Adult and Pediatric Dermatology

<title>Abstract</title> <bold>Background</bold> Acute asthma attack is one of the most common causes of emergency visiting to health facilities in all age groups and accounts for the greater part of healthcare burden. It is also an important public health problem that affects not only the patients, but also the family, health professionals, health care institutions and development of the nation. There is limited information regarding to acute asthma in public hospitals of Addis Ababa. Thus, the aim the current study is aimed to assess acute asthmatic attack in Addis Ababa public hospital. <bold>Objective</bold> To assess the magnitude and associated factors of acute asthmatic attack among patients at emergency centers in Addis Ababa public hospitals, Ethiopia, 2023 <bold>Methods</bold> An institutional based cross-sectional study design will be employed among 147 participants in selected public hospitals of Addis Ababa. Systematic random method was employed to select study participants. The data was collected in face-to-face interview by five trained data collectors. The data was processed and analyzed by using SPSS version 26.0 software packages for analysis. The result was be presented by using texts, tables and graphs. Bivariate and multivariable logistic regression with 95% confidence interval was employed to compute crude and adjusted odd ratio and interpret accordingly. Variables with p-value &lt; 0.05 declared as significant factors to acute asthma attack. <bold>Result</bold> Thirty six (24.5%) had developed acute asthma attack. Predictors such as ever smoking cigarettes (AOR = 2.19, 95%CI: 1.10–5.47), allergic rhinitis (AOR = 3.11, 95% CI: 1.15–7.86) and gastric reflux disorders were (AOR = 4.26, 95% CI: 1.75–10.41) showed significant association with acute asthma attack. <bold>Conclusion and recommendation</bold> The study indicates that the prevalence of acute asthma attack was high. Predictors such as ever smoking cigarettes, allergic rhinitis and history of having gastro reflux disease were showed significant association with acute asthma attack.

To describe a novel, minimally invasive, ultrasound-guided Achilles tendon repair technique using a knotless barbed suture and to assess its feasibility in a cadaveric model. A midportion Achilles tendon rupture was simulated in a Thiel-embalmed cadaver. The tendon was repaired percutaneously under ultrasound guidance using a 0.6-mm USP 1 knotless barbed suture mounted on a 19-gauge, 3.5-inch curved needle. The needle was advanced intratendinously under continuous ultrasound guidance. Tendon reapproximation was assessed with ultrasound and confirmed by anatomical dissection. The resting plantar flexion angle was measured before and after the repair. The Achilles tendon repair technique resulted in successful reapproximation of the tendon ends with anatomic alignment. Post-repair ultrasound and dissection confirmed accurate intratendinous suture placement and full tendon continuity. The resting plantar flexion angle increased from 23° to 50° after the repair. This is the first report of an ultrasound-guided Achilles tendon repair using a knotless barbed suture. The technique appears feasible in a cadaveric model and may represent a promising minimally invasive option for patients requiring improved tendon approximation. Its office-based approach may reduce surgical risks associated with conventional repair and tendon elongation seen with conservative treatment. Further biomechanical and clinical studies are warranted to evaluate its safety, durability, and functional outcomes.

Introduction: Behcet's disease (BD) is a systemic vasculitis that can affect the gastrointestinal system. Case Presentation: This report discusses a 41-year-old woman with a history of bariatric surgery who later developed gastrointestinal symptoms and arthralgia consistent with BD. Diagnosing BD is challenging because there are no specific diagnostic tests; instead, diagnosis is based on the constellation of clinical signs and symptoms such as recurrent oral and genital ulcers, uveitis, and multisystem involvement, which can overlap with other diseases. It remains unclear whether surgical procedures influence the onset or progression of the disease. Conclusions: The relationship between surgical interventions and the onset of BD requires further investigation. This case underscores the importance of considering BD in the differential diagnosis of post-surgical GI symptoms and highlights the role of tailored immunosuppressive therapy in achieving resolution of GI ulceration or arthralgia. Future studies must clarify the interplay between surgical procedures and immune-mediated diseases like BD.

Hypertension is a significant morbidity among childhood cancer survivors (CCS). Ambulatory blood pressure monitoring (ABPM) allows for continuous 24-hour blood pressure assessment and provides valuable insights into abnormal nocturnal dipping (aND) and ambulatory arterial stiffness index (AASI). This study aimed to evaluate the prevalence of hypertension and prehypertension, as well as, the rates of aND, and AASI in CCS. Ambulatory blood pressure monitoring was performed in 49 patients who had completed cancer treatment at least 1 year prior. Among all patients, the prevalence of hypertension and prehypertension was 10% and 16%, respectively. The solid tumor group demonstrated a significantly higher prevalence of prehypertension, nephrotoxic drug exposure, and cumulative doses of endothelium-toxic agents compared with the hematologic malignancy group. However, no significant difference in hypertension prevalence was observed between the 2 groups. Notably, a diagnosis of Wilms tumor was significantly associated with prehypertension. According to ABPM findings, aND was observed in 61% of patients. The higher prevalence of prehypertension and aND in CCS compared with healthy children, along with the observed association between hypertension and AASI, highlights the importance of ABPM in the long-term cardiovascular monitoring of this population. The increased prevalence of prehypertension in patients with solid tumors may be attributed to the cumulative dosage of drugs used during treatment.

Lengi hefur það verið á huldu hvert algengi athyglis-brests og ofvirkni (ensk skammstöfun: ADHD) sé í raun hér á Íslandi og því ber að fagna þeirri grein sem birtist hér í Læknablaðinu þar sem reynt er að kasta ljósi á þá spurningu með eins nákvæmum hætti og mögulegt er.