Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Mar 2022
Trace Elements (Zn and Cu) and Oxidative Stress in Pediatric Patients with Persistent Allergic Rhinitis.
To investigate the relationship between complaints and serum trace elements and oxidative stress levels in pediatric patients with allergic rhinitis (AR). ⋯ Oxidative stress plays a role in the pathophysiology of allergic rhinitis, and thiol-disulfide hemostasis may be an indicator in allergic rhinitis. Key Words: Oxidative stress, Allergic rhinitis, Thiol, Disulfide, Cu, Zn.
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J Coll Physicians Surg Pak · Mar 2022
Case ReportsPituitary Stalk Interruption Syndrome in a 54-year Adult Male.
Pituitary stalk interruption syndrome (PSIS) is a rare disease with isolated growth hormone deficiency or multiple anterior pituitary hormone deficiencies; and is characterised by a thin or absent pituitary stalk, hypoplasia of the adenohypophysis, and ectopic neurohypophysis. The literature have reported primarily on cases of infants and young people, and there are few reports in adults. A case is presented here of a 54-year male, who reported dizziness accompanied by fatigue and anorexia for more than 20 days; and the results from the blood tests showed a general decline in growth hormone, thyrotropin, and sex hormone levels. ⋯ In summary, PSIS can also occur in adults. In the suspected cases, magnetic resonance imaging should be done in time to diagnose and manage it appropriately early in the course of the disease. Key Words: Pituitary stalk interruption syndrome, Pituitary hormone deficiency, Adults.
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J Coll Physicians Surg Pak · Mar 2022
Case ReportsPancreatic Acinar Cell Carcinoma Presenting with Diffuse Pancreatic Enlargement.
Pancreatic acinar cell carcinoma (PACC) is a rare tumor of the exocrine pancreas. It accounts for only 1% of all pancreatic malignancies. A 39-year woman sought treatment for repeated abdominal pain and jaundice. ⋯ PACC very rarely presents with diffuse enlargement of the pancreas. This case illustrates a rare presentation of PACC with diffuse pancreatic enlargement, which was effectively treated with gemcitabine and albumin paclitaxel chemotherapy. Key Words: Pancreatic acinar cell carcinoma, Positron emission tomography/computed tomography, Chemotherapy.
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J Coll Physicians Surg Pak · Mar 2022
Association of Age and Serum Vitamin D Levels in Men with Metabolic Syndrome.
To determine the association of age and serum vitamin D levels in men with (Mets) and without (NMetS) metabolic syndromes. ⋯ Present report, emphasising the significant negative linear correlation of age with serum vitD levels in MetS and NMetS subjects, provides potential information for understanding the discomforts caused by the insufficiency of vitamin D with the increase in age. Key Words: Serum vitD, Age, Metabolic syndrome, Age-vitD association.
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J Coll Physicians Surg Pak · Mar 2022
Case ReportsPulmonary Mucormycosis in an Immunocompetent Patient: A Rare Life-threatening Case.
Pulmonary mucormycosis is a rare but life-threatening, fungal infection that usually occurs in patients with immunocompromised conditions, such as diabetes mellitus and hematologic malignancies. Anti-fungals and/or surgery are treatment modalities for this disease. Isolated pulmonary mucormycosis in immunocompetent patient is extremely rare and a mortal fungal infection. ⋯ We report herein a case of an immunocompetent 37-year female, who presented with a massive hemoptysis and was treated with urgent right lower lobectomy on a suspicion of fungus ball on tomography scan. The specimen was reported as pulmonary mucormycosis on histopathological examination. Key Words: Mucormycosis, Hemoptysis, Cavitary lesion, Immunocompetent.