RESUMO
Gynaecomastia (GM) is a benign proliferation of the glandular tissue of the male breast and results from an imbalance between androgen and oestrogen. Pubertal GM is found in 50% and often resolves spontaneously without treatment. GM in adult men can be the first symptom of an underlying disease, and thorough investigation is recommended. Treatment of an underlying cause of GM is the first-line treatment. If GM persists, surgical excision with liposuction can provide excellent results and a low rate of complications.
Assuntos
Ginecomastia , Adulto , Procedimentos Clínicos , Dinamarca/epidemiologia , Ginecomastia/diagnóstico , Ginecomastia/epidemiologia , Ginecomastia/etiologia , Ginecomastia/terapia , Humanos , MasculinoRESUMO
Facial burns and scalds are common but the eyes are rarely affected. We present a case of a 40-year-old female patient with severe eye injury due to facial scald. Although initial examination in the emergency department did not reveal signs of serious injury, the patient was referred to the burns unit two days later due to suspicion of infection of the facial burns. She was found to have seriously impaired vision and was transferred to a department of ophthalmology. Examination revealed bilateral severe corneal injuries and bilateral limbal ischaemia, presumably leading to permanently impaired vision.
Assuntos
Queimaduras Oculares , Adulto , Traumatismos por Explosões/complicações , Traumatismos por Explosões/patologia , Traumatismos por Explosões/terapia , Lesões da Córnea/etiologia , Lesões da Córnea/patologia , Lesões da Córnea/terapia , Explosões , Queimaduras Oculares/complicações , Queimaduras Oculares/patologia , Queimaduras Oculares/terapia , Feminino , Humanos , Vapor/efeitos adversos , Transtornos da Visão/etiologiaRESUMO
Carbon monoxide poisoning is potentially lethal, and early recognition and treatment is essential. An 18-year-old man was admitted due to syncope and a carboxyhaemoglobin level of 17% after water pipe tobacco smoking. He received normo- and hyperbaric oxygen as treatment and was discharged after two days without neurological sequelae. This case is the first in Denmark, but recently seven similar cases have been reported. The number of young people smoking water pipe tobacco is increasing, and we fear that more cases like this will occur in the future.
Assuntos
Intoxicação por Monóxido de Carbono , Fumar Tabaco/efeitos adversos , Fumar Cachimbo de Água/efeitos adversos , Doença Aguda , Adolescente , Intoxicação por Monóxido de Carbono/etiologia , Intoxicação por Monóxido de Carbono/terapia , Humanos , MasculinoRESUMO
The length of the stump and the quality of the soft tissue coverage are important for prosthesis fitting and mobility. In a high traumatic femoral amputation soft tissue reconstruction with a free musculocutaneous latissimus dorsi (LD) flap was performed to preserve bone length and provide proper tissue coverage. The extremely short stump was later on lengthened using a motorized intramedullary nail (Fitbone), and the achieved bone-lengthening was 14 cm. With the combined modalities of an LD-flap and Fitbone lengthening of the stump, the patient now has a useful limb function.