Annals of Saudi medicine
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Annals of Saudi medicine · Sep 2009
Case ReportsStrongyloides stercoralis hyperinfection after corticosteroid therapy: a report of two cases.
Two cases of Strongyloides stercoralis hyperinfection are described. Both patients were expatriates from the Indian subcontinent, and reported the use of corticosteroids. ⋯ The clinical features of S stercoralis hyperinfection are nonspecific; therefore, a high index of suspicion is required for early diagnosis and to start appropriate therapy. Because of the seriousness of the disease and the associated high mortality we suggest screening for S stercoralis in patients from endemic areas who will be taking immunosuppressive therapy.
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Annals of Saudi medicine · Sep 2009
Body mass index in Saudi Arabian children and adolescents: a national reference and comparison with international standards.
Because there are no reference standards for body mass index (BMI) in Saudi children, we established BMI reference percentiles for normal Saudi Arabian children and adolescents and compared them with international standards. ⋯ The BMI curves reflect statistically representative BMI values for Saudi Arabian children and adolescents.
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Annals of Saudi medicine · Sep 2009
Case ReportsAn unusual cause of gastric outlet obstruction: a pancreaticoduodenal artery aneurysm.
We present a rare case of gastric outlet obstruction due to compression of the duodenum by a pancreaticoduodenal artery (PDA) aneurysm 2.5 cm in diameter, in a 43-year-old man from Saudi Arabia who presented with persistent vomiting and epigastric pain. The initial investigations and blood works were negative, and esophagogastroduodenoscopy (EGD) was unremarkable. ⋯ The patient was stabilized and then referred to a tertiary center for embolization. Our case demonstrates a diagnostic challenge that physicians may encounter in patients who present with vomiting and epigastric pain.
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Annals of Saudi medicine · Sep 2009
Regional variations in the growth of Saudi children and adolescents.
No previous study has provided a detailed description of regional variations of growth within the various regions of Saudi Arabia. Thus, we sought to demonstrate differences in growth of children and adolescents in different regions. ⋯ Regional variations in growth need to be taken into consideration when assessing the growth of Saudi children and adolescents.
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Annals of Saudi medicine · Jul 2009
Case ReportsExperience with oral mexiletine in primary erythromelalgia in children.
Primary erythromelalgia is characterized by burning pain, redness, and warmth in the extremities. We present two cases of primary erythromelalgia both of whom presented with a history of several months of severe burning pain in both hands and feet. Both patients had received multiple pain medications with no improvement in symptoms. ⋯ Dramatic improvement was observed with its use. Both patients improved after several weeks of use, and there were fewer soaking episodes. We observed no adverse effects with mexilitine therapy.