Asian Journal of Case Reports in Medicine and Health 2019-11-16T08:57:14+00:00 Asian Journal of Case Reports in Medicine and Health Open Journal Systems <p style="text-align: justify;"><strong>Asian Journal of Case Reports in Medicine and Health</strong> aims to publish case reports in the areas of medicine and health research.&nbsp;The journal also encourages the submission of useful reports of negative results. This is a quality controlled,&nbsp;OPEN&nbsp;peer-reviewed, open access INTERNATIONAL journal.&nbsp;</p> An Elderly Patient with Abdominal Pain: Hypereosinophilic Syndrome 2019-10-31T09:47:25+00:00 Chong Sook Vui Kua Chin Hong Nan Nitra Than <p>Hypereosinophilic Syndrome (HES) is diagnosed when there is peripheral hypereosinophilia with eosinophil count of more than &gt;1500/µL. The duration of the illness usually lasts more than 6 months, with evidence of target organ damage, affecting mainly the skin, heart, and neurological system, without apparent aetiology. This case report details a case of hypereosinophilic syndrome in an 80-year-old man with multiple co-morbidities, who presented with unexplained peripheral eosinophilia, intermittent skin rashes, cardiac, respiratory, and abdominal symptoms. It is important to consider the diagnosis of hypereosinophilic syndrome when there is an unexplained peripheral eosinophilia, and thus intervene rapidly to prevent life-threatening complications.</p> 2019-10-31T00:00:00+00:00 ##submission.copyrightStatement## Twin Babies, One Born with Gastroschisis & the Other with Sirenomelia in Fallujah Maternity & Children Hospital, Fallujah City, Iraq 2019-10-31T12:09:56+00:00 Samira Telfah Abdulghani <p><strong>Back Ground:</strong> Both Sirenomelia &amp; Gastroschisis are very rare congenital anomalies &amp; it is extremely rare to find each of the two anomalies in both twins of one pregnancy, here we reported the two anomalies in one twin pregnancy.</p> <p><strong>Case Report:</strong> We reported twin pregnancy in G3p0A2 19 years old healthy woman who had irregular antenatal visits, ultrasound exam done 4 times during pregnancy, all shown monochorionic, diamniotic twins with polyhydromnia &amp; Gastroschisis, abnormal spine and sacrococcygeal teratoma in the 1<sup>st</sup> twin and oligohydromnia in the 2<sup>nd</sup> twin in which the&nbsp; anomaly was not clear &amp; later on the baby born with Sirenomelia.</p> <p>In all the references we reviewed we cauldn't find the two anomalies in one twin pregnancy and this case was considered to be the 1<sup>st</sup> reported case globally.</p> 2019-10-31T00:00:00+00:00 ##submission.copyrightStatement## Metabolic Syndrome Associated with Subclinical Hypothyroidism and Vit D Insufficiency - A Case Report and Discussion 2019-11-12T09:14:10+00:00 A. S. V. Prasad <p>Metabolic syndrome (MetS) associated with hypothyroidism, was reported in literature. Like-wise association between hypothyroidism and Vit. D deficiency was reported. Hypothyroidism, Vit. D deficiency in DM2 patients was also reported, in the literature. But the occurrence of MetS, hypothyroidism and Vit. D deficiency, together occurring in a&nbsp;case was unreported. The author presented such triple association in a male patient aged 54 years. While Met S itself was a risk factor for CVD (cardiovascular vascular disease) and so were independently,&nbsp;the hypothyroidism and hypovitaminosis D, the triple association would have cumulative risk for CVD. So, it would be &nbsp;profitable &nbsp;to screen all MetS cases with hypothyroidism, for Vit. D deficiency also, in view of the possible cumulative risk. Literature was reviewed as to the relationship of MetS to hypothyroidism and Vit D deficiency, as well as the changing&nbsp;diagnostic criteria of MetS and it’s pathogenesis.</p> 2019-11-12T00:00:00+00:00 ##submission.copyrightStatement## Rubinstein Taybi Syndrome - A Case Report from India 2019-11-16T08:57:14+00:00 K. Divya S. Shiny Samlin B. Siva R. Sudharshan A. Vignesswary <p>Rubinstein – Taybi syndrome (RTS) otherwise called as Broad Thumb-Hallux syndrome is considered to be a genetic disorder characterized by facial dysmorphism mental deficiency and growth retardation. Presented here is a case report of the patient with RTS with comprehensive oro-dental treatment. This case report describes the clinical features of a 25-year-old female with RTS, who had multiple dental problems such as multiple missing teeth, dental caries, periodontal disease and severe malocclusion. Physical findings were similar to those previously described in other reports. In this case report, the extraoral and intraoral features of this patient are discussed.</p> 2019-11-16T00:00:00+00:00 ##submission.copyrightStatement##