Neglected bilateral posterior shoulder fracture dislocation in an uncontrolled seizure patient

Posterior dislocation of the shoulder is a rare injury that occurs secondary to trauma and seizures. Diagnosis is often missed and treatment is challenging. Neglected posterior dislocation is associated with Hill-Sachs lesion which leads to locking of dislocation. Correct diagnosis is achieved by history taking, a physical examination and appropriate imaging. In neglected shoulder dislocation with uncontrolled seizure and humeral head defects of up to 45% the McLaughlin procedure shows excellent results at follow-up

Prevalence of wheat allergy in Al-Kharj, Saudi Arabia

Wheat allergy has been suggested to represent an important allergic disease. This study collates clinical and laboratory aspects in patients with wheat allergy in Al-Kharj city, Saudi Arabia. Total and specific IgE were measured in 15 suspected cases of wheat allergy. Protein allergenicity was assessed with Western blotting. Significant elevation of total and specific IgE was found in 4 cases. Basophlia was also demonstrated on blood film. Western blotting results showed 2 bands [83 and 40 kDa]. Wheat allergy must also be considered when planning treatment of asthma and eczema of adult patients

Animal allergy among husbandry personnel in Riyadh

The importance of specific animal allergy in immuno-pathology of asthma and atopic diseases remained to be defined. We measured total and specific IgE. Western blotting of some allergens was also characterised. There was a significant elevation of IgE in 3 persons among 15 samples collected. Western blotting showed common husbandry allergens from 3 sources that have common allergenicity. Exposure to animal products exacerbates allergic asthma in adults, suggesting that preventive measures should be taken to reduce their sensitivity