Kikuchi Fujimato Disease

Kikuchi Fujimato disease (KFD) also know as histiocytic necrotizing lymphadenitis (HNL) is a benign, self limiting disease, which commonly affects young women under 30 years of age. Most of the cases resolve in a six month period. Laboratory and clinical findings of KFD show similarities with tuberculosis lymphadenitis, mailgn lymphoma, other malign and benign diseases. The diagnosis is established on the basis of histology of lymph node excisional biopsy. The differentiation of KFD from Sistemik Lupus Eritematosus (SLE) can sometimes be problematic because both can show similar clinical and histological features. KFD and SLE can be seen together. Forty two years-old female patient diagnosed with KFD was discussed in light of current literature

Metastatic Neck Disease in Multifocal Thyroid Papillary Cancer

Aim:Multifocal papillary thyroid cancer (MPTC) has aggressive and poor prognosis. The main aim of this study was to evaluate the lymph node metastasis pattern in MPTC patients.Methods:We retrospectively investigated the records of 2530 patients who underwent thyroidectomy for papillary thyroid cancer between January 2010 and December 2017. The age, gender, tumor size, thyroid capsule invasion and neck metastatic disease were evaluated in 515 of these patients having MPTC.Results:We compared multifocal and unifocal papillary thyroid cancer patients considering papillary thyroid capsule invasion (29.9%/10.86%), mean tumor diameter (15.9 mm/16.1 mm), central lymph node metastasis (56.5%/18.3%) and lateral neck lymph node metastasis (23.1%/6.3%). Capsule invasion was associated with an increased risk of multifocal disease. The incidence of capsular invasion and central and lateral neck metastases in MPTC patients was statistically significantly higher than in patients with unifocal thyroid papillary cancer (p<0.001).Conclusion:We recommend bilateral total thyroidectomy and bilateral central neck dissection as primary surgical treatment in multifocal thyroid cancer patients

İki Defa Endoskopik Sinüs Cerrahisi Geçirmiş Kronik Sinüzitli Hastanın Revizyon Nedenleri: Olgu Sunumu

Daha önce 2 kere kronik sinüzit nedeni ile FESC (Fonksiyonel endoskopik sinüs cerrahisi) uygulanmış 45 yaşında erkek hasta; kliniğimize 6 yıldır mevcut olan ve giderek artan burun tıkanıklığı, sarı renkli geniz akıntısı ve yüzde hassasiyet şikayetleri ile başvurdu. Nazal endoskopik muayenede sağda posterior septal deviasyon, osteomeatal üniteye uzanan polipoid mukoza vardı. Her iki alt konka hipertrofikti. Hastanın çekilen BT’sinde sağ maksiller sinüste opasite, aksesuar osteum ve bilateral etmoid hücrelerde mukozal kalınlaşma vardı. Sağda fazla olmak üzere unsinat proçesin varolduğu görüldü. Sağda spur tarzında septal deviasyon osteomeatal üniteye basıyordu. Hastaya revizyon FESC, septoplasti ve alt konkalara endoskopik redüksiyon yapıldı. Postop 2 yıllık takiplerinde hiçbir şikayeti kalmayan hastanın, BT görüntülemesinde de kronik sinüzit bulguları düzeldi. Daha önce yapılan inefektif FESC’si, tekrarlayan kronik sinüzite yol açmaktadır. Bozulmuş osteomeatal kompleks anatomisi tekrarlayan sinüzit ataklarını kolaylaştırmaktadır. Temel tekniğe uygun yapılan FESC’si hastanın şikayetlerini düzeltir; kalıcı ve tatminkar sonuçlar sağlar

An Adult Tracheocele with No Predisposing Factor

Tracheoceles are rare, and usually, they have been described as incidental findings while evaluating patients for other problems. Our patient complained of a mass located in the right supraclavicular region that got larger on coughing and straining; otherwise, he was asymptomatic. His history did not reveal any predisposing factors. Computed tomography showed an air-filled 3x2.5x2 cm mass at the level of the T2-4 vertebrae. Surgical exploration showed an air-filled mass located between the common carotid artery and trachea, communicating with the tracheal lumen via a narrow tract attached to the posterior wall of the trachea. The mass was completely resected, and the defect in the posterior wall was repaired. A literature search revealed only one tracheocele case without any predisposing factors, and our case is a new one. It is different from other tracheocele reports considering the origin side, type, and level of the lesion

Effects of physical and morphological properties of roots on fracture resistance

OBJECTIVE: The aim of this study was to determine how physical and morphological properties affect the fracture resistance of roots, and which criteria are important for root specimen standardization in fracture resistance studies. MATERIALS AND METHODS: Seventy-five freshly extracted human canine teeth were selected. Crowns were sectioned from the cement–enamel junction and the root lengths were set at 16 mm. Then they were prepared up to ProTaper F3 file. Each root was numbered and data were obtained by measuring mesiodistal and buccolingual dimensions, volume, weight, and density. Tests for fracture strength were performed using an Instron Testing Machine (Instron Corp. MA, USA). The force was applied axially, angled at 45 degrees with a constant speed of 1 mm/min. For each sample, the force at the time of fracture was recorded in Newtons. Results were evaluated statistically using linear regression analysis. RESULTS: Volume and weight of the roots had more effect than mesiodistal or buccolingual dimensions on root fracture resistance. CONCLUSIONS: In root fracture resistance studies, volume or weight of the roots must be standardized when distributing roots to groups

Eating Increases and Exercise Decreases Disease Activity in Patients With Symptomatic Dermographism

© 2022 American Academy of Allergy, Asthma & ImmunologyBackground: Eating can increase disease activity in patients with symptomatic dermographism, the most common subtype of chronic inducible urticaria, but it is unclear how common this is. The effects of exercising on symptomatic dermographism disease activity have also not yet been determined. Objective: To assess the impact of exercise and nonspecific carbohydrate-rich food intake on the severity and intensity of symptomatic dermographism after exercise and nonspecific carbohydrate-rich food intake. Methods: We assessed disease activity by FricTest provocation testing in 75 symptomatic dermographism patients before and after eating, exercising, or both. We determined the rates of food-dependent (FD) symptomatic dermographism and food-exacerbated (FE) symptomatic dermographism. By comparing post- and pre-exercise FricTest scores, we identified complete responders: that is, patients with a negative FricTest response after exercising and partial responders. Finally, we evaluated whether exercise protects patients with FD-symptomatic dermographism or FE-symptomatic dermographism from eating-induced worsening of symptomatic dermographism. Results: Of 64 symptomatic dermographism patients, eight had FD-symptomatic dermographism (13%), 42 had FE-symptomatic dermographism (66%), and 14 patients showed no negative impact of eating on disease activity (21%). Physical exercise reduced FricTest skin provocation test responses in 83% of 58 patients. Exercising protected patients with FD/FE-symptomatic dermographism from worsening of symptomatic dermographism owing to eating in half of cases, with higher rates for exercise after eating (67%) compared with exercise before eating (35%). Conclusions: Our study shows that eating often worsen symptomatic dermographism symptoms, and exercise often improves it. Our findings might aid patients in controlling symptoms better