Median nerve injuries in pediatric patients represent a significant challenge due to their impact on hand function and fine motor development. This case report presents the rehabilitation outcomes of a seven-year-old child who sustained a traumatic injury involving the flexor pollicislongus and flexor carpi radialis muscles with associated radial artery injury and median nerve lesion. The patient underwent a structured physiotherapy program including neuromuscular electrical stimulation and…

Latent autoimmune diabetes in adults (LADA) is an autoimmune form of diabetes situated between classical type 1 diabetes (T1D) and type 2 diabetes (T2D). It typically affects older adults and progresses more slowly toward insulin dependence. We report three cases of elderly female patients presenting with inaugural diabetic ketosis revealing slowly progressive type 1 diabetes. These observations highlight the diagnostic challenges and clinical features of this still poorly understood entity…

Introduction Familial hypercholesterolemia (FH) is an autosomal dominant genetic disorder caused by mutations in several genes involved in low-density lipoprotein (LDL) metabolism [1, 2]. It is characterized by an isolated increase in LDL cholesterol and is associated with a high risk of premature cardiovascular disease [3].

This condition is often underdiagnosed and undertreated, especially in resource-limited countries where genetic testing is less accessible…

Objective: To compare the effectiveness and safety of conservative/medical therapy, Lord’s anal dilatation, lateral internal sphincterotomy, posterior sphincterotomy (including modifications), anorectal myomectomy, and early transanal endosurgical procedures in the management of chronic anal fissure.

Design: Retrospective cohort study.

Setting: Shri M. P. Shah Medical College and the Irwin Group of Tertiary University…

Background: Children with histories of extreme prematurity and congenital hypotonia often present with delayed motor development and gait instability. Positional vestibular dysfunction may be underrecognized in this population, and standard canalith repositioning maneuvers are frequently not feasible for toddlers.

Case Presentation: This case report describes a 3-year-old child born at 23 weeks gestation with congenital hypotonia and delayed…

Lateral epicondylitis or tennis elbow is a painful and functionally limiting entity affecting the upperextremity and is frequently treated by hand surgeons. Corticosteroid injection is one of the most common interventions for lateral epicondylitis or tennis elbow. Here, a review of the medical literature on this treatment is presented.

Keywords: Tennis Elbow; Steroid

Objective: To describe two-rickettsiosis laboratory-positive cases, and their eco-epidemiology, in non-autochthonous area of Brazil, 2022.

Methods: Case report study with environmental investigation, from May 1st to November 14th, 2022. Data collection occurred through interviews and health records; ectoparasites and dogs’ blood samples were collected, and spatial monitoring of a Rickettsia serologic reagent dog was performed. Software used: Epi…

Background: The use of electronic cigarettes (ECs), or vaping, has been increasing at an alarming rate, constituting a significant public health concern. A lack of data regarding the impact of EC use on dermatologic disease requires a scoping review of the current literature.

Methods: Our scoping review protocol was registered on Open Science Framework. Two independent reviewers completed a systematic review of the literature in Web of Science,…

Neonatal biliary ascites is a rare but important cause of progressive abdominal distension in early infancy. Diagnosis is often delayed because jaundice may be mild and stool color may remain normal. We report a term neonate presenting with increasing abdominal distention simulating bowel obstruction and respiratory compromise secondary to massive biliary ascites. Ultrasound demonstrated large-volume free fluid without biliary duct dilatation. Diagnostic paracentesis confirmed bile-stained…

Objective: To examine and explore how soul faculties can be integrated with the psycho‑neuro‑endocrine‑immune (PNEI) axis in gut‑focused interventions to address metabolic dysregulation and obesity, synthesizing evidence from psychosomatic medicine, neurogastroenterology, psychoneuroimmunology, and integrative health and to achieve the long awaited integrated unified concept between medicine, psychology, philosophy and theology.

Design: Narrative…