Asian Journal of Case Reports in Medicine and Health
https://journalajcrmh.com/index.php/AJCRMH
<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. By not excluding papers based on novelty, this journal facilitates the research and wishes to publish papers as long as they are technically correct and scientifically motivated. The journal also encourages the submission of useful reports of negative results. This is a quality controlled, OPEN peer-reviewed, open-access INTERNATIONAL journal.</p>Asian Journal of Case Reports in Medicine and Healthen-USAsian Journal of Case Reports in Medicine and HealthAnesthetic Management of Rare Diseases: Insights from Four Compelling Case Reports
https://journalajcrmh.com/index.php/AJCRMH/article/view/180
<p><strong>Background: </strong>Rare diseases, with a prevalence of 4% globally, often manifest with diverse and challenging clinical presentations. Anesthetic management for these conditions demands a nuanced understanding of pathophysiology, potential complications, and interactions with anesthetic agents. This study aims to shed light on the anesthetic challenges posed by rare diseases through a detailed analysis of four cases. By exploring the complexities encountered in Hurler's disease, Rubinstein-Taybi syndrome, Churg-Strauss Syndrome, and Xeroderma Pigmentosum, we seek to contribute valuable insights into the adaptability required in anesthetic approaches for these unique patient populations.</p> <p><strong>Discussion: </strong>Through the exploration of four distinct cases, we have unraveled the intricacies surrounding anesthetic management in rare diseases. Each case highlighted the imperative need for adaptability, meticulous planning, and collaboration across medical disciplines to ensure favorable perioperative outcomes.</p> <p>The success in managing Hurler's disease underscored the significance of tailored plans integrating enzyme replacement therapy and detailed preoperative assessments. Similarly, addressing difficult airway challenges in Rubinstein-Taybi syndrome showcased the adaptability essential in unique anatomical scenarios. Careful consideration of Churg-Strauss Syndrome's complexities emphasized the avoidance of specific agents and meticulous monitoring. The case of Xeroderma Pigmentosum highlighted the importance of adaptability, shifting from insufficient spinal anesthesia to general anesthesia promptly.</p> <p><strong>Conclusion: </strong>These observations stress the critical role of a patient-centric approach, multidisciplinary collaboration, and adaptability in navigating the diverse challenges presented by rare diseases. In conclusion, this study offers valuable insights into refining anesthetic strategies, ensuring personalized and safe care for patients with rare diseases.</p>Moncef Choubhi Mohamed Alioui Yousra Ouhammou Wiam El Jellouli Taoufik Kachani Houda Nadir Khalil Abou Elalaa
Copyright (c) 2024 Choubhi et al.; This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
2024-02-172024-02-17711017A Comprehensive Review of COVID-19 Vaccines, Adverse Reactions, and the Imperative of Early Diagnosis
https://journalajcrmh.com/index.php/AJCRMH/article/view/181
<p>Bullous pemphigoid (BP) is a rare autoimmune subepidermal blistering disorder and is defined by the existence of circulating G immunoglobulins (IgG) against basement membrane antigens BP180 and BP230, the immunobullous skin disorder characteristically presents with intense bullae and intense generalized pruritis, where the immune system attacks a thin layer of tissue below the outer layer of skin. Most of the BP cases are due to autoantibodies against proteins arranged at the dermal-epidermal junction, BP is also caused by systemic medications. Either the presence of certain triggering factors in the covid vaccine or the dissimilarity between the vaccine structure and the basement membrane antigens, had activated the B-cell immunity and therefore the production of antibodies, which is the main cause behind the activation of BP. A classic case of this condition is presented here to highlight and to create awareness about the symptoms occurred after COVID-19 vaccination. A 41-year-old female patient presented with BP caused after the administration of 1<sup>st</sup> dose of covid vaccine.</p>Swetha J.Karthikeyan K.Shanmugasundaram P.Balaji P.
Copyright (c) 2024 Author(s). The licensee is the journal publisher. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
2024-03-042024-03-04711821Metastatic Adenocarcinoma of the Rectum Revealed by Bilateral Occlusion of the Central Retinal Vein: A Case Report
https://journalajcrmh.com/index.php/AJCRMH/article/view/178
<p>Central retinal vein occlusion (CRVO) is caused by the formation of a thrombus in the central retinal vein, and constitutes an extreme diagnostic and therapeutic emergency due to its visual prognosis. The most frequent cause of CRVO is related to cardiovascular risk factors, although neoplasia is a very rare cause of CRVO. A few cases of CRVO secondary to cancer have been reported in the literature, the imputability of malignant pathology may be explained by the systemic procoagulant state observed during the latter.</p> <p>We report the case of a patient who suddenly presented with CRVO and whose etiological work-up was in favor of metastatic rectal adenocarcinoma. This observation demonstrates the importance of systematically searching for a neoplastic source in any thrombosis that is atypical, even if it is distant from the thrombus.</p>A. JahouhL. Barakat K. Echchilali M. Moudatir H. El kabli
Copyright (c) 2024 Jahouh et al.; This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
2024-01-112024-01-117114A Very Rare Case of Neuroendocrine Carcinoma of the Bladder with Unusual Revelation "Skin Metastases": A Case Report
https://journalajcrmh.com/index.php/AJCRMH/article/view/179
<p>Neuroendocrine carcinoma of the bladder is a very rare tumor, accounting for no more than 1% of all bladder tumors. Its main characteristic is its poor prognosis, which is explained by its high metastatic potential. Classical metastatic sites are lymph nodes, liver and lung, but cutaneous localization is exceptional and can take on different non-specific clinical aspects. In our article, we report the case of a 66-year-old patient who was hospitalized for cutaneous nodules revealing very advanced bladder neuroendocrine carcinoma with lymph node, peritoneal and cutaneous metastases. The particularity of our case report is the very rare histological nature of the bladder tumor, as well as its mode of revelation (cutaneous metastases). In this work, we emphasize the importance of an exhaustive etiological assessment of any skin lesion evolving in a context of altered general condition.</p>A. JahouhL. BarakatM. BenzakourK. Echchilali M. Moudatir H. El kabli
Copyright (c) 2024 Jahouh et al.; This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
2024-02-052024-02-057159Myasthenia Gravis- a Disguised Cause of Recurrent Respiratory Failure: A Rare Case Treated Successfully at National Hospital Sri Lanka
https://journalajcrmh.com/index.php/AJCRMH/article/view/182
<p>Myasthenia gravis is an autoimmune disease, due to the presence of antibodies against the proteins in the post-synaptic muscle membrane, which leads to localized or generalized muscle weakness.</p> <p>Presentation of myasthenia gravis could vary from patient to patient, while ocular muscle weakness is the most common form.</p> <p>Here, a case of a young male who presented with recurrent respiratory failure is reported.</p> <p>He had respiratory failure as the only clinical manifestation of myasthenia gravis. It describes respiratory weakness as a rare isolated initial presentation of this disorder. This case highlights the importance of prompt diagnosis of this condition, considering the variable presentations, to achieve a successful therapeutic outcome.</p>M. N. S. K. PereraD. H. H. L. SathischandraI. A. MaharambeN. M. Ellawala
Copyright (c) 2024 Author(s). The licensee is the journal publisher. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
2024-03-212024-03-21712225A Rare Case Report on Clinical Insights of Chronic Inflammatory Demyelinating Polyradiculoneuropathy
https://journalajcrmh.com/index.php/AJCRMH/article/view/183
<p>Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) CIDP is a rare and heterogenous autoimmune disorder of the peripheral nervous system that attacks myelin sheath around the peripheral nerves. It is characterized by muscle weakness and sensory deficits, numbness that can lead to significant neurological disability evolving over more than 8 weeks. Raised protein concentrations in CSF and heterogeneous slowing of nerve conduction are typical of the condition. Understanding of its pathophysiology has recently improved, although its causes remain unclear. Diagnosis is sometimes challenging and can require use of neuro imaging and nerve biopsy. The diagnosis is also based on a combination of clinical examination findings, electrodiagnostic studies, and other supportive evidence. Recognizing CIDP and distinguishing it from other chronic polyneuropathies is important because many patients with CIDP are highly responsive to treatment with corticosteriods, immunosuppressive or immunomodulatory therapies. This case report summarizes the variants of CIDP, diagnosis and current treatment strategies.</p>Vankodoth. SireeshaY. Vidhya Reddy Nalam Sai Phani VikasRayeni Srujana
Copyright (c) 2024 Author(s). The licensee is the journal publisher. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
2024-03-282024-03-28712630