid amplification tests for abdominal tuberculosis.

PLoS One

November 2023

Zhejiang Tuberculosis Diagnosis and Treatment Center, Affiliated Hangzhou Chest Hospital, School of Medicine, Zhejiang Chinese Medicine and Western Medicine Integrated Hospital, Zhejiang University, Hangzhou, Zhejiang, China.

Background: Abdominal tuberculosis (TB) is a severe extrapulmonary TB, which can lead to serious complications. Early diagnosis and treatment are very important for the prognosis and the diagnosis of abdominal TB is still difficult.

Methods: We searched PubMed, the Cochrane Library, Embase, China National Knowledge Infrastructure, and the Wanfang database for studies evaluating the diagnostic accuracy of NAATs for abdominal TB until August 2020.

View Article and Find Full Text PDF

Anti-adenylate kinase 5 encephalitis: Clinical characteristics, diagnosis, and management of this rare entity.

J Transl Autoimmun

December 2023

Department of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, 310009, China.

The spectrum and understanding of antibody-positive autoimmune encephalitis (AE) have expanded over the past few decades. In 2007, a rare subtype of AE known as anti-adenylate kinase 5 (AK5) encephalitis, was first reported. This disease is more common in elderly males, with limbic encephalitis as the core phenotype (characterized by subacute anterograde amnesia, sometimes with psychiatric symptoms, and rarely with seizures).

View Article and Find Full Text PDF

The overlapping of two or more types of neural autoantibodies in one patient has increasingly been documented in recent years. The coexistence of myelin oligodendrocyte glycoprotein (MOG) and N-methyl-d-aspartate receptor (NMDAR) antibodies is most common, which leads to a unique condition known as the MOG antibody and NMDAR antibody overlapping syndrome (MNOS). Here, we have reviewed the pathogenesis, clinical manifestations, paraclinical features, and treatment of MNOS.

View Article and Find Full Text PDF
Article Synopsis
  • TEAS may help with pain relief after major abdominal surgery, but it doesn't affect the time to first bowel sounds post-surgery.
  • In a study of 441 patients, those who received TEAS during and after surgery reported lower pain scores compared to those who got sham treatment.
  • Overall, while TEAS may not speed up gastrointestinal recovery, it could enhance postoperative pain management and support rehabilitation.
View Article and Find Full Text PDF

Objective: Polycystic ovarian syndrome (PCOS) is a common disorder that leads to infertility in reproductive-aged females. HOTAIR is highly expressed in various gynecological diseases and is associated with a poor prognosis. We aimed to explore the role of HOTAIR in PCOS.

View Article and Find Full Text PDF

A novel pathogenic variant in CNOT3 causing neurodevelopmental delay and epilepsy.

Seizure

April 2023

Department of Neurology, Epilepsy Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China. Electronic address:

View Article and Find Full Text PDF

The rhizome of is one of the most commonly used herbs in China. In this paper, we presented the complete chloroplast genome of . The chloroplast genome of is 153,256 bp in length as the circular, which harbors a large single-copy (LSC) region 84,291 bp, a small single-copy (SSC) region of 18,675 bp and separated by a pair of inverted-repeat (IR) regions of 25,145 bp for each one.

View Article and Find Full Text PDF

Phenotyping the late- and younger-onset neuronal surface antibody-mediated autoimmune encephalitis: a multicenter study.

Clin Exp Immunol

March 2023

Department of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China.

Neuronal surface antibody-mediated autoimmune encephalitis (NSAE) occurs across a wide age range. However, few studies focused on the onset age and their related characteristics. We aimed to explore the age-dependent profile of NSAE.

View Article and Find Full Text PDF

Evaluation of CSF albumin quotient in neuronal surface antibody-associated autoimmune encephalitis.

Fluids Barriers CNS

November 2022

Department of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, 310009, China.

Background And Objectives: Disruption of brain barriers is considered to be involved in the pathogenesis of neuronal surface antibody-associated autoimmune encephalitis (NSAE), but few studies have focused on their relationship. We aimed to explore the association between the integrity of brain barriers and clinical and paraclinical characteristics in patients with NSAE.

Methods: This retrospective study consecutively recruited patients with NSAE.

View Article and Find Full Text PDF

First-line immunotherapy of neuronal surface antibody-mediated autoimmune encephalitis: Assessment of therapeutic effectiveness and cost-efficiency.

Mult Scler Relat Disord

October 2022

Department of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China. Electronic address:

Article Synopsis
  • The study aims to assess the effectiveness and cost-efficiency of first-line immunotherapies for autoimmune encephalitis caused by neuronal surface antibodies, using data from China between 2014 and 2020.
  • A total of 78 patients were analyzed, with many receiving combination therapy, and results showed no significant differences in therapy choice based on demographics or clinical features.
  • Both IVMP and IVIG had similar short and long-term benefits, but IVMP alone proved to be a more cost-effective option compared to combination therapy with IVIG.
View Article and Find Full Text PDF

Kelch-like protein 11 antibody-associated paraneoplastic neurological syndrome: A state-of-the-art review.

Clin Immunol

August 2022

Department of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China. Electronic address:

Article Synopsis
  • KLHL 11-PNS is a neurological syndrome associated with a specific antibody first identified in 2019, targeting the KLHL 11 antigen found in serum and cerebrospinal fluid.
  • The syndrome is primarily linked to cytotoxic T-cell damage to neurons, primarily affecting adult males, and is often associated with testicular germ cell tumors like seminomas.
  • Patients typically show brain imaging abnormalities and have a poor response to standard immunotherapy and oncotherapy, leading to a grim long-term prognosis; the review discusses its epidemiology, mechanisms, clinical presentations, diagnosis, and treatment options.
View Article and Find Full Text PDF

Seizure is one of the manifestations of central nervous system inflammatory demyelinating diseases, which mainly include multiple sclerosis (MS), aquaporin 4 antibody-positive neuromyelitis optica spectrum disorder (AQP4-NMOSD), and myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD). Acute symptomatic seizures secondary to MS/AQP4-NMOSD/MOGAD occur in the acute phase of the diseases, and are more frequent in MOGAD. In contrast, recurrent nonprovoked seizures, mainly attributed to autoimmune-associated epilepsy, occur in the nonacute phase of the diseases.

View Article and Find Full Text PDF

MiR-103a-3p Contributes to the Progression of Colorectal Cancer by Regulating GREM2 Expression.

Yonsei Med J

June 2022

Department of Medical Oncology, Zhuji People's Hospital of Zhejiang Province, Zhuji Affiliated Hospital of Shaoxing University, Zhuji, China.

Purpose: Our research aimed to investigate the influence of miR-103a-3p on the growth and apoptosis of colorectal cancer (CRC) cells.

Materials And Methods: Bioinformatics was employed to analyze differentially expressed microRNAs and predict target genes. qRT-PCR was applied to detect the expression of miR-103a-3p in CRC and normal cells.

View Article and Find Full Text PDF

Background: The aim of this study was to evaluate the diagnostic accuracy of Xpert MTB/RIF Ultra (Xpert Ultra) and Xpert MTB/RIF (Xpert) for the diagnosis of tuberculous pleurisy (TBP) head-to-head using meta-analysis method.

Methods: On May 12, 2021, we searched multiple databases for reports that used Xpert Ultra and Xpert for TBP diagnosis head-to-head and screened eligible studies for inclusion. Accuracy of Xpert Ultra and Xpert were compared to that of the composite reference standard (CRS) and culture.

View Article and Find Full Text PDF

Evaluation of the Updated Diagnostic Criteria for Paraneoplastic Neurologic Syndromes in China.

Front Immunol

April 2022

Department of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.

Background: Recently, the paraneoplastic neurologic syndrome (PNS) diagnostic criteria have received a major update with a new score system over the past 16 years. We aimed to evaluate the diagnostic performance and clinical utility in China.

Methods: An eligible cohort of 113 Chinese patients diagnosed with PNSs from the Second Affiliated Hospital School of Medicine Zhejiang University and published data were enrolled retrospectively.

View Article and Find Full Text PDF

The Role of Core Needle Biopsy Pathology Combined with Molecular Tests in the Diagnosis of Lymph Node Tuberculosis.

Infect Drug Resist

February 2022

Zhejiang Tuberculosis Diagnosis and Treatment Center, Affiliated Hangzhou Chest Hospital, Zhejiang University School of Medicine, Zhejiang Chinese Medicine and Western Medicine Integrated Hospital, Hangzhou, Zhejiang, People's Republic of China.

Background: Early lymph node tuberculosis (LNTB) diagnosis is still difficult. The majority of LN specimens require the undertaking of invasive and unpleasant procedures.

Purpose: To evaluate the diagnostic efficacy of pathology when combined with molecular tests for the diagnosis of LNTB in core needle biopsy (CNB) specimens and to compare that diagnostic efficacy with that deriving from tissue specimens' examination alone.

View Article and Find Full Text PDF

Clinical Relevance of Cerebrospinal Fluid Antibody Titers in Anti--Methyl-d-Aspartate Receptor Encephalitis.

Brain Sci

December 2021

Department of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China.

Anti--methyl-d-aspartate receptor (NMDAR) encephalitis is the most common autoimmune encephalitis. To date, there has been no study on the relationship between antibody (Ab) titers and clinical phenotype. This study aims to clarify the relationship between cerebrospinal fluid Ab titers and clinical manifestations of anti-NMDAR encephalitis at onset.

View Article and Find Full Text PDF

Efficacy and safety of immunosuppressive therapy in myelin oligodendrocyte glycoprotein antibody-associated disease: a systematic review and meta-analysis.

Ther Adv Neurol Disord

November 2021

Department of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University, 88 Jiefang Road, Hangzhou 310009, China.

Article Synopsis
  • Many patients with myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) experience relapses, but the impact of maintenance therapies on these relapses is not well-established.
  • The study aimed to evaluate the effectiveness and safety of immunosuppressive treatments—rituximab (RTX), mycophenolate mofetil (MMF), and azathioprine (AZA)—in preventing relapses in MOGAD patients.
  • Results showed that RTX, MMF, and AZA therapies significantly reduced relapse rates and disability scores, with low rates of discontinuation due to side effects, but further large-scale studies are required for more conclusive evidence.
View Article and Find Full Text PDF