https://journalajcrmh.com/index.php/AJCRMH/issue/feed Asian Journal of Case Reports in Medicine and Health 2024-02-17T11:23:57+00:00 Asian Journal of Case Reports in Medicine and Health contact@journalajcrmh.com 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. 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> https://journalajcrmh.com/index.php/AJCRMH/article/view/180 Anesthetic Management of Rare Diseases: Insights from Four Compelling Case Reports 2024-02-17T11:23:57+00:00 Moncef Choubhi m.choubhi@gmail.com Mohamed Alioui Yousra Ouhammou Wiam El Jellouli Taoufik Kachani Houda Nadir Khalil Abou Elalaa <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> 2024-02-17T00:00:00+00:00 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. https://journalajcrmh.com/index.php/AJCRMH/article/view/178 Metastatic Adenocarcinoma of the Rectum Revealed by Bilateral Occlusion of the Central Retinal Vein: A Case Report 2024-01-13T12:32:36+00:00 A. Jahouh jahouhamina@gmail.com L. Barakat K. Echchilali M. Moudatir H. El kabli <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> 2024-01-11T00:00:00+00:00 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. https://journalajcrmh.com/index.php/AJCRMH/article/view/179 A Very Rare Case of Neuroendocrine Carcinoma of the Bladder with Unusual Revelation "Skin Metastases": A Case Report 2024-02-05T12:52:53+00:00 A. Jahouh jahouhamina@gmail.com L. Barakat M. Benzakour K. Echchilali M. Moudatir H. El kabli <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> 2024-02-05T00:00:00+00:00 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.