1.Management of diabetes in pregnancy in primary care
Nurain Mohd. Noor ; Lili Zuryani Marmuji ; Mastura Ismail ; Hoong Farn Weng Micheal ; Barakatun Nisak Mohd Yusof ; Mohd. Aminuddin Mohd. Yusof ; Rohana Abdul Ghani ; Norasyikin Binti A. Wahab ; Nazatul Syima Idrus ; Noor Lita Adam ; Norlaila Mustafa ; Imelda Balchin ; Ranjit Singh Dhalliwal
Malaysian Family Physician 2019;14(3):55-59
Diabetes in pregnancy is associated with risks to the woman and her developing fetus. Management
of the condition at the primary care level includes pre-conception care, screening, diagnosis, as well
as antenatal and postpartum care. A multidisciplinary approach is essential in ensuring its holistic
management.
2.Rare presentation of right Adrenal Mass: Extramedullary haematopoiesis in a patient with Thalassaemia Intermedia
Poh Shean Wong ; Lit Sin Yong ; Nor Afidah Binti Karim ; Ee Leng Gan ; See Guan Toh ; Noor Lita Binti Adam
Journal of the ASEAN Federation of Endocrine Societies 2021;36(1):80-84
Extramedullary hematopoiesis (EMH) is a rare cause of adrenal mass. We present a 44-year-old woman who has thalassaemia intermedia, referred to Endocrinology clinic for huge adrenal mass. Along with a paraspinal lesion discovered in this patient, the leading diagnosis was EMH. The patient was treated with hypertransfusion and hydroxyurea, which led to a reduction in the size of the right adrenal mass and paraspinal mass. This case highlights the challenges in managing this rare condition. Although EMH is a rare cause of adrenal mass, the diagnosis must be considered in any patient with a history of a congenital hemolytic disorder, to avoid unnecessary surgical procedures.
Hematopoiesis, Extramedullary
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