Presentation
We report the case of a young girl who presented with enlarged kidneys and was diagnosed with this form of leukemia. This case is of interest because of the rarity of this presentation. [citeulike.org]
Presentation of 21-oh deficiency (most common). [cram.com]
[…] of PIVH • Grades 1 and 2 PIVH present silently and are detected by routine ultrasonography • Grade 3 PIVH occasionally presents with shock from blood volume depletion • Grade 4 PIVH may present similarly and occasionally with neurological signs (seizures [archive.org]
We present three cases with trisomy 14. [myslide.es]
May present with ocular symptoms and headache. 386. True. May present with the Horner syndrome 387. False. May present with pupillary dilatation. 388-389. [bonepit.com]
Immune System
- Splenomegaly
It is characterized, classically, by anemia, mild neutrophilia, thrombocytosis, and splenomegaly. Occasional cases may present with bi- or tricytopenias (~10%). [accessmedicine.mhmedical.com]
Adverse events include mild splenomegaly, moderate thrombocytopenia, osteoporosis, and malignant transformation into myelodysplasia (MDS)/leukemia. [ncbi.nlm.nih.gov]
Other features included nephromegaly, splenomegaly, and osteosclerosis. Two patients died at age 3 months and 3 years, respectively. [rbcc.hegelab.org]
Research output : Contribution to journal › Article 2007 A 4-month-old boy being evaluated for splenomegaly and pancytopenia Listernick, R., Chaleff, S., Sundaram, S., Katz, B., Burton, B., Cohn, R., Chou, P. & Morgan, E., Jan 1 2007, In : Pediatric Annals [scholars.northwestern.edu]
Blood film for girls came abdominal pain cough splenomegaly dx; A. P.malaria B. P.falcifom C. P. Oval D. Mp. [cram.com]
Entire Body System
- Fatigue
An important symptom is fatigue with feeding. Because feeding results in a need for increased cardiac output, this activity may unmask exercise intolerance in a baby. Rapid breathing (tachypnea) at rest or with feedings is usually present. [cram.com]
Klein BSc MBBS MRCP FRCPCH PhD Professor of Infection and Immunology, University College London, Consultant in Infectious Diseases, Great Ormond Street Hospital, London Vic Larcher BA MA MB BChir MRCP FRCPCH Consultant in Adolescent Medicine (Chronic Fatigue [archive.org]
Gastrointestinal
- Abdominal Pain
Chronic periodontal disease has been attributed to deficiency in a defensin, the antimicrobial peptide LL-37. [13] Diffuse gastrointestinal lesions may cause abdominal pain and diarrhea, resembling bacterial enteritis. [emedicine.medscape.com]
Abdominal masses, which can cause abdominal pain and distention andascites. [cram.com]
pain, arthritis, lymphadenopathy, hepatosplenomegaly • Complications include meningitis, endocarditis, osteomyelitis Chronic brucellosis • Fevers, malaise, depression, splenomegaly Diagnosis • Prolonged culture of blood, bone marrow or other tissue, [archive.org]
M 9:1 F, 40s, Caucasian - migratory arthralgias/non-deforming arthritis, malabsorption, steatorrhea, abdominal pain, fever and lymphadenopathy. [bonepit.com]
- Abdominal Mass
Abdominal masses, which can cause abdominal pain and distention andascites. [cram.com]
Face, Head & Neck
- Frontal Bossing
bossing: thalassemia major A. 6 years old boy presented with gingivitis, petechiae and rash. [cram.com]
Neurologic
- Headache
May present with ocular symptoms and headache. 386. True. May present with the Horner syndrome 387. False. May present with pupillary dilatation. 388-389. [bonepit.com]
Associated with fever, malaise, headache, neck stiffness • Early disseminated - 3-5 weeks after bite - multiple erythema migrans, cranial nerve palsies especially cranial nerve VTI, meningitis, conjunctivitis, arthralgia, myalgia, headache, malaise, rarely [archive.org]
Something - - Uncomplicated malaria: tachycardia, tachypnea, chills, malaise, fatigue, diaphoresis, headache, cough, anorexia, nausea, vomiting, abdominal pain, diarrhea, arthralgias, and myalgias Physical findings may include mild anemia and a palpable [cram.com]
Workup
Dunnick states that, "Otherwise healthy patients with uncomplicated pyelonephritis seldom need a radiologic workup if they respond to antibiotic therapy within 72 hours. [bonepit.com]
Microbiology
- Blood Culture Positive
Positive blood cultures or joint fluid cultures provide useful information • Surgery is required if dead or necrotic bone is present • Associated septic arthritis (especially the hip) requires incision and drainage • Subacute or chronic infections, or [archive.org]
Treatment
Hematopoietic stem cell transplantation (HSCT) is still the only available treatment for patients refractory to rHuG-CSF treatment. Copyright 2002, Elsevier Science (USA). All rights reserved. [ncbi.nlm.nih.gov]
Management of hyperthyroidism • Initial medical treatment: • Suppression of thyroid hormone secretion using specific antithyroid treatments, e.g. carbimazole, propylthiouracil • Blunting the peripheral effects of the thyroid hormones using a blockade, [archive.org]
A number of drugs have been used for the treatment of neutropenic patients with fever. [citeulike.org]
Compounds and pharmaceutical compositions for uses in diabetes TW201441185A ( en ) 2013-03-15 2014-11-01 Prometic Biosciences Inc Substituted aromatic compounds for the treatment of pulmonary fibrosis, liver fibrosis, skin fibrosis and cardiac fibrosis [google.sr]
Prognosis
Abstract The metastasis of bone marrow by the solid tumors is a sign of advanced stage of disease and poor prognosis. [citeulike.org]
Due to the rarity of +14 in hematologic disorders as a sole change and the coinci- dent lack of clinical follow-up, it is difficult to speculate regarding the prognosis and response to therapy. [myslide.es]
In most cases in children, trichotillomania +/- trichobezoar is a habit disorder and thus has a better prognosis. However, in adults the psychopathology is usually deeper and thus entails a poor prognosis. [cram.com]
A low score has a better prognosis. 161. True. A high score has a bad prognosis. 162. [bonepit.com]
This gives a significant advantage to the parents who are counselled by specialists who can give a realistic guide to the prognosis and treatment options. A few undergo termination of pregnancy (depending on the diagnosis). [archive.org]
Etiology
In 40% of patients, a genetic etiology for severe congenital neutropenia was unknown. [11] Mortality/Morbidity The mortality rate is 70% within the first year of life in the absence of medical intervention with granulocyte colony-stimulating factor (G-CSF [emedicine.medscape.com]
The importance of renal biopsy in identifying the etiology of this patient’s nephromegaly is emphasized. ... Abstract Blood is life. [citeulike.org]
Diagnosis -otitis media there is usually triad of otalgia, fever, and conductive hearing loss - croup presented with characteristic barking cough and fever - urti could present with different non specific signs and symptoms and according to etiology it [cram.com]
In 2007, themolecular etiology of Kostmann disease, a term now con-fined to a particular genetically defined subtype of SCN,was determined, and loss-of-function mutations in HAX1(HCLS1-associated protein X-1) were discovered.26HAX1 is a cytosolic protein [dokumen.tips]
Heterotopic bone formation is of unknown etiology. Medial bone resorption is likely related to stress shielding. Choice E is evidence of possible loosening. Reference : Resnick, chapter 20. 336. [bonepit.com]
Epidemiology
[…] syndrome - Congenital neutropenia-myelofibrosis-nephromegaly syndrome - Recurrent infections-bone marrow fibrosis-nephromegaly syndrome Classification (Orphanet): - Rare genetic disease - Rare immune disease Classification (ICD10): (no data available) Epidemiological [csbg.cnb.csic.es]
Frequency International Epidemiological data are limited given the overlapping case definitions of congenital neutropenia and few patient registries. [emedicine.medscape.com]
[…] advocacy organizations in the field of rare diseases Rare Disease Day 2018 was a success IRDiRC released its roadmap for 2018 Addressing challenges in the diagnosis and treatment of rare genetic diseases Spotlight on the second edition of “Rare Diseases Epidemiology [irdirc.org]
Epidemiology The UK annual incidence is 20 per 100 000 children. [archive.org]
Cartilage-hair hypoplasia in Finland: epidemiological and genetic aspects of 107 patients. J Med Genet 1992; 29: Ridanpaa M, van Eenennaam H, Pelin K, et al. [docplayer.net]
Pathophysiology
Disorder Gene mutated Inheritance Haematopoietic manifestations Extrahaematopoietic manifestations Pathophysiology Ref. [docplayer.net]
African teen with jaw mass histopathology showed starry sky appearance (case of burkitt's lymphoma) what's that pathophysiology? A. Overexpression of c-myc B. [cram.com]
[…] abundant neutrophils in the bone mar-row, and features suggestive of myelokathexis.51 Otherhematological features include mild transient and perma-nent thrombocytopenia.52 G6PC3 deficiency can alsoresult in isolated non-syndromic severe neutropenia.The pathophysiology [dokumen.tips]
Pathophysiology In classic CAH, there is a block in the production of cortisol and aldosterone with a build-up of 17- hydroxyprogesterone, the precursor before the block. [archive.org]
Prevention
The key for the prevention and control of dental caries and advanced periodontitis is the active promotion of oral hygiene. [cram.com]
Many countries report a rising incidence, particularly in children 11 mmol/1) • pH hypersplenism • Oesophageal, gastric and rectal varices • Ascites • Encephalopathy • Prevention and management of oesophageal variceal bleeding: • Sclerotherapy • Variceal [archive.org]
Captopril prevents conversion of Angiotensin I to Angiotensin II by inhibition of ACE. 205. False. [bonepit.com]
Better molecular HLA-typing and donorselection, prevention of graft-versus-host disease, and sup-portive care may reduce the threshold for recommendingallogeneic stem cell transplantation even for patients whodo not meet the above criteria.32 However, [dokumen.tips]