A highlighted case for emphasizing on clinical diagnosis for rare syndrome in third world

Premature tooth loss is a disastrous situation may impact on deciduous or permanent teeth era with different cause. It is may be attributed to some disorders like papillon- lefevr syndrome or coffin-lowry  syndrome but because of ambiguous nature, precious diagnosis is not easily possible .having very low incidence and defined by few and limited case series ,with vague characters to some extent, confusion in detecting the right diagnosis is a common possibility. Then it's expectable to have a wrong diagnosis for this case. In this article, a 5 year old boy with chief complaint of early tooth loss despite having blindness in left eye and palmar keratosis is reported, although he had some other manifestation of ODDD like ataxia, dysartheria and nail deformity, ignoring other extra and intra oral finding, he was diagnosed as papillon- lefevr syndrome before, just because of early tooth loss and palmar keratosis

Chronic Exposure to Morphine Leads to a Reduced Affective Pain Response in the Presence of Hyperalgesia in an Animal Model of Empathy

Background: Empathy is the capability to represent the mental and emotional states of other subjects.Previous studies have demonstrated a possible correlation between morphine addiction and altered empathyresponse in morphine-addicted subjects. This study was performed to evaluate the effect of chronic morphineexposure as an animal model of morphine addiction on empathic changes in affective and sensory pain.Methods: Adult male Wistar rats (3 months old) were used for the current study. Animals were grouped incages of two (n = 8 for each group) and one animal was selected as the pain observer group. Pain observeranimals received either saline or morphine (10 mg/kg, twice daily for 8 days). At ninth day, formalin [50 µg,5%, subcutaneous (SC)] was injected into the hindpaw of the cagemate and placed inside the cage. Elevatedplus maze (EPM) and open field test (OFT) were recruited to evaluate anxiety; hot plate and tail flick testswere used to assay sensory pain. Conditioned place aversion (CPA) was also measured as indicator ofaffective pain component.Findings: Chronic morphine exposure led to a reduced level of anxiety in EPM and OFT assays. An opioidinduced hyperalgesia was observed in the sensory pain assays, while there was a reduced affective pain in theCPA paradigm in morphine-treated animals.Conclusion: It might be plausible that chronic morphine exposure might alter empathy for pain throughaffective and not sensory pain pathway

In Vitro Effects of Propolis Mouthwash and Nystatin on Candida Albicans: A Comparative Study

Background & Objective: Oral candidiasis is the most common fungal infection of the oral cavity, mainly caused by the overgrowth of Candida albicans. One of the topical medications for candidiasis is nystatin, a polyene antifungal agent. Nevertheless, increased resistance to this drug because of overprescription has caused recurrent oral candidiasis. There is a lot of interest today in the use of natural products and compounds due to the side effects of synthetic products. Propolis is a natural resin substance produced by bees through the combination of wax and saliva with resins collected from plants, which has reportedly antibacterial, antifungal and antitumor properties. The purpose of this study was to compare the effects of propolis mouthwash and nystatin on C. albicans. Materials & Methods: The present in vitro study, in which the effects of antifungal agents were investigated on the standard strain of C. albicans, was conducted within two groups of 15, nystatin and propolis, using the Kirby-Bauer disc diffusion susceptibility test after preparation and sterilization. The diameter of the zone of inhibition (ZOI) was measured in this assay using the disc diffusion method onto Sabouraud dextrose agar (SDA) medium. Results: Statistical analysis of data by SPSS software using t-test statistics to evaluate the antifungal effect of the interventions showed a better antifungal effect of nystatin compared to propolis mouthwash against C. albicans (P<0.001). Conclusion: The findings of this study demonstrated that the local propolis mouthwash was less potent than nystatin in inhibiting the growth of C. albicans, probably due to differences in the concentration and geographical region of collected propolis. Further research on species isolated from oral biofilm is needed to achieve complementary outcomes