Articles

Kakuchi-Fujimoto Disease Associated with Autoimmune Hepatitis and Systemic Lupus Erythematosus

Case Report of International Journal of Case Reports Kakuchi-Fujimoto Disease Associated with Autoimmune Hepatitis and Systemic Lupus Erythematosus Mithu Maheswaranathan, M.D.1 and Melissa Cunningham, M.D., Ph.D.2 From the Department of Internal Medicine1 and Division of Rheumatology2, Medical University of South Carolina, Charleston, SC, USA Systemic lupus erythematosus (SLE) is often associated with various systemic manifestations, from peripheral cytopenias to renal involvement or neuropsychiatric symptoms. Here, we present a patient in whom the cause of fever and altered mental status was unknown despite repeated lumbar punctures, but later became elucidated following the development of rash and lymphadenopathy with subsequent biopsies. This case demonstrates a unique presentation of Kakuchi-Fujimoto Disease, a necrotizing lymphadenitis manifesting in association with SLE and autoimmune hepatitis. Further, this case illustrates the proclivity of autoimmune disorders to occur concurrently. Author contributions: Mithu Maheswaranathan – drafting of the manuscript; critical revision of the manuscript for important intellectual content; Melissa Cunningham – drafting of the manuscript; critical revision of the manuscript for important intellectual content, supervisory Keywords: systemic lupus erythematosus, lymphadenopathy, autoimmune hepatitis, Kakuchi-Fujimoto Disease, necrotizing lymphadenitis, encephalopathy ...

The Importance of Dental Activity in Patients Inside in Intensive Therapy Unit

Review article of American Journal of Scientific Research and Essays The Importance of Dental Activity in Patients Inside in Intensive Therapy Unit Santos, G.A.1; Lucas Ramos, V.S.2; Santana, J.F.3; Lima, L.F.A.4; França, L.C.5; Maia, C.S. 6 1,2,3,4,5 Student of the Dentistry Course - UFPE; 6Docente / researcher of the Department of Embryology and Histology of UFPE. Introduction: Poor oral hygiene is common in ICU patients, which leads to colonization of the oral biofilm by pathogenic microorganisms, especially respiratory pathogens, which may be a source of nosocomial infection. Once the bacteria present in the mouth can be aspirated and cause aspiration pneumonia. Objective: Review of the literature regarding the importance of dental intervention in patients hospitalized in intensive care units. Methodology: An integrative review was carried out in the LILACS databases and in the SCIELO Virtual Library, using the descriptors: Dental care, Periodontal diseases and ICU. Inclusion criteria were: full-text articles available in Portuguese or English and with a temporal cut between 2013 and 2017. Results: Three articles were selected to meet the criteria for inclusion. Discussion: The oral cavity is the first portal of entry for respiratory pathogenic organisms that cause systemic infections, with pneumonia being one of them. Aspiration pneumonia is the most common type of nosocomial or hospital pneumonia and is an infection of the pulmonary parenchyma caused by different types of etiological agents including bacteria, fungi and viruses. This disease is of high cost and represents a significant cause of morbidity and mortality, diagnosed 48 hours after the patient’s hospitalization in the ICU. The absence of attention with oral hygiene and the reduction of salivary flow results in an increase in the quantity and complexity of dental plaque, which may favor bacterial interaction between native plaque bacteria and respiratory pathogens such as P. aeruginosa and enteric bacilli. Conclusion: ...

Clinical Conduct for a Bruxist Patient: Clinical Case Report

Review article of American Journal of Scientific Research and Essays Clinical Conduct for a Bruxist Patient: Clinical Case Report Araújo S.S.1; Trindade M.O.2; Arruda F.E.P.3; Fernandes G.A.4 1,3,4 Estudante do Curso de Odontologia – UFPE; 2Docente do Departamento de Prótese e Cirurgia Buco Facial – UFPE Introduction: Sleep bruxism is an activity of stereotyped movements promoted by the subconscious in the masticatory system that includes the functions of clenching and / or grinding, where neuromuscular protection mechanisms are absent, which can lead to damages to the masticatory system and temporomandibular disorders. Aim: This article aims to demonstrate conducts used in a clinical case to assist in similar case planning. Case report: A 58-year-old male patient required an appointment at the Federal University of Pernambuco integrated dentistry clinic, presenting a complaint of pain in the face region and lack of adaptation with prostheses, he had posterior maxillary edentulism, loss of vertical dimension and severe wear on the remaining teeth. The anamnesis was made in his initial clinical examination, later, was prepared the diagnostic wax-up, the waxing was moulded with condensation silicone for restoration in composite resin with prefabricated pins. Afterward the molding were made to prepare removable partial dentures for the patient. In the old prostheses overlays were prepared to slide between them forming a type of plaque, reprogramming the jaw and avoiding that the patient destroyed the already made restorations. In the following session, the well-adapted prostheses were delivered and the occlusal adjustment was properly performed with intraoral test. Results: The patient reported aesthetic improvement, total pain reduction and better adaptation with the prostheses, he also related comfort in using them. Conclusion: It is possible to perform the rehabilitation of partial edentulous bruxers, approximating the patient to his or her centric relation, without the necessity of plaques and maintaining a quality ...

Oral Appliances Indications in Obstructive Sleep Apnea

Review article of American Journal of Scientific Research and Essays Oral Appliances Indications in Obstructive Sleep Apnea França, L.C1, Santos, G.A2, Santana, J.F3; Ramos, L.V.S4, Lima, L.F.A5; Trindade, M.O6 1,2,3,4,5Student of Dentistry Course – UFPE; 6Professor of the Department of Prosthesis and Buco Facial Surgery - UFPE Introduction: Obstructive sleep apnea (OSA) is a respiratory disorder that causes upper airway obstruction during sleep. The performance of a dentist in patients with OSA is evidenced by the preparation and indication of the Oral Appliances (OA) as a treatment measure. The OAs are devices used in the oral cavity during sleep avoiding an obstruction of the oropharynx. These are classified as lingual, mandibular and/or conjugate control devices. Objective: To describe the OA models and to make explicit the indication of each one for the type of apnea in question. Methodology: A database was searched (Pubmed, Scielo) using the following documents: Intraoral device, lingual control, mandibular advancement, indication. Publications from 2010 to 2017 were included in the Portuguese and English languages whose content was pertinent to the theme. Results and Discuss: 60 articles were found. Of these, 24 directly addressed the theme and only 4 articles were used. A practicality and comfort provided by the OAs make them more accepted and indicated for OSA. The indications for the use of OAs include: patients with the diagnosis of mild, moderate and severe OSA. The lingual control device is based on control of the positioning of the aforementioned organ and is indicated for patients with extensive dental loss, edentulous, periodontal problems, temporomandibular dysfunction and bruxism. The most commonly indicated mandibular advancement OA is retained by teeth and protrudes the mandible in order to increase the volume of the oropharynx. Ideal for patients with at least 10 teeth in each arch and on a semi-flexible model for ...

Comparative Evaluation of healing following gingival depigmentation procedures using four Techniques: a report of 5 cases

Case Report of International Journal of Case Reports Comparative Evaluation of Healing following Gingival Depigmentation Procedures using Four Techniques: a report of 5 cases 1Dr Shreya Shetty, Bds, Mds (Periodontics), Ficoi*, 2 Dr Aruna Vanka, Bds, Mds( Periodontics). 1Associate Professor, Dentistry Program, IBN SINA National College of Medical Sciences, Jeddah, KSA; 2Consultant Periodontist, FMS Hospital, Hyderabad, India. Background:The outcomes of techniques employed for depigmentation are varied and no one method can be deemed as ideal. The present case series is an evaluation of 4 popular depigmentation procedures `carried out today. Material and methods: 5 patients with non-syndrome associated gingival hyperpigmentation in all 4 quadrants based on Dummetts scoring criteria were included. Healing and pain were assessed following depigmentation carried out by scalpel, bur, electro surgery and laser in the 4 quadrants respectively and followed up for a period of 2 years. Results: Healing following Scalpel method and laser were better than bur and electro surgery. Post-operative pain was less with the use of scalpel and laser when compared to the other 2 techniques at the end of 1month. Pain was still evident at the site of electro surgery at the end of 2 months. However at the end of 3, 6 months and 1 and 2 years there was no difference in all 4 techniques. Conclusion: Better treatment outcomes were observed with the scalpel and laser techniques than bur and electrosurgery. CONFLICT OF INTEREST: NIL SOURCE OF FUNDING: The study has not been funded by any party or organisation as such, and any expenses incurred for the same were minimal and borne by the authors. Keywords: Comparative Evaluation, Healing, Gingival Depigmentation Procedures, Four Techniques ...

Idiopathic Sigmoid Intussusception Prolapse per Anus

Case Report of International Journal of Case Reports Idiopathic Sigmoid Intussusception Prolapse per Anus Loay M. AlJaberi,MD1, Alaa Eddin K. Salameh,MD2, Rafiq M. Salhab,MD3,Hazem A. Ashhab,MD4 1,2 Al-Quds University School of Medicine, East Jerusalem, P.O. box 89 3 Surgery Department, Al-Ahli Hospital, Hebron, Palestinian Territories 4 Gastroenterology Department, Charleston Area Medical Center, West Virginia, USA Sigmoidal intussusception protrusion through the anus is extremely rare and has only been reported a few times. The majority of cases of prolapsed sigmoid intussusception in adults have an underlying bowel pathology such as carcinoma, polyps, or benign neoplasms, which are usually discovered intra-operatively. Our case is a 25-year old male patient, previously healthy, with no history of constipation or straining, who presented with a painless prolapsed mass out of the anus. It is very unusual for a young healthy male to present suddenly with such a complaint. After failed attempts to reduce the prolapsed segment under general anesthesia, laparotomy was performed and the prolapsed mass was determined to be an intussuscepted sigmoid. Hartmann procedure was performed. 9 cm of the sigmoid was resected. Findings were consistent with a healthy but edematous prolapsed sigmoid colon. Keywords: Idiopathic Sigmoid prolapse, Sigmoid Procidentia, Colonic Prolapse ...

Evaluation of the Visual Function of Patients in Treatment for Hanseníase

Research article of American Journal of Ophthalmic Research and Reviews Evaluation of the Visual Function of Patients in Treatment for Hanseníase Caires A.S 1,3,4, Carvalho N.M.P4, Del Castilho D.V.F4, Santos M.R.N.S4, Côrtes M.I.T 1, Souza G.S3,2 1Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal do Amapá, UNIFAP, Macapá, Amapá, Brasil. 2Instituto de Ciências Biológicas, Universidade Federal do Pará, UFPA, Belém, Para, Brasil; 3Núcleo de Medicina Tropical, Universidade Federal do Pará, UFPA, Belém, Pará, Brasil; 4Faculdade Estácio de Macapá, ESTACIO, Amapá, Brasil Introduction: Leprosy is a long-term infectious and contagious dermatoneurological disease whose etiologic agent is Mycobacterium leprae and manifests itself in the skin and peripheral nerves. This pathology can trigger serious eye complications by altering visual functional performance, impairing visual acuity through retinal lesions triggering blindness. Objective: of this study was to evaluate visual psychophysical performance in leprosy patients with normal or near normal visual acuity. Methodology: The Farnsworth - Munsell 100 Hue multi - paucibacillary test of thirty - one patients with leprosy (59 eyes), 19 men and 40 women, with a mean age of 31.28 ± 10 , 2 years of age, were compared to the control group composed of twenty-eight participants (56 eyes), 20 men and 36 women, with a mean age of 46.29 ± 11.81. Patient data were compared with the confidence interval and tolerance established by the controls. The Agostino-Pearson test and one-way ANOVA were applied in the statistical analyzes. Results and Discussion: Showed that there was statistical difference in Farnsworth - Munsell test between patients and controls. Patients presented higher number of errors than controls (p <0.01). For the sensitivity to spatial contrast of luminance, a spatial frequency difference of 0.5 cpx was found between patients and controls. There was no correlation between the therapeutic dosage of the drug and the psychosomatic performances. There ...