ABSTRACT
Objective: Oral blood blister, also known as angina bullosa hemorrhagica (ABH), is a rare lesion involving the oral cavity and agitates patients due to its dreadful appearance. This review aims to summarize oral blood blister cases in the literature. Methods: This study is based on the PRISMA guideline. An online search was conducted in PubMed/MEDLINE and Scopus databases without any restriction, and 45 articles were included. Results: Oral blood blister was slightly more prevalent in women, with a ratio of 1.09. The patients' average age was 59.93, and more than half of them were in their lives fourth to sixth decades. Half of the lesions were located on the palate, whereas the tongue, buccal mucosa, lips, the floor of the mouth, and uvula were the other common sites, respectively. Almost one-third of the cases were asymptomatic;however, pain, bleeding, and burning sensation were common symptoms in others. Eating trauma was the most relevant causative factor of this entity (57 %), yet no admissible cause was mentioned in 25 % of the cases. Hypertension, diabetes mellitus, and endocrine disease were among the most frequently reported underlying disorders. COVID-19 has been reported in a confined number of cases. In 60 % of cases, no therapeutic intervention was mentioned, while using mouthwash (6.2 %) and topical analgesics (5.1 %) as means of medicament were also mentioned in the literature. Conclusion: Oral blood blister is more common in middle-aged and elderly patients and is slightly more frequent in women. Physical trauma is the major cause of this lesion. © 2023 Asian AOMS, ASOMP, JSOP, JSOMS, JSOM, and JAMI
ABSTRACT
Background and Objective: The COVID-19 pandemic has increased the level of anxiety in patients with diabetes and educating patients in this field can be an appropriate method to reduce their level of anxiety. The present study aimed to determine the effect of patient education through social media on the COVID-19-related anxiety in patients with diabetes. Materials and Methods: The present single-blind clinical trial was conducted at the teaching hospitals of Zanjan, Iran in 2022. A total of 113 diabetic patients were selected using convenience sampling and then divided into two groups of experimental (n = 58) and control (n = 55) by simple random allocation. Data were collected using a demographic questionnaire and Corona Disease Anxiety Scale (CDAS). Training related to COVID-19 was provided to the intervention group at a two-week interval, while the control group only received routine care. Data were entered into SPSS software (version 26) and then analyzed using descriptive and inferential statistics. Results: Patients in both groups were homogeneous in terms of demographic and clinical characteristics (P >0.05). A statistically significant difference was observed between the mean scores of anxiety in the intervention group at two measurement points before and after the intervention (P <0.05). However, the difference in the mean score of anxiety failed to be found significant between the two groups after the intervention (P >0.05). Conclusion: Educational intervention through social media slightly reduces COVID-19-related anxiety in patients with diabetes. Therefore, social media is suggested as a convenient and accessible method to educate patients on Covid-19. © 2022 Avicenna Journal of Nursing and Midwifery Care.
ABSTRACT
Introduction: Renal papillary necrosis (RPN) is a multifactorial complication that occurs under the following conditions: Pyelonephritis, obstruction of the urogenital tract, non-steroidal anti-inflammatory drugs (NSAIDs) abuse, diabetes mellitus (DM2), and coronavirus disease 2019 (COVID-19). The present report presented a case of right ureteral obstruction due to RPN. Case Presentation: The patient was a 68-year-old woman referred to the hospital due to flank pain, fever, vomiting/nausea, frequency, and nocturia. She also had a history of DM2, hypertension, dialysis, COVID-19, and the use of NSAIDs and antihypertensive. The results of computed tomography (CT) scan suspected a clot, bladder fungus or RPN, and COVID-19. After performing the ultra-sound, mild hydroureteronephrosis and two echogenic foci were seen in the right kidney, suggesting a possible RPN. The patient was transferred to the urology service. After cystoscopy and urethroscopy, a severe stenosis was seen in the distal right ureter. As soon as inserting double J, lots of pus came out. The definitive diagnosis was RPN, ureteral obstruction, and pyelonephritis. Conclusion(s): It is important to pay enough attention to the disorders related to the urinary system, especially in the elderly with a history of NSAIDs abuse, DM2, hypertension, COVID-19, and renal diseases. Additionally, the underlying diseases, blood glucose, infection, dehydration, and use of NSAIDs must be well-controlled to protect nephro-ureteral structures. Copyright © 2022, Author(s).