Oral lesions in kidney transplant patients

Oral hygiene in kidney transplant recipients contributes to maintenance of the transplanted organ and its function. Thus, an investigation of oral lesions could be counted as a notable work. These patients have the potential to be involved with lesions developed as a result of the administration of immunosuppressive drugs. The aim of this study was to investigate oral lesions in a group of kidney transplant recipients. The present study was a cross-sectional research on 100 patients with a kidney transplant for at least 3 months. Oral mucosa was assessed clinically for any lesion. Additional data on systemic diseases, transplant duration, and medications were recorded. Twenty-four percent of the patients had at least 1 oral lesion. The most common lesion was oral candidiasis in 16% of the participants [13 cases of acute pseudomembranous and 3 cases of chronic oral candidiasis]. Gingival enlargement was seen in 7% of the kidney transplant recipients, and 2% had a coated tongue. Elimination of oral fungal lesions in kidney transplant recipients is highly recommended. We hope this study can shed light on this particular aspect of healthcare in kidney transplant recipients

Epidemiology of urogenital trauma in Iran results of the Iranin national trauma project

We report the incidence, distribution, etiology, and outcome of the urogenital trauma in 8 major cities of Iran according to the database of national trauma project. Between 2000 and 2004, we prospectively collected the data of all the traumatic patients hospitalized for more than 24 hours in 8 cities [Tehran, Mashad, Ahwaz, Shiraz, Tabriz, Qom, Kermanshah, and Babol]. We analysed the data taken from 17 753 trauma admissions. Patients with sustained urogenital traumas were identified and studied. A total of 175 patients [0.98%] had injuries to the urogenital system. Male to female ratio was 4. The patients' mean age was 25 +/- 16 years [range, 2 to 80 years]. Of 175 patients, 159 [90.9%] had blunt trauma and 16 [9.1%] had penetrating trauma. Road traffic accident was the most common cause of trauma [65.1%]. The most common injured organs were the kidney in 61.1% and the bladder in 13.7%. One hundred and forty-two patients [81.1%] had associated intra-abdominal injuries and 129 [73.7%] had other accompanying injuries. Sixty [34.2%] patients required surgical intervention. Nine patients [5.2%] died due to the severity of the injuries. All patients who died had severe injuries [Injury Severity Score >12]. In Iran, blunt traumas including road traffic accidents are the main cause of urogenital traumas. The majority of the patients with urogenital trauma have multiple injuries and require a multidisciplinary approach