[ 71 -year-old female with anthrax infection of eyelids]

Anthrax is an acute infection caused by the Bacillus anthracis a Gram-positive organism.cutaneous infection by anthrax is a rare condition. We report a case of anthrax as palpebral disease. A 71 -year-old female farmer, with anthrax infection of eyelids is presented. She was rural. She had a history of contact with animal and agricultural products. Additionally; she had a suspected history of insect bite. She treated with penicillin and ciprofloxacin. As this infectious is very contagious; early diagnosis is very important and prognostic. Thus, this form of disease should be considered in differential diagnosis of orbital cellulitis

case report of primary localized amyloidosis of eyelid with extensive calcification and ossification, clinically presenting as a bone tumor

Primary localized amyloidosis of eyelid is a localized type of amyloidosis without evidence of systemic involvement. We report a 75-year-old man suffering of unilateral [left] ptosis due to upper eyelid mass with bony consistency. Eye examination revealed upper lid mass attached to tarsus. No ocular infection or inflammation was found. Pathologist reported diffuse distribution of eosinophilic homogenous deposits of stroma that show apple green birefringence by polarized light compatible with amyloidosis. Primary localized amyloidosis may appear as a bony tumoral mass. It is important to consider secondary localized and systemic amyloidosis in differential diagnosis of the disease

[Geographical epidemiology of deaths due to cardiovascular diseases in counties of Kerman province]

Cardiovascular disease is the leading cause of death worldwide and is predicted to retain this position until 2020. The aim of the present study was to map cardiovascular mortality rates in Kerman Province counties during 2004-2005. In this descriptive study we collected all mortality data registered in various counties of Kerman Province. We calculated mortality rates and drew maps showing the geographical distribution of the dead cases. Total cardiovascular mortality was higher in the northern counties. The pattern is the same in males and females. The reasons for higher mortality in the northern regions of the province may include a greater prevalence of major cardiovascular risk factors such as physical inactivity, unhealthy diets, and smoking

Silicone tube intubation with intraoperative mitomycin C for nasolacrimal duct obstruction in adults: a prospective randomized double-masked study

To assess the efficacy of intraoperative mitomycin C [MMC] during silicon intubation [SI] as a substitute for dacryocystorhinostomy [DCR] in nasolacrimal duct [NLD] obstruction. In a prospective, randomized, double-blind study, 88 candidates of DCR for NLD obstruction were randomly assigned into two groups of SI with application of either MMC [0.2 mg/ml for 2 minutes] or placebo. After a mean follow-up interval of 8 months, 25 of the 43 eyes in the MMC group and 21 of the 44 eyes in the placebo group had a successful outcome and were free of tearing and discharge [p=0.331]. In patients with simple epiphora and less than 6 months of duration of symptoms, SI alone was effective in 83% of patients; MMC application during SI did not show additional benefit over SI alone in this group of patients. But in patients with simple epiphora and more than 6 months duration, the application of MMC during SI resulted in better efficacy compared to SI alone. The overall success rates in the patients with chronic dacryocystitis was lower [23%] compared to patients with epiphora only [63.7%]. SI alone could effectively substitute for a more extensive procedure such as DCR in patients with simple epiphora particularly in whom their symptoms has been newly developed. In cases with longer duration of symptoms of epiphora, application of MMC would increase the success rate significantly

[Cloverleaf skull syndrome associated with cleft palate]

To report a case of cloverleaf skull syndrome with cleft palate. We report a 20-day-old boy with cloverleaf-shaped skull deformity, very constricted cranium and prominent temporal bones associated with severe proptosis, maked lid retraction, conjunctival chemosis, exposure keratitis, corneal opacity and cleft palate. CT-scan dislosed fusion of the coronal, sagittal and lambdoidal skull sutures with shallow orbits. To control the exposure keratitis, bilateral tarsorrhaphy was performed temporarily and the patient was referred to the neurosurgery service. To the best of our knowledge this is the first report on the association of cleft palate with cloverleaf skull syndrome. After performing preliminary measures for preservation of the cornea, patients should be referred to neurosurgeons or plastic surgeons