Atopic myelitis (AM) is a relatively mild form of myelitis associated with allergic diathesis, and present with predominant sensory manifestations. Lhermitte's sign has been considered as a relatively non-specific clinical sign suggesting demyelinating lesion in cervical cord. Here we report a patient with recurrent AM who presented with isolated Lhermitte's sign, both in first and second attacks. This report suggests that either the diagnosis or recurrence of AM can be frequently underdiagnosed because of its predominant sensory manifestations.
Diagnosis ; Disease Susceptibility ; Humans ; Myelitis* ; Recurrence

Biomarkers ; Disease Susceptibility ; Humans ; Pneumoconiosis ; etiology

As a stable genetic marker of human, blood group is expressed in a polymorphic system in the population. Blood group and pathogens mainly produce effects through the interaction between antigens and antibodies. On the one hand, they can promote pathogen colonization, invasion or evasion of host clearance mechanism, and on the other hand, they can make some hosts less susceptible to corresponding pathogens. By exploring the molecular mechanism between the blood group system and pathogenic microorganisms, it can provide a scientific basis for the treatment of human related diseases and the development of vaccines.
Blood Group Antigens/genetics* ; Disease Susceptibility ; Humans

Aortic Aneurysm, Abdominal ; epidemiology ; Disease Susceptibility ; Humans ; Risk Factors

Despite the availability of numerous options for the treatment of depression, treatment-resistant depression remains common. Several patient-related and treatment-related risk factors have been identified as increasing the likelihood of nonresponsiveness to antidepressant treatment including psychiatric and physical comorbidity, the chronic subtype of depression, and treatment nonadherence. Evidence linking many cases of treatment-resistant depression with a diathesis to bipolar disorder has also emerged. This article reviews the current literature regarding the relevance of bipolarity to treatment-resistant depression, with particular attention to the prevalence of bipolarity in treatment-resistant depression.
Bipolar Disorder ; Comorbidity ; Depression ; Disease Susceptibility ; Humans ; Prevalence ; Risk Factors

Shock wave lithotripsy(SWL) has been considered as a contraindication in a patient with bleeding diathesis. However, appropriate pre-treatment made it possible recently. We present a case of ureteral stone patient with hemophilia A which was resolved successfully using SWL and this would be the first report concerning SWL in a hemophilia A patient in our country.
Disease Susceptibility ; Hemophilia A* ; Hemorrhage ; Humans ; Lithotripsy* ; Shock* ; Ureter

Proteomic tools were used to identify the key proteins that might be associated with bronchial asthma(BA). Firstly, the serum samples from healthy adults and asthmatic patients were collected. Tandem Mass Tag~(TM)(TMT), which removes high-abundance structures and nonspecific proteins, was employed to identify the differentially expressed proteins between asthmatic patients and healthy adults. Gene Ontology(GO) annotation and Kyoto Encyclopedia of Genes and Genomes(KEGG) pathway enrichment analysis were carried out for the differentially expressed proteins. The core proteins in the asthma group were screened out by protein-protein interaction(PPI) analysis. Then the core proteins were verified by Western blot for 3 patients with bronchial asthma and 3 healthy adults. A total of 778 differentially expressed proteins were screened out, among which 32 proteins contained quantitative information, including 18 up-regulated proteins and 14 down-regulated proteins. The differentially expressed proteins were enriched in 28 KEGG signaling pathways. The PPI analysis showed that 10 proteins(GDN, 1433 Z, VWF, HEMO, CERU, A1 AT, TSP1, G3 P, IBP7, and KPYM) might be involved in the pathogenesis of bronchial asthma. Compared with those in healthy adults, the expression levels of SLC25 A4, SVEP1, and KRT25 in the sera of asthmatic patients were up-regulated(P<0.05). Therefore, it is hypothesized that a variety of immune signaling pathways and differentially expressed proteins play a role in the pathogenesis of BA, which provides potential target information for the treatment of BA.
Adult ; Humans ; Proteomics ; Gene Ontology ; Proteins ; Disease Susceptibility ; Asthma/genetics*

BACKGROUND: The development of dyskinesia in patients with Parkinson's Disease (PD) has been associated with several risk factors, including the use of Levodopa.
OBJECTIVES: To determine the prevalence of dyskinesia among Filipino patients with Parkinson's Disease given Levodopa versus Dopamine Agonist. To determine the time to development of dyskinesia among Filipino PD patients given Levodopa versus Dopamine Agonists, and to determine the risk factors for the development of dyskinesia among patients on Levodopa.
METHODS: In this retrospective case-control study, the occurrence of dyskinesia was evaluated in 367 PD patiems given Levodopa or Dopamine Agonists.
RESULTS: The prevalence of dyskinesia was significand higher in patients on Levodopa compared to those on DopamineAgonist (36.11% vs 0.86%, p 0.005). Kaplan Meier survival curve showed that at 9 years of treatment, a greater proportion of patients in the dopamine agonist group remained free of dyskinesia compared to the levodopa group (87 vs 3-5%) Patients in the Dopamine agonist group had a longer time to dyskinesia at 7 years compared to those in the Levodopa group at 6.25 years (CI 2 - 20 years). Among patients on Levodopa younger at onset of PD (53.29 vs. 62.37, p < 0.05), female sex (60.44 vs. 39.56%, p 0.006), and longer duration of treatment (6.25 vs. 3.73, p < 0.05) were significant risk factors for the occurrence of dyskinesia.
CONCLUSION: Among Filipino PD patients, the prevalence of dyskinesia is significantly higher in patients on Levodopa compared to those on Dopamine Agonists (36.11% vs 0.8%). At 9 years of treatment, a greater proportion of patients in the DA group remained free of dyskinesia compared to the L-dopa group (87% vs 37.5%). Patients on DAs also had a longer time to the onset dyskinesia at 7 years of treatment compared to those in the L-dopa group at 6.25 years (range at 2 - 20 years of treatment). Among patients on L-dopa, the significant risk factors that predispose patients to the development of dyskinesia are: younger age, female sex, and longer duration of treatment.

Human ; Female ; Antiparkinson Agents ; Disease Susceptibility ; Dopamine Agonists ; Dyskinesias ; Kaplan-meier Estimate ; Levodopa ; Parkinson Disease ; Prevalence

Esophageal hematoma is a rare form of esophageal injury. It may occur spontaneously, or in association with direct esophageal damage or a bleeding diathesis. Endoscopy and computed tomography are generally necessary for the establishment of a diagnosis. In this report, we present a case of esophageal hematoma that was discovered via a bedside transthoracic echocardiography. The echocardiography was conducted to evaluate an unexplained shock in a critically ill-patient. After conservative treatment, complete resolution of the esophageal hematoma was documented by a 7-day short-term follow-up of bedside transthoracic echocardiography. To the best of our knowledge, this is the first case report regarding transthoracic echocardiographic detection, differential diagnosis, and follow-up for esophageal hematoma.
Diagnosis ; Diagnosis, Differential* ; Disease Susceptibility ; Echocardiography* ; Endoscopy ; Follow-Up Studies* ; Hematoma* ; Hemorrhage ; Shock

Spinal subdural hematoma is an uncommon entity having a higher incidence in patients with bleeding diathesis or receiving anticoagulant therapy. Lumbar puncture should be done meticulously especially in patients with a bleeding tendency. Spinal subdural hematoma should be considered as a possible diagnosis in patients with coagulopathy, having sustained a minor trauma, or having had a recent lumbar puncture, showing progressive neurological deficits suggestive of a spinal disorder. In such patients, early diagnosis and proper treatment is imperative in order to minimize any neurological sequelae. We report a case of a 7-month-old infant in a septic condition diagnosed with chronic spinal subdural hematoma that had occurred following repeated lumbar punctures.
Diagnosis ; Disease Susceptibility ; Early Diagnosis ; Hematoma, Subdural ; Hematoma, Subdural, Spinal* ; Hemorrhage ; Humans ; Incidence ; Infant* ; Spinal Puncture