Myasthenia gravis and psoriasis vulgaris

Myasthenia gravis is a rare autoimmune disorder in which antibodies form against acetylcholine nicotinic postsynaptic receptors at the myoneural junction. Psoriasis vulgaris is a chronic, recurring, and an inflammatory skin disease. Myasthenia gravis and psoriasis are both autoimmune diseases and correlated with specific human histocompatibility antigens. In this report, a 53-year-old woman who has myasthenia gravis accompanied with psoriasis vulgaris is presented. To conclude, this association is extremely rare and the pathogenetic etiology was thought to depend on a generalized immunological disturbance

Restless leg syndrome in the differential diagnosis of entrapment and peripheral neuropathies

Restless leg syndrome [RLS] is an abnormal sensation disorder. Defining the syndrome is difficult. It is transmitted autosomal dominant genetically, is especially prevalent in the lower limbs, and is seen in both genders. In the differential diagnosis of RLS, nocturnal leg cramps, akathisia, peripheral neuropathy, entrapment neuropathy, and vascular disease [for example, deep vein thrombosis] should be considered. A 52-year-old woman was admitted to our clinic with signs of paresthesia, she had abnormal sensation disorder in both legs and the right arm, which she had difficulty defining. She had applied to another center with the same complaints and had been evaluated as entrapment neuropathy, carpal tunnel syndrome, and/or peripheral neuropathy. Her electromyographic examination carried out by us was normal. The history, neurological examination findings, and results of standard laboratory analysis provided a diagnosis of idiopathic RLS. After the diagnosis of RLS in the proband, we questioned other family members. Her large family had 63 members, 35 males, and 28 females. Of 63 members, 17 also had an RLS diagnosis

Knowledge of diabetic patients about diabetes at the primary stage in Eskisehir, Turkey

To define the demographic characteristics of diabetes patients receiving care at the primary stage to establish the number of diabetics with complications. Patients who were referred to Eskisehir central village clinics in Turkey were included in the study. A survey was conducted via face-to-face interviews. Four hundred ninety five diabetic patients were referred to the polyclinic within the study period. Majority of the patients had a positive family history, hypertension and obesity. Only 14.5% of the patients were able to check their plasma glucose levels by themselves. None of the patients had HbA1c level results in their follow-up files. In addition, they were unaware of what HbA1c signifies or what it entails. 21.9% of the diabetics developed a complication. Increases in age, positive family history, long duration of diabetes were responsible for the presence of complications. Though the diabetics were attentive to their own controls but very few were able to check their blood sugar levels by themselves at home. Education of diabetics is extremely important to achieve desired blood glucose levels thus ensuring good control and prevent complications