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1.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (1): 124-126
em Inglês | IMEMR | ID: emr-190714

RESUMO

Polycythemia vera [PV] is a chronic myeloproliferative tumor where bone marrow makes more red blood cells and other bone marrow cells. Many patients initially are asymptomatic, however, other patients may develop symptoms and complications of this disease later on. One of the PV complications is developing thrombosis in different sites, one of these sites is splenic vessels causing splenic infarction. Here we are describing a JAK2 positive PV case who presented with vague abdominal pain and diagnosed by CT to have splenic infarction, and was treated medically without going to surgical options. In conclusion, splenic infarction is a rare and unique complication of PV. Early diagnosis is paramount to prevent complications and a team approach is highly recommended for the best outcomes

2.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (2): 287-288
em Inglês | IMEMR | ID: emr-190738

RESUMO

Purpose: this study aimed to report a case of a unilateral lenticular coloboma super imposed over bilateral iris and optic nerve coloboma in a healthy patient, colobomas are rare congenital malformation of the neuroectodermal tissue of the optic cup


Materials and Methods: this case of medically free patient who complained of poor vision since early childhood that has progressed in the last five years. Patient underwent thorough and complete ophthalmic investigation


Results: fundus photography revealed inferior optic nerve colobomas in both eyes and no uveal colobomas. On slit lamp examination, bilateral inferior iris coloboma were noted. Systemic examination was unremarkable. Patient was otherwise healthy


Conclusion: our report showed the need of more studies to be done in order to have a better understanding of the prevalence, management and genetics related to this condition in our population

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