SAPHO syndrome associated with recurrent sinus infection: Case report [Tekrarlayan sinus enfeksiyonu ile i·lişkili SAPHO sendromu]

The SAPHO syndrome (synovitis, acne, pustulosis, hyperostosis, osteomyelitis) is a rare painful disorder, usually with a favorable long-term prognosis. This syndrome consists of a group of bone and joint abnormalities and skin lesions. Its etiology remains unclear, and various treatment regimens frequently fail to control the disease. A 46 year-old female presented with pustuler psoriasis, anterior chest wall and back pain and was diagnosed as SAPHO syndrome. It is suggested that SAPHO syndrome in this case was associated with recurrent sinus infections. Copyright © 2007 by Türk Tibbi Rehabilitasyon Kurumu Dernegi

Polyostotic fibrous dysplasia associated with vitamin D deficiency: Case report [Poliostotik fibröz displazi ile beraber görülen vitamin D eksikligi]

Fibrous dysplasia is a benign intramedullary fibroosseous lesion in which normal bone tissue is replaced by collagen, fibroblast and variable amounts of osteoid tissue. Majority of the patients with fibrous dysplasia are asymptomatic. A 58 year old female presented with a pain in her both knees; right ankle, 2nd and 4th metatarsals of the right foot was diagnosed as fibrous dysplasia by plain X-rays. Laboratory examination showed no abnormality other than increased parathyroid hormone (PTH) among the endocrinologic examinations. Examinations related to osteoporosis showed low levels of 25 OH vitamin D. Although association of polyostotic fibrous dysplasia with various endocrine disorders has been reported, vitamin D deficiency and secondarily increased PTH levels has been observed in a small number of cases. In this report, a case of polyostotic fibrous dysplasia associated with vitamin D deficiency is presented. Copyright © 2008 by Türk Tibbi Rehabilitasyon Kurumu Dernegi

Case management based multidisciplinary care protocol in the palliative care of cancer patients [Kanser hastasinin palyatif bakiminda vaka yönetimine dayali multidispliner bakim protokolü]

PubMed ID: 24943853Today, multifaceted approach is needed for the palliative care of advanced stage cancer patients. The main objective for these patients, elimination of pain and other symptoms, psychosocial and spiritual needs are met and to increase the quality of life. We are also faced with the challenge of meeting the physical and psychosocial needs of family members. The purpose of a holistic approach to patient and family who provide effective and quality care, care coordination and case management of a multidisciplinary team approach is based on cooperation. Care protocols specified patient care activities to be carried by the related disciplines to achieve results on a timeline that shows a certain, a multidisciplinary clinical management tool. A lot of care guidelines and protocols developed by a team of experts to contribute to the palliative care activities, and this is thought to be a guiding team members, working with patients