1.A case series of dermatological emergencies – Erythroderma
The Medical Journal of Malaysia 2017;72(2):141-143
Erythroderma can be life-threatening, primarily because of
its metabolic burden and complications. It is mandatory to
establish its etiopathology in order to facilitate precise and
definitive management. This disorder may be the
morphologic presentation of a variety of cutaneous and
systemic diseases. Detailed history and thorough work-up is
therefore essential. Management of erythroderma involves
multi-disciplines with progress monitoring especially on
signs and symptoms suggestive of acute skin failure
induced complications. Early diagnosis and referral of
erythroderma to centres with dermatological services is
crucial and will directly affect the outcome of the patients.
Dermatitis, Exfoliative
2.Datura fruit poisoning
The Medical Journal of Malaysia 2018;73(6):453-454
Datura plants contain anticholinergic properties.
Consumers may present with a spectrum of anticholinergic
symptoms, including hallucination, agitation, tachycardia,
delirium, hyperthermia, and dilated pupils. Prompt
identification of the symptoms with appropriate treatment
can be life-saving. Some patients might not be able to
provide history and therefore recognition of toxidromes is
imperative. Awareness should be built among the public
who may be exposed to such fruits or plants.
3.Treatment of Intracranial Aneurysms with Flow Re-direction Endoluminal Device - A Single Centre Experience with Short-term Follow-up Results.
Neeraj Ramesh MAHBOOBANI ; Wing Ho CHONG ; Samuel Siu Kei LAM ; Jimmy Chi Wai SIU ; Chong Boon TAN ; Yiu Chung WONG
Neurointervention 2017;12(1):11-19
PURPOSE: A flow diverter (FD) is an effective treatment option for intracranial aneurysms. The Flow Re-direction Endoluminal Device (FRED) is a relatively new flow diverter with a unique dual-layer design. We report our experience and short-term results with the FRED. MATERIALS AND METHODS: We did a retrospective review of all consecutive cases in which the FRED was used to treat intracranial aneurysms at a single institution from March 2014 till December 2015. Clinical parameters, aneurysm characteristics, technical results and short-term outcomes were reviewed. RESULTS: Eleven intracranial aneurysms were treated with the FRED in 11 patients. The technical device deployment success rate was 100%. Immediate reduction in intra-aneurysmal flow after deployment was noted in 10 cases. The aneurysm occlusion rate at 6 months was 75%. There was 1 complication of in-stent thrombosis immediately after deployment. There was no side branch occlusion, delayed aneurysm rupture, stroke, or intraparenchymal haemorrhage. There was no neurological deficit, morbidity, or mortality. CONCLUSION: The FRED is a new FD. It has shown to be safe and effective in our series. The unique dual-layer design of the device renders it to have technical advantages over other FDs. The 6-month aneurysm occlusion rate and complication profile of FRED are similar to other FDs.
Aneurysm
;
Follow-Up Studies*
;
Humans
;
Intracranial Aneurysm*
;
Mortality
;
Retrospective Studies
;
Rupture
;
Stents
;
Stroke
;
Thrombosis